Third Party Administrators Insurance

What makes us different?

• Proven lower claims cost
  Platinum has a proven record of lower claims cost. Our pro-active approach to claims allows our adjusters to control the cost of the claim. A 50% reduction in a client’s cost of claim is common.
• Custom designed program
  Each program is custom designed to meet your individual needs. This allows you to select the types of service your company needs; we guarantee we will meet your needs.
• Proven safety services
  Platinum's approach to safety is much different than that of the industry. We focus on controlling your cost through a strong safety program that is custom designed for your company.
• Custom reporting
  Once a claim occurs reports to determine where your dollars are being spent are critical in controlling cost and tracking your expenses. Platinum custom designs your reports to your company’s specifications.
• State of the art automation
  Platinum has state of the art automated systems that provide data to your insurance carrier and to you. Our advance programs allow our staff to work more effectively allowing Platinum more time to control your claims cost and meet your needs.
• No hidden cost
  You don’t have to worry about additional charges for services. Our fees include most services. We spell out those few items for which there will be additional charges if the service is needed.
• We listen to you
  Platinum focuses on meeting your needs. We listen to you and design a program to meet your needs. We continue to listen during the entire third party administration process.
• Service Guarantee
  We are so confident that we will meet your needs and save you money, we give you a written service guarantee.

Loss Control and Safety will:

• assist in loss documentation and record keeping.
• provide frequent site visits to assure program compliance.
• train supervisor(s) and employees in how to effectively control losses.
• provide written and video resources to assist in loss prevention.
• review loss and frequency data to assess loss trends.
• provide job analysis for high risk employees.
• assist in accident and hazard investigations.

Claims Service will:

• notify Company before we pay any claim.
• contact the employee within 48 hours on all lost time injuries.
• represent Company at all administrative hearings. This service is included at no additional charge.
• review every medical bill to assure it is lowered to comply with the state's fee schedule.
• conduct a quarterly review with Company of the status of all lost time injuries.
• provide a 24-hour 1-800 number to Company and employees for responding to questions or claims reporting.
• comply with Company's claims handling requirements.

Customer Service will:

• always return phone calls on the day you or your employee calls us.
• distribute publications to assist Company in keeping abreast of changes in the industry and to assist Company with service issues.
• assist Company in the operation of the workers’ compensation program.
• give Company a minimum of two days advance notice of requirement for a deposit to pay claims.
• provide assistance to Company to keep Company's work to a minimum.
• facilitate the flow of information.

Platinum Commitment:

• The managers and staff of Platinum proudly honor the tenets of this Service Guarantee.

Services

Platinum Safety and Claims Services offers a broad selection of services. Below is a partial listing of our services:

Claims

Our claims adjusters average over eleven years experience in handling all types of claims. We have experts for handling anything from minor injuries to catastrophic claims. Below is a brief outline of our claim services:

Lines of coverage handled:

• Automobile
• General Liability
• Property & Casualty
• Workers’ Compensation
• USL&H
• Jones Act Claims
• Products Liability
• Subrogation recovery on all
• lines of coverage

Safety

We provide a personalized approach to loss control that allows us to tailor your needs into a program that is specifically designed for you. Below are some of the services that we provide:

• Customized Safety Programs
• Safety Training Seminars
• Loss Control Analysis
• Written Publications
• Videos
• Drug Testing
• OSHA Compliance Review
• Inspections

Managed Care

• Bill Review/Audits
• Claim Audits
• Takeover/Run-Off Claims for the above lines of coverage

Health

We will design and administer an insurance health program that will meet any type of client’s needs:

• Self-Funded
• Partially Self-Funded
• Pooled Programs
• HIPAA Administration
• COBRA Administration
• Cafeteria Plan
• Life and Disability
• Third Party Administration for Health Programs and Benefits

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Third Party Administrators Insurance