Claims Administration

From the initial claim filing to the final disposition of a claim, CCMS aggressively pursues all options to control our clients claim costs. In handling the claims and in managing the risk, CCMS management and adjusters pay close attention to yours specific program and needs.

CCMS delivers not only expert workers’ compensation claims management services, but also a customized program that is built on returning your employees to work.

With fully-integrated Managed Care and Medical Management Services, we pride ourselves on developing innovative programs that are built on knowledge, business sense and overall results. Combined with our expert and experienced claims personnel, it allows CCMS to achieve a successful integrated workers’ compensation program.

Consulting & Auditing

Through analysis and review of employers’ claims inventory, CCMS is able to lower insured employer’s costs through experience modification management and self-insured employer’s costs through audit and oversight of Third Party Administrators and in-house claims departments. Our consulting services will design a claims management program tailored to your business and its culture that will produce significant impacts on your costs and productivity. 

As a full-service consultant, we take the time to understand your organizational needs and partner with your organization, your broker(s), insurance carriers, and/or third party administrators to develop and implement a plan to identify and prevent causes of loss and to mitigate costs associated with losses. Our services assist to aggressively manage all claims and identify those avenues, which help limit your liability.

Alternative Dispute Resolution

Alternative Dispute Resolution (ADR) is an alternative to the traditional approach to resolving workers’ compensation claims. With ADR, an injured worker reports the injury and then uses the services a professional and neutral ombudsperson who is knowledgeable in workers’ compensation law. The ombudsperson will recommend to the injured worker the appropriate medical treatments and other benefits as set forth in the carve-out agreement. 

A well managed workers’ compensation program, that includes the ADR process for an employer’s unionized employees, results in a comprehensive system that is designed to efficiently manage the costs of workplace injuries and provide injured workers with benefits equal to or better than provided by traditional workers’ compensation alone.