tpa services · 2014. 7. 21. · tpa summit, a conference that attracts more than 150 attendees...

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With The Hartford behind you, achieve what’s ahead of you The Hartford’s Third Party Administrative Services Department TPA Services The best of many worlds . . . anchored by the strength of The Hartford • The flexibility of self-handling without the administrative hassles • Strong, established partnerships with industry-leading TPAs • Account management versatility • The Hartford’s proven claim file audit methodology and data-management tools • Access to established medical and legal provider networks • TPA Services’ experienced account team offers professional oversight and focus By working with The Hartford’s Third Party Administrative Services Department, you can feel confident knowing you’ve made the smart, right choice without compromising on quality. Contact Information TPA Services: [email protected] www.thehartford.com/tpaservices National Accounts: [email protected] Hartford Captives and Specialty Programs: www.thehartford.com/program-business www.thehartford.com Services offered by The Hartford’s TPA Services Department are neither an insurance product nor a contractual right nor a guaranty that can be found within the express terms of an insurance policy offered by The Hartford. Availability of the services is subject to The Hartford’s operating policies and procedures, and applicable law. 107444 Printed in U.S.A. Specialized Claims Management A dedicated TPA Services’ consultant is available for all aspects of the relationship and claims management, including: Complex Claim Oversight • Help with action planning and reserving • Exposure mitigation • Subrogation identification • Assistance in negotiations • Attend and assist with mediations • Access to nurses for life care plans Auditing • Compliance • Accuracy of reserves • Outcome accuracy • Cycle time analysis Identifying negative trends Lines of Business: • Workers’ Compensation • General Liability • Auto • Property • Fidelity Surety Claims Data Interface TPAs feed data on every claim to The Hartford’s system of record, allowing for financial reconciliation and some required statistical reporting. Additionally, TPA Services acquires direct access into the TPAs’ proprietary risk management information systems allowing us to view all claims data at any time, produce loss runs, set alerts, and complete ad hoc trend analysis. Communicating with our TPAs In addition to the daily communication with the TPAs regarding claims, data and funding, we have deployed an alert system to advise TPAs of industry trends, new or emerging legal issues, requisite compliance and reporting needs. We also invite all of our TPAs to the TPA Summit, a conference that attracts more than 150 attendees representing TPAs, vendors and leadership from The Hartford. The program includes workshops, expert speakers, feedback sessions and the presentation of TPA perfomance awards. Other value-added benefits offered through The Hartford’s TPA Services: • Hartford-owned funding accounts • Annual security assessment of the TPA • Access to nurse case managers • Access to available vendor networks

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Page 1: TPA Services · 2014. 7. 21. · TPA Summit, a conference that attracts more than 150 attendees representing TPAs, vendors and leadership from The Hartford. The program includes workshops,

With

The Hartford

behind you,

achieve what’s

ahead of you

The Hartford’s

Third Party

Administrative

Services

Department

TPA Services

The best of many worlds . . .

anchored by the strength

of The Hartford

• The fl exibility of self-handling without the administrative hassles

• Strong, established partnerships with industry-leading TPAs

• Account management versatility

• The Hartford’s proven claim fi le audit methodology and data-management tools

• Access to established medical and legal provider networks

• TPA Services’ experienced account team offers professional oversight and focus

By working with The Hartford’s Third Party Administrative Services Department, you can feel confi dent knowing you’ve made the smart, right choice without compromising on quality.

Contact Information

TPA Services:[email protected]/tpaservices

National Accounts: [email protected]

Hartford Captives and Specialty Programs: www.thehartford.com/program-business

www.thehartford.com

Services offered by The Hartford’s TPA Services Department are neither an insurance product nor a contractual right nor a guaranty that can be found within the express terms of an insurance policy offered by The Hartford. Availability of the services is subject to The Hartford’s operating policies and procedures, and applicable law.

107444 Printed in U.S.A.

Specialized Claims Management

A dedicated TPA Services’ consultant is available for all aspects of the relationship and claims management, including:

Complex Claim Oversight• Help with action planning and reserving

• Exposure mitigation

• Subrogation identifi cation

• Assistance in negotiations

• Attend and assist with mediations

• Access to nurses for life care plans

Auditing• Compliance

• Accuracy of reserves

• Outcome accuracy

• Cycle time analysis

• Identifying negative trends

Lines of Business: • Workers’ Compensation• General Liability• Auto• Property• Fidelity Surety

Claims Data Interface TPAs feed data on every claim to The Hartford’s system of record, allowing for fi nancial reconciliation and some required statistical reporting. Additionally, TPA Services acquires direct access into the TPAs’ proprietary risk management information systems allowing us to view all claims data at any time, produce loss runs, set alerts, and complete ad hoc trend analysis.

Communicating with our TPAs In addition to the daily communication with the TPAs regarding claims, data and funding, we have deployed an alert system to advise TPAs of industry trends, new or emerging legal issues, requisite compliance and reporting needs.

We also invite all of our TPAs to the TPA Summit, a conference that attracts more than 150 attendees representing TPAs, vendors and leadership from The Hartford. The program includes workshops, expert speakers, feedback sessions and the presentation of TPA perfomance awards.

Other value-added benefi ts offered through The Hartford’s TPA Services:• Hartford-owned funding accounts

• Annual security assessment of the TPA

• Access to nurse case managers

• Access to available vendor networks

Page 2: TPA Services · 2014. 7. 21. · TPA Summit, a conference that attracts more than 150 attendees representing TPAs, vendors and leadership from The Hartford. The program includes workshops,

Today you have access to a multitude of creative claim-handling

alternatives and equally as many carriers and funding options

available to assist you. The challenge is to assemble a smart,

experienced team who can help you reduce overhead, better control

costs, and work well with your staff and business associates. It also

means fi nding partners who can meet your fi nancial goals effectively

without sacrifi cing quality, while helping to ensure reliable, easy

access to critical data and the experienced resources you need.

For more than 200 years, The Hartford has earned a solid, respected

reputation in the insurance industry. The Hartford’s Third Party

Administrative Services Department (TPA Services) lives up to this

proud tradition. We understand your priorities, and work closely with

you and a carefully selected group of third party administrators.

The strong, value-added resources you get with The Hartford’s TPA Services include:

Contractual Relationships

We have carefully identifi ed and contracted with a select group of companies specializing in TPA services. Our comprehensive due diligence process includes:

• A detailed questionnaire on the TPA’s operations, claims

services, quality assurance, compliance, information

technology systems and data security protocols

• On-site walkthrough of responses to the questionnaire

• Physical assessment of a claim facility

• An audit of claim fi les to validate execution of accepted Best Practices

Specialized Account Management

• Customized Claims Services Agreements for each account

or program

• A dedicated TPA Services’ consultant and support team

• Customized reporting

• Access provided to vetted legal counsel, medical provider networks,

special investigation resources and more

Our MissionTo deliver our large account, captive and specialty program insureds customized, fl exible solutions for unbundled claims services that are carefully planned, overseen by our dedicated support team, and backed by our years of experience.