ICA’s approach to claims administration is based upon the following fundamental concepts:

Innovation: ICA’s claims administration incorporates aggressive and innovative claims handling strategies in order to get the best results for our clients. ICA tailors its claims administration services to the clients needs and treats each claim as an opportunity to impress.

Communication: Communication with clients is another hallmark of ICA’s claims administration approach. Clients have direct access to the highest levels of ICA management and staff, so that urgent and complex matters can be handled expediently. ICA’s policies and procedures incorporate strict communication guidelines for contacting clients, claimants, and all parties related to the claims administration process in order to make well-informed decisions tailored to each claim situation.

Cooperation: ICA believes that successful claims administration requires a cooperative relationship between the client, the claimant, the claims administrator, and all parties related to the claims administration process. The more cooperation in the claims administration process the less dispute, litigation, and claim cost flows to the client. 

Proactive Strategies:  Effective claims administration requires more than reacting to cliamant problems when they arise; ICA works with client to identify potential risks and prevent those risks from creating problems. In addition, ICA works to ensure that claims are financially and medically indemnified accordingly and early on, in order to prevent costly claims disputes. ICA’s Special Investigations Unit works to identify, investigate and assist in the prosecution of fraud.

Comprehensiveness: ICA’s claims administration program includes in-house departments that specialize in the following functions: medical bill review, medical case management and utilization review, high-priority claims consulting, lien resolution, and fraud and special investigations. The integration of these specialized departments provides ICA clients with some of the most comprehensive claims administration solutions in the industry. See ICA’s Services for more information regarding each of these services.