AEU Other service
Claims Handling
In-house claims management for ALMA members, with one dedicated specialist handling USL&H, State Act and MEL jurisdictional issues.
Description
AEU manages ALMA claims in-house. Claims specialists handle no more than 75 cases at a time, less than half of the industry standard, and maintain communication with employers, injured employees and medical providers.
Key features
- One dedicated claims specialist handles all jurisdictional issues and negotiations, whether a policy falls under USL&H, State Act or MEL
- Real-time access for members and brokers through an online claims management system
- Electronic filing of the LS-202 with the DOL on the member's behalf
- Dedicated medical management unit working with provider partners on an advocacy-based model to reduce claims costs while prioritizing the injured worker's health
- Dedicated subrogation department reviewing open claims
Specifications
| Maximum caseload per specialist | 75 cases |
|---|
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