Our vision is to provide employers with education and resources focused on preventing and managing workplace illness and injury ultimately reducing the risk and cost associated with Workers' Compensation.
Whether you are considering a Workers’ Compensation claims audit for COMPLIANCE or for CONFIRMATION, ESM provides comprehensive, cost effective claim file audits. You will receive reports and recommendations for improving your bottom line that provide actionable cost saving steps to implement with your Third Party Administrator.
ESM’s experienced and credentialed claim consultants will collaborate with you to establish the criteria to be audited that will satisfy regulatory requirements as well as uncover leaks in expense costs that can reduce your Workers’ Compensation program costs.
TPA audits can be suited to your specific needs. Whether you are accruing to fund older claims or ensuring proper internal TPA practices that reflect your contract agreement, an audit provides peace of mind that your TPA has your best interest in mind. Each claim is analyzed and checked for financial and payment accuracy, compliance with Workers’ Compensation regulations and appropriate claims management including regular, result driven diaries and appropriate supervision and oversight.
ESM has successfully brought Self Insured Groups in revocation and with ongoing member assessments to finalization by directing and collaborating with the TPA to close ALL open claims. We persisted when it was said it couldn’t be done. ESM can assist you with audit and closing projects for your open and unresolved claims.
We start by categorizing claims using our Tirage Funnel. Then we manage each claim individually to closure. We establish goals and objectives for closures and benchmark the results. We get it done!