SERVICES:  

Claim Reporting

You can report claims 24-hours a day, 365 days a year. We make it easy with three different methods: Fax, Phone, E-mail or electronically from your legacy system to our Insurance Transaction Management System (ITMS). You won’t have to wait and wonder about the status of your claim. Within twenty four (24) hours of receipt of the loss notice, your specialist will be assigned and all files will be created, reserved and coded.

Claim Investigation

This begins with a thorough investigation of the loss or incident. We contact your policyholder, facility, and or any injured claimant, within two 24 hours of receipt of the loss notice. When circumstances dictate, we will personally inspect the site, or hire qualified investigators to do so. If expert testimony will be critical to determine liability, or build a defense, we bring in the best available. When a medical evaluation is crucial, we use proven physicians to conduct independent medical evaluations.

Third Party Administration

If you are a self-insured, insurance carrier, municipality, association, captive, risk retention group, broker, re insurer, or managing general agency, we are the TPA of choice. We establish and manage trust funds, and we have designed custom modules in our claims management system so that we can provide you with detailed reports on what has been paid within, and outside, your retention. You choose the account type, including zero balance, wire transfers, ACH accounts, or traditional checking accounts.

Casualty/Physical Damage Division is comprised of adjusters and appraisers experienced in the investigation, evaluation and negotiation of auto and general liability, injury and non-injury claims. We are versed in state-specific tort law, mediation, arbitration and litigation. Our appraisers are experienced in estimating, autos, trailers, motor homes, boats & other personal watercraft, motorcycles, ATV’s and heavy equipment including trucks and cargo.

Property Loss Division handles from the most common domestic kitchen fire to the massive hurricane claims, which followed the Hurricane Andrew in 1992. Our team of adjusters enable us to move swiftly and thoroughly, writing property loss estimates at the scene while simultaneously starting the settlement process, keeping the insurer fully informed of every step in the process.

Catastrophe Services

During a catastrophic event, we are prepared to deploy a team of adjusters within 24 hours and set up a storm office within 48 hours. Our catastrophe response team is trained in every division to perform their job at any location, at any time, and is available 24 hours a day, 7 days a week, every week of every year!

Information Systems

You can’t afford to be in doubt about the status of claims, what caused them, and what they are costing you. We answer all these questions and more with one of the most advanced, flexible computer claims systems available through the Insurance Transaction Management System (ITMS). With ITMS:

  • We are “scalable” which means we can meet your needs no matter how large you grow
  • You can assign a claim to your vendor or in-house staff
  • We can send you reports in a pre-arranged format of your choosing
  • You can download information into tables or spreadsheets that you manipulate
  • You can access your account on-line
  • You can choose from several reports, including claim trends and graphs
  • Data is current the moment the report is run, or a date in the past you pick “as of”.

Claim Reviews

You can arrange to discuss claims with your specialist face-to-face. We are available for periodic claims reviews to provide you with complete updates and insight into our plan of action for your claims.

CallCentral

Outsource or co-source your claims call center! CCS can manage your daily calls, over flow calls, off hour calls or catastrophic events. With 4 service centers totaling over 1200 workstations located throughout North America, we can create a seamless integration to interact with your customers to expedite the claims process. CallCentral is operated by caring claims professionals.

Temporary Staffing

Most claims operations have periodic overflow situations, whether due to seasonal CATS, personnel situations or other factors. Insurance temps are probably the most commonly employed solution. CCS can place candidates in temporary, temp-to-hire, and direct-hire positions in the Insurance & Financial Services Industries.

 

For additional information, please contact us toll-free at 800-428-7920, or via e-mail at info@certifiedclaims.com 

 

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