Claims Management Program Overview Claim Office Locations AmTrust has 16 Claims Offices Countrywide including 8 Regional Operations AmTrust Claims Management Program AmTrust prides itself on handling claims expertly and ID: 202269
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AmTrust North America
Claims Management Program OverviewSlide2
Claim Office Locations
AmTrust has 16 Claims Offices Countrywide, including 8 Regional OperationsSlide3
AmTrust Claims Management Program
AmTrust prides itself on handling claims expertly and
expeditiously. We work closely with our insured’s and agent business partners to deliver
high levels of customer service and maximum results.
Key
Features
:
Experienced
staff assigned by claims type, licensed adjusters on staff in
applicable states, average experience level is 21 years for workers’ compensation and 24 years for casualty claim staff
State of the Art Windows based Claims Management System
Appropriate adjuster claims workloads
, enabling effective management of
claims
AmTrust best practices used for claims work units, internal audit
program to assure compliance
National In House Anti-Fraud, Subrogation, Salvage and
Legal Bill Audit Units allow for strong focus on
questionable claim investigation, claims $$ recovery
and
vendor cost control
National relationships with Rx, Medical Provider and Investigative vendors expedite claims processing and mitigate claims costs
Qualified panel of defense attorneys who support our philosophy of aggressive and quality defense
24/7 claims reporting via phone/fax/email
Self service Web
Portal for
access
to
claim information and loss run generationSlide4
AmTrust Claims Management Program
Our claims management philosophy is grounded in conducting timely and detailed fact based investigations to determine
liability/compensability, nature & extent of injury and potential financial exposure. All claims are carefully managed to bring them to timely disposition.
Activities that support our philosophy:
Initial 3 point contacts, 24 hours for employer/employee/doctor, 24 hours for insured and claimant contact on casualty claims
Fact Investigation, recorded statements used to freeze facts and support ongoing investigation and claims management, on site investigation used when necessary
AmTrust best practices used by adjusters, audited by AmTrust claims management
Acute reserve and settlement awareness, timeframes and authority levels are closely controlled and set on individuals experience and technical skills
Defense attorneys closely monitored and follow AmTrust litigation management practices
Strong pursuit of subrogation and second injury fund relief when applicable
Interaction with underwriting when trends or other claims issues detected
Automatic system generated file diaries to adjuster and Supervisor for file
updateSlide5
AmTrust Claims Management Program
Claims Operations – Where we go from here !
Claims Operations Manager will assist with claims program
setup, system access training and will remain in place for general troubleshootingClaims Welcome Kits will be sent at account inception containing first report instructions, statutory posting notices, managed care network panel if applicable, Rx program information and designated adjuster contact info.
Key Contact Points
:
Claims Reporting
: Toll Free (866) 272-9267, Toll Free Fax (775) 908-3724, Email
amtrustclaims@qrm-inc.com
Claims Kit Inquiries/Issues including physician panel changes
: Lisa Johnson, (888) 239-3909 x 298313 / lisa.johnson@amtrustgroup.com
Web Portal
:
www.amtrustgroup.com
. Pre-registration is required.
Specific claims inquiries
: Contact applicable claims adjuster – see information on web portal or mailed acknowledgement for contact information.