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Claim Consulting Practice

The first step in minimizing your total cost of risk is to define claim-related issues and exposures. Our claim experience helps improve outcomes and meet objectives by identifying the appropriate consulting program.

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The practice offers six key services:

  • Risk Performance Optimization (RPO)
  • Claim Closure Solutions (CCS)
  • Third-party Administrator (TPA) Selection Services
  • Claim Audit Program
  • Medical Cost Containment Solutions (MCC)
  • Liability Claim Consulting

Risk Performance Optimization (RPO)

Risk management outcomes are a function of the quality of the business processes that influence them. Improve the business process that may influence exposure to risk and claims, and the outcomes will improve. To meet the challenges associated with improving the collective processes that drive claim outcomes and costs, WTW has developed Risk Performance Optimization (RPO), an advisory service led by our senior consultants to improve daily risk management execution.

Claim Closure Solutions

Most claim professionals agree that when claims are paid faster, costs are less. Proper and aggressive management of the claim process can facilitate a quicker resolution and lower future payments. Claim closure solutions (CCS) is designed to reduce open claims and total developed incurred losses.

TPA Selection Services and Market Metrics

One of the most important decisions a company makes is the selection of its TPA. One mishandled claim could cost thousands of dollars, so the quality of a TPA’s services can significantly impact a company’s income statement and balance sheet.

However, this decision-making process is complex and requires a significant knowledge and understanding of claim administration that Willis Towers Watson’s highly trained and experienced professionals bring to clients so they can make informed decisions.

Claim Audit

This important service measures and rates 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, we prepare 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.

Medical Cost Containment Solutions

Businesses are challenged every day to control the cost of workers compensation and to improve their bottom lines. Medical data analysis can be the first step in controlling those costs.

Our MCC service offers our clients a strategic approach to reducing costs associated with their workers compensation large deductible and self-insured programs through our MCC analysis, Willis Towers Watson’s proprietary process. 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 connected with many types of difficult exposures, including:

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