Services Management Services

Claim Leakage Service

The soaring costs of managing a claim portfolio can be better controlled with Chiltington’s Claim Leakage Service. Our Claim Leakage Service encompasses a review of the adequacy of our clients’ claim departments’ functions and controls to determine if claim dollars were paid unnecessarily as a result of inadequate claim controls and claim handling.

In broad terms, Chiltington’s Claim Leakage Service will analyze:

• How files are managed and supervised for a complete picture of our clients’ claim operation; and
• How payments are made on claims and the adequacy of services

Chiltington’s Claim Leakage Service is tailored to our clients’ specific needs, and our evaluation may include a review of:

• Claims Workflow Design
• Processing Systems
• Claim Examiner and Supervisor Expertise
• Reserve and Payment Authority Levels
• Caseloads
• Reserve Analysis
• File Notes and Documentation
• Examination of Payments and Subrogation Efforts
• Medical Management
• Vendor Control Proper Notice to Excess/Reinsurance Carriers

Chiltington’s Claim Leakage Service will recommend a strategy for management to address any areas of weakness, build upon areas of strength, and determine the most effective methodology and controls to ensure maximum benefit and cost savings from your claim department.