Loss Control and Claims Services

In addition to providing program design, development, negotiation and implementation, Hay's provides a wide variety of services to support the program. The attached lists outline many of the risk management services we regularly provide to our clients. Our goal is to understand your operations and needs so that we can develop service plans that deliver value. We stay within our core competencies, and when specialists' services are needed will work with you to develop a plan, select appropriate vendors and monitor their activities. We will integrate these specialists' services into our overall plan.

Analytics and Analysis

  • Loss Projections
  • Reserve Analysis
  • Benchmarking
  • Claim Reserve Evaluation
  • Medical Cost Containment Evaluation
  • Experience Modification Evaluation
  • Loss Allocation Model Evaluation
  • Frequency and Severity Trend Analysis
  • Post-Injury Management Metric Analysis
  • Wind, Flood and Earthquake Catastrophe Modeling
  • Property Valuations

Claims Management Services

Property/Casualty/Professional Liability

  • Claims Notification Assistance – Primary/Excess/Umbrella
  • Defense Counsel Selection Coordination
  • Reservation of Rights Evaluation
  • Advocacy on Specific Claims
  • Settlement/Negotiation/Mediation Assistance
  • Carrier/Third Party Administrator Claims Reviews
  • Carrier/Third Party Administrator Best Practices Audit
  • Claim Reserve Evaluation

Workers’ Compensation

Claims Management Services

  • Special Service Instructions Development, Evaluation and Implementation
  • Carrier/Third Party Administrator Claims Reviews
  • Carrier/Third Party Administrator Best Practices Audit
  • Claims Delivery Performance Guarantee Implementation and Audit
  • Advocacy on Specific Claims
  • Third Party Claims Administration RFP Process Management
  • Claims Liaison between Client and Carrier/Third Party Administrator
  • Litigation Management Protocols Evaluation, Recommendation and Implementation
  • Client Organizational Claims Management Review− Understand Client’s Culture and Philosophy

− Interview Key Client Personnel Determine Roles, Responsibilities and Accountabilities
− Evaluation of Loss Allocation Model
− Facility Tour
− Open Claims Management/Oversight
− Data Reporting Needs Assessment
− Transitional Duty Program Review
− Medical Management Program Review
− Fraud Management Review
− Subrogation/Third-party Recovery Review

Workers’ Compensation

Customized Training

  • Work Comp 101 – An Introduction to Workers’ Compensation
  • Understanding Your Reserves
  • Adjuster Reserve Training
  • Understanding Your Experience Modification Rate – Financial Impact of Workers’ Compensation Costs
  • Design & Implementation of Transitional Duty Programs
  • How to Manage an Effective Workers’ Compensation Program (employer obligations of claims management – working with your insurance carrier)
  • Fraud Investigation/Suspicious Claims
  • Office Ergonomics
  • Strategies for Eliminating the Cost Drivers in Workers' Compensation