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Overview
The Lyons team of claims professionals serves as your advocate in the claims process. Our claims professionals have the experience, technical knowledge and proactive approach necessary to control claim expenses and minimize claim exposures. We interact with carriers and third party administrators to protect your interests and ensure a timely resolution of your claims. We also communicate with you throughout the claims process to keep you fully informed of all issues and resolutions.
Services
Claim Reporting
- Offer assistance and guidance to assure prompt and efficient claim reporting
- Assist with accident investigation
- Provide accident investigation forms and reporting procedures tailored to meet the needs of the client
Claim Review
- Monthly discussion of the status of all open claims with the carrier to ensure the claim is being handled in your best interest
- Monitor reserves to make sure they are justified and appropriate
- Notify you of all large reserve changes
- Follow-up on subrogation recoveries
- Arrange for annual, bi-annual, or quarterly claim review meetings with the carrier, the client and Lyons Claims Specialist
Experience Rating Calculation
- Review Workers' Compensation reserves at five months to ensure that the information the Bureau receives for the promulgation of the Experience Modification Factor is accurate
- At six months, send you a letter to advise you of the results of our Unit Stat review
- Review the annual Experience Rating Calculation to confirm that the correct historical data has been used to develop your Modification Factor
- Provide estimates for future Experience Modification Rating
Transitional Duty Program
- Assist with the development of a transitional duty policy if one is not in place
- Review the existing transitional duty policy
- Provide follow-up on and assistance in monitoring the transitional duty program
Additional Services
- Inform the carrier of potential fraudulent claims and request an investigation by the carrier’s Special Investigation Unit
- Run-off claims handling
- Loss forecasting
- Assist in setting up Designated Provider Panels
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