Marsh Risk Consulting’s Claim Consulting Practice (CCP) is one of the preeminent
consulting organizations for casualty-related claim solutions. CCP focuses its claim and
program management expertise across the gamut of casualty claims to assist clients in
identifying, analyzing, and reducing their exposure, thereby minimizing their total cost
of risk. CCP concentrates on highly-specialized product offerings, supported by
proprietary technology and executed by the top claim and risk consulting professionals
in the industry.
Organizations face a number of exposures when it comes to
casualty claims and have developed varying capabilities in
addressing these exposures. CCP can supplement these
capabilities with specific expertise in each of the casualty lines to
help our clients identify issues and strengthen their programs.
The following service offerings are provided by MRC’s
Claim Consulting Practice:
- Claim Inventory Workout.
- Workers’ Compensation Past PerformerSM.
- Operational Assessment.
- Claim and Managed Care Vendor Selection.
- VCORESM (Variable Cost of Risk Evaluator).
- Renewal Evaluator.
- Texas Non-Subscription Feasibility Evaluation and
- Case Management Assessment.
- Return-to-Work Program Solutions.
- Workers’ Compensation, General Liability, and Auto
- Custom Consulting Solutions.
Claim Inventory Workout (CIW)
CCP brings a focused approach to claim closure, designed
to reduce legacy liabilities and improve the balance sheet.
Claim Inventory Workout (CIW) works well with any line of
casualty claims, although a primary focus is on workers’
compensation where tail claims and regulatory
requirements make prompt and efficient claim resolution a greater challenge for organizations. CCP utilizes line-specific
and jurisdictional expertise to assess outstanding claims and
bring a fresh perspective to resolving older claim files. This
approach can: minimize administrative involvement in
claims programs; reduce internal and external claim
administrative costs; avoid deterioration of an organization’s
claims inventory; improve insurer performance and reduce
collateral requirements; reduce liability from discontinued
operations; and impact and reduce costs associated with
chronic medical pain cases.
Workers' Compensation Past PerformerSM
Workers’ Compensation Past PerformerSM (WCPP) is MRC’s
proprietary outcome-based audit tool designed to identify
excessive costs in a workers’ compensation program. The
tool calculates lost economic opportunity (or “leakage”) and
provides a quantified result, which can lead to
implementation of process changes designed to improve
financial results. Through use of WCPP, our consultants can
help organizations make better business decisions on where
to invest in program improvements, based upon
identification of potential savings opportunities.
Through assessment of an organization’s policies,
procedures, and practices, CCP will help identify areas where
improved performance equals reduced costs. CCP will assess
the quality of written programs, as well as measure the
effectiveness of and compliance with these programs. In
addition to a review of written material, our consultants will
complete interviews of key personnel and often conduct a
claim audit utilizing the WCPP tool. The operational
assessment can also be expanded to include pre-loss efforts
to address the complete impact of program strengths and
opportunities for casualty claims.
Claim and Managed Care Vendor Selection
When selecting a new program vendor—whether claim
administrator or managed care—CCP can assist an employer
with its decision making using a multi-phased vendor
selection process. Our process identifies the vendor that can
best provide quality service, aggressive pricing, and both
positive claim and medical outcomes. This includes a needs
assessment, development of the request for proposal,
identification of vendor candidates, and scoring of written
and oral responses. CCP has streamlined the RFP process by
leveraging its proprietary Vendor Analysis and Selection Tool
(VAST), which contains a database of all major insurers and
claim administrators with standard company information to
allow for the creation of an RFP tailored to an organization’s
VCORESM (Variable Cost of Risk Evaluator)
In the final stage of the vendor selection process for a
workers’ compensation program adminsitrator,
organizations can rely on CCP’s proprietary tool, VCORESM,
to help them evaluate vendor outcomes and identify project
costs. VCORE leverages its database of most major vendors’
book of business data to determine paid medical costs and
claim administration fees for competing finalists. CCP also
assists in contract negotiation and implementation of the
new vendor program.
Renewal Evaluator, a proprietary tool designed by CCP,
allows our consultants to specify the effect of implementing a
new price option on a company’s annual medical cost and
helps a risk manager make the right price choice for its
program. The analysis is done specifically for each company,
using actual medical bill history, instead of an estimate of
Texas Non-Subscription Feasibility Evaluation and Implementation
Opting out of workers’ compensation is an intriguing, yet
daunting, proposition for many Texas employers. CCP has
developed a process to assist employers in: evaluating the
feasibility of becoming a nonsubscriber; assessing an existing
nonsubscriber program; and program implementation.
Specific product offerings include a baseline assessment of all
pre- and post-loss activities, economic modeling, and a
process to set up and launch new programs.
Case Management Assessment
CCP has developed a case management assessment tool
(CMAT), leveraging a proprietary methodology to evaluate the
quantity of case management referrals and the quality of those
services. The CMAT platform combines data analytics and
auditing to quantify the value and impact of nurse case
management services and to identify any medical leakage.
Using CMAT outputs, organizations can focus on improving
their workers’ compensation program outcomes and their
Return-To-Work Program Solutions
CCP’s consultants have a number of product offerings to
deliver return-to-work (RTW) solutions to a variety of buying
styles and employer needs. From frontline supervisor
training to customized RTW programs, our consultants can
assist with: evaluating the needs of an organization’s
employee occupational absence issues; analyzing the
effectiveness of an existing RTW program (in both program
design and execution); and recommending program options
that meet the goals of the organization.
In addition to WCPP, there are a variety of Workers’
Compensation, General Liability, and Auto claim audits available
through CCP including: a best practice audit, which evaluates
claim handling against industry-recognized best practices; a
reserve analysis, which focuses on the adequacy of reserves; and
a financial process audit, which specifically targets the policies
and practices utilized for claim payments and reserving that can
impact Sarbanes-Oxley requirements. While there are standard
protocols built into each of these audits, they can be expanded
and customized to meet specific needs.
Custom Consulting Solutions
CCP can work with an organization in support of any claim
program issues through our Custom Consulting Solutions
approach. This can be achieved through a blend of any of the
aforementioned product offerings, as well as through
outsourcing, data analysis, and development of customized
solutions focused on gaining a greater understanding of
program issues and overall program cost reduction. Our
consultants also can focus on medical treatment and medical
costs, helping an organization develop strategies, address
cost drivers, and integrate solutions into its workers’