TPA Risk Management Claims Training

TPA Risk Management Independent Risk Management Consulting Firm to the Automotive Industry

TPA RISK MANAGEMENT CLAIMS TRAINING

WHY WE ARE THE BEST

All clients are supported by seasoned veterans with Risk Management, Claims Training, Systems, and Accounting/Financial services backgrounds.

Our approach is comprehensive, involving the establishment of documented procedures, constant monitoring and follow-up. We provide monthly and quarterly feedback to appropriate personnel on the progress being made.

While most companies have some risk management procedures, as well as good intentions, we have found that maximum execution is rarely achieved because the “daily workload gets in the way”.

Through our broad industry exposure and broad contact network we have gathered the “best practices” used in our industry today. We offer recommendations based on these "best practices" and assist our clients in implementing these practices.

TPA Risk Management
281-957-5899

TPA Risk Management Independent Risk Management Consulting Firm to the Automotive Industry

TPA Risk Management has the ability to train all levels of claims personnel, from the least experienced to the veteran. Below are just some of the training modules TPA Risk Management can provide.

I. Procedural Training

• Parts Ordering – The goal is to ensure quality parts are being purchased at the best prices available on the market. Working to ensure parts vendors meet and/or exceed service level expectations of our clients. We will train adjusters in how to utilize all available tools to improve the ordering process, from an efficiency position and a cost effectiveness position.

• Inspection Process – Inspections are a necessary cost of doing business. Working with our clients to ensure all inspection brokers are completing inspections according to clients’ service expectation, including improving daily work efficiency. Training on the proper skills in utilizing inspection processes and how to interpret the inspection reports so our clients can make a good business decision.

• Documentation Process – Detail and consistency lead to better decision making on all claims. Adjusters will be taught how to efficiently and effectively document each new claim. With proper documentation (audit or “paper trail”), multiple claims adjusters can be involved with any claim, with minimal downtime. With a claims file “speaking for itself” time and expense are minimized.

• Labor Authorization Process – Utilizing systems tools and understanding the landscape of labor pricing, will give adjusters confidence in rejecting, accepting and/or negotiating the labor rate prior to authorization. In addition, TPA Risk Management assist in establishing a fair market labor rate which many third party administrators lack.

• Labor rate – Providing fair market competitive labor rate tools and assisting third party administrators in developing controls to ensure the fair market labor rates are followed, so repair shops are not using and/or modifying labor rates as they go, which can cause higher claims cost. Labor rates and approval processes will be implemented and monitored on a regular basis.

• Claims Procedure – Following specific, consistent and documented procedures will mitigate subjectivity in the claims adjudication process and will enhance the overall efficiency and correctness of the transaction.

II. Case Scenario Training

Complete dissection of actual claims will assist the claims adjuster(s) in understanding the correct processes in order to make the best decision on a consistent basis. This has been found to be a very effective teaching tool in determining ways to improve processes and procedures. Areas to explore include: what tools and resources were utilized, what mistakes could have been avoided, how many adjusters/managers “touched” the transaction, and what cost savings opportunities may have been missed.

III. Technical Training

Without the proper technical skills, working with a repair facility manager or service writer can be a challenging task. A claims adjuster can easily be “out-maneuvered” by a savvy technician, costing thousands of dollars on any given claim. This module provides a comprehensive understanding of the Engine, Transmission, Suspension, Heating and A/C, Electrical and Drive Axle. Common “tricks” and cause/effect scenarios will also be presented for class discussion.

IV. Leadership Training

Management and senior adjusters establish the culture for the entire claims team. TPARM will “train the trainer”, assist management and senior adjusters with decision making and monitoring tools, coaching techniques, and will equip the managers with written procedures to support the daily work flow of incoming claims.

V. Product Networking

The goal of product support is to utilize our extensive current network, allowing product and pricing options to ensure clients are capitalizing on new revenue generating opportunities, or conversely, money saving opportunities. Entering into partnerships with the right companies, for right pricing will have a significant impact on bottom line profits.

VI. Vendor Relationships

A thorough review of pricing and product functionality from current vendors may provide opportunities for significant savings in parts cost improve parts quality, service level and improve work efficiency.