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Claim Consulting Practice

Willis Towers Watson’s Claim Consulting Practice offers a range of claim products tailored to the specific needs of our clients - that assist in minimizing your total cost of risk. Our specialized claim experience is pivotal in defining the claim-related issues and exposures facing organizations. Then our team identifies the appropriate consulting program to improve your outcomes and help you meet your objectives.

The Claim Consulting Practice offers 5 key services:

  • Claim Closure Solutions (CCS)
  • Third-party claim administrator (TPA) Selection Services
  • Claim Audits Program
  • Risk Process Optimization
  • Medical Cost Containment Solutions (MCC)

Claim Closure Solutions

The faster one closes a claim the less one pays on the claim – a basic premise agreed upon by most claim professionals. Whatever the factors influencing the claim outcome, a correlation clearly exists between the speed a claim is closed and the amount paid, which is why proper and aggressive management of the claim process can facilitate a quicker resolution and thus lower future payments. This is the reason to consider employing a program that expedites the closure rate of claims. Willis Towers Watson’ Claim Closure Solutions (CCS) is such a product, designed to decrease the number of open claims and reduce your total developed incurred losses.

TPA Selection

One of the most important decisions a company makes is the selection of their third-party claim administrator (TPA). With just one miss-handled claim potentially costing a company thousands of dollars, the quality of a TPA’s services they provide can significantly impact a company’s balance sheet.

However, this decision-making process is complex and thus requires a significant level of knowledge and understanding of the claim administration business. It is this level of knowledge that Willis Towers Watson Third-Party Claim Administrator Selection Services team brings to Willis Towers Watson clients so they can make an informed decision.

Our team is composed of highly- trained and experienced claim administration professionals committed to helping you identify and evaluate the multitude of factors involved in the selection of your TPA.

Claim Audit

The primary purpose of the Willis Towers Watson Casualty Claim Audit is to measure and rate the performance of your claim service providers. A highly skilled and experienced team of Willis Towers Watson claim professionals selects files from your loss history. After reviewing and evaluating the files, the Willis Towers Watson team prepares a formal report containing constructive recommendations, actionable observations and an overall rating of your claim service providers. This report will also serve as a benchmark to evaluate your service providers’ ongoing performance.

Risk Process Optimization

Risk Process Optimization can give you fresh and innovative ideas to improve efficiencies, drive down costs and provide greater shareholder value. For organizations wanting to not merely survive, but prosper, strategic risk planning is an ongoing effort. Willis can help – with our proprietary Risk Process Optimization (RPO) method.

An RPO can clarify our mutual understanding of your key financial and operational goals; define your organization’s risk management objectives and activities to align with those goals; and set specific measures and metrics for each objective. The RPO process requires company, claim, risk control and data analytics professionals to partner on these risk-planning strategies. The effort your organization makes to develop its RPO will ensure that resources are focused on clear objectives that provide true value to your organization

Medical Cost Containment Solutions

Businesses are challenged every day to control the cost of Workers’ Compensation and to improve their bottom lines. Analyzing your medical data can be the first step in controlling those costs.

Our Medical Cost Containment Solutions service offers our clients a strategic approach to reducing costs associated with their Workers’ Compensation large deductible and self-insured programs through our medical cost containment analysis, a proprietary process developed by our Risk Control and Claim Advocacy Practice. Our clients typically realize a savings of 10% to 15% of annual incurred losses. In addition, the savings associated with this program accrue over
future years – this is not a one-time savings.

Liability Claim Consulting

The Liability Claim Consulting team helps clients manage complex liability claims and maximize insurance recoveries in connection with many types of difficult exposures, including, without limitation:

  • Asbestos
  • Talc
  • Pollution
  • Chemical exposures
  • Concussion/CTE
  • Sexual molestation
  • Medical devices
  • Pharmaceuticals
  • Food-borne illnesses
  • Construction defects/mold
  • “Boom” events/mass casualties
  • Recall-related third-party claims

For information contact Janine Collins, Product and New Business Manager, Willis Towers Watson Risk Control and Claim Advocacy Practice, Janine.collins@willistowerswatson.com

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