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

CRC welcomes the opportunity to attend and participate at any and all regularly scheduled meetings with the Township. We believe this is a key element in supporting the Township’s risk management objectives and to developing and maintaining effective and efficient communication with your team, Our staff will participate, as needed, in on-going meetings with Township staff to review losses, safety recommendations, government regulations and insurance requirements. Claims Resolution Corporation will provide continuous review and analysis of loss information from current and prior insurance companies and present those findings to the Township. CRC will act as liaison between the Township and insurance carriers, brokers, providers, or claimants. f. Timely, complete, and accurate management of bill repricing, network negotiation, nurse case management, and medical review services typically associated with managed care services. Agreed. Claims Resolution Corporation, Inc. prides itself on accurate bill repricing through the utilization of in network provider panels with contracted rates through our proprietary mosaic of PPO networks. If a specialist is needed that we are unable to locate in our network of networks, we facilitate a network agreement to get the best rates for the Township. g. Maintain multiple PPO Network agreements to maximize bill penetration and cost savings for the Town. CRC maintains a proprictary network of networks that identifies the most preferential PPO network by medical provider to maximize cost savings to the District, CRC has reduced a Clients medical expense by over $2.5 million in the first 3 1/2 years utilizing our proprietary PPO mosaic of networks.