164-22 Exhibits to Agreement for Workers Compensation Third Party Administration - 2022.pdf

xecutive Summary Claims Resolution Corporation, Ine. is a New Jersey domiciled corporation created with the sole purpose of providing superior claims management services to public entities in the region. As an independent Third Party Administrator, we are not owned by an insurance company, managed care company, ot other remote corporate entity whose interests may differ from that of our clients. In short, we answer to pou - the client. Claims Resolution Corporation, Inc. maintains SAS 70/ SOC 1, and SSAE18 accreditation and will provide a copy upon request. The SSAE 18 report is designated as the industry standard for service organizations. This certification is gained after a company has had an audit of internal controls at a service organization that may relate to their clients internal control over financial reporting. Claims Resolution Corporation, Inc. offers its clients a proprietary mosaic approach to bill review/PPO access, providing the industry’s greatest discounts at the lowest possibie costs. Our flat annual fee includes first report and multiple PPO access. Claims Resolution Corporation, Inc. operates one of the most sophisticated and technologically robust software systems in the marketplace today. Our RMIS software provides our clients total access to their claims data and the ability to quickly drive meaningful analytics to better understand their claims experience and the drivers behind their loss trends. Claims Resolution Corporation, Inc. has unparalleled experience in understanding and quantifying risk J exposures, aligning risk management objectives with budgetary constraints, and creating opportunities to lower risk, increase efficiency, and reduce costs for public entities. Our expert staff has contributed to the success of countless Counties, Municipalities, and School Districts including: County of Hudson City of East Orange City of Plainfield City of Trenton Claims Resolution Corporation, Inc provides our Clients with customized claim management and managed care solutions designed to reduce their total cost of risk. Our team assists with development of efficient and effective claim servicing guidelines and designs and implements managed care solutions targeting our Clients’ demographics to maximize cost savings and utilization. In addition, Claims Resolution Corporation assists with risk assessment, identification, and

ements managed care solutions targeting our Clients’ demographics to maximize cost savings and utilization. In addition, Claims Resolution Corporation assists with risk assessment, identification, and management to help create and implement effective cost reduction programs. Our client-focused solutions involve all relevant stakeholders to develop true partnered strategies while aligning potential internal and external resources. Through the use of proprietary analytics and metrics, our Clients are able to clearly trend and predict those aspects of its program which are succeeding and those that require additional risk management intervention. All of these services and programs are offered as part of our proposal.