Claims Administration - A Major Factor in Bottom-Line Success

EEAS provides responsible claim administration — a productive solution to an everyday challenge.

For more than two decades, we’ve been delivering a unique style of claim administration that works well with a multitude of carriers who offer an array of insurance programs to a variety of businesses and industries with very specific needs.

Our responsible claim administration extends to Workers’ Comp, Nonsubscription, Disability, Life, Property and Casualty insurance. Our clients include small and mid-size companies with as few as 20 and as many as 50,000 employees. No matter what service you seek:

  • We pride ourselves in serving as an extension of your company. We’ll know your company’s goals and budget as well as the "ins and outs" of your insurance policies – and administer claims with both in mind.
  • We charge ourselves with the responsibility of providing prompt, personal service to employees while making sure that they adhere to the privileges and responsibilities of their coverage.
  • We aggressively seek subrogation when applicable.
  • We provide regular reports that detail activity of your hard and soft costs. These reports provide the necessary RISK MANAGEMENT tools you need to address any of your company’s problem areas as well as reward those areas that have made improvement.

Managing the Hidden Insurance Costs

Claim costs can equate to as much as 80% of your total insurance premium. Your premium cost will be directly impacted by your claim-related expenses. Responsible claim administration can help you cut those costs.

Most insurance carriers and TPA’s focus on a very small portion of the claims administrative function, payment processing. The majority of our competitors consider this their only function. Their systems do not create the "personal connection" that is required of prompt and fiscally accountable service. Changing insurance carriers won’t remedy the situation. The more productive solution is to allow EEAS to provide your company with our individualized claim expertise. Your bottom line and work force will thank you for it.

Preferable Claim Administration Options

Companies who seek responsible claim administration have two options:

  1. Handle administration internally. This choice requires a thorough audit of all open claims, acquisition of software, creation of procedures for handling claims, and a considerable amount of time for training of the employees that are handed this new duty.
  2. Outsource administration to EEAS. A responsible service provider who will be held accountable for adhering to industry standards, knowing and applying the parameters of your benefit plan and your insurance policy, and meeting goals pre-established by you and the administrator.

Whichever option you choose, EEAS can help with the total outsource of your program or provide program experts who can guide your company through the internal administrative process.

Working with internal staff responsible for claim administration, we will:

  • Conduct an independent evaluation of your present claim administration, and recommend appropriate operational improvements.
  • Investigate claim procedures, suggesting ways to minimize time for prompt response and assure that claims are managed and not simply paid.

As your outsourced provider of claim administration, we will provide the benefits mentioned above plus we will:

  • Provide personal, knowledgeable service throughout every aspect of the claim fulfillment process – from the initial report filing, to investigation and the final payment.
  • Present regular management reports that relate claim administration to employee satisfaction, productivity and bottom-line results.
  • Save the Risk Management and/or the Human Resources Department time because they will no longer have to listen to a barrage of complaints about claim administration.
  • Relieve the CFO of the responsibility of setting reserves and forecasting future payments for incurred claims.

EEAS…the Smart Choice.

Savvy corporate leaders are always looking for ways to cut costs without jeopardizing quality and productivity. Responsible claim administration will help your company return significant dollars to the bottom line. This will also produce a byproduct of increased productivity by saving time currently spent by employees and administrators chasing down claim information and payments.