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| Products -> Workers' Compensation Solutions -> Workers' Compensation Program (Nationwide) -> Claims Management
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Claims Management
Uhlemeyer Services Administrators was established as a Best Practice Third Party Administrator. Our practices are based on guidelines from Midwest Employers Casualty Co, an A+ rated excess workers’ compensation carrier, that performs over
200 TPA audits annually, and has established Best Practice Standards. This foundation, plus our expertise, makes us a leading provider of claims management services and cost containment.
What does a TPA do?
The third party claims administrator is responsible for processing, monitoring and managing claims, including claim
payments, benefits, medical treatment and recovery of the injured worker. We assign a team of claims specialists dedicated
exclusively to the company who self-insures its workers’ compensation risks. These claims professionals provide claims and
risk management services for both the employer and the injured worker.
What makes us different?
VISION....PEOPLE....SYSTEMS
Our Vision
- Our vision is to provide innovative solutions to our clients for managing and controlling their workers’ compensation exposures while advocating timely, quality care for injured workers and managing costs for their employers
- Our services and actions will be guided by the highest integrity
- We will exceed our customers’ expectations through professional, responsive and proactive services
Our People
- Our people are our greatest resource
- We work as a team in our respective disciplines to help our clients achieve Best Practice results in their workers’ compensation program
- Our people are claims specialists vs. processors. Our adjusters have a minimum of 15 years workers’ compensation experience
- “Three-Point” claims contact within 24 hours. Employee>Physician>Employer
- Reserves established within 24 hours
- Phone calls returned same day or within 24 hours if after 3:00 PM
- Continuous communication with insureds, brokers, underwriters, excess carriers & vendors
- Designated claims team with a single point of contact
- Low case loads for Best Practices claims management
- Quarterly claims review (minimum)
Our Systems
- Instant Electronic Data Exchange between Client, Broker, Excess Carrier, Physician and TPA
- Three options for claims reporting: Internet, 800 telephonic (24 hrs/7 days a week), Fax
- Claims Specialist vs. Processors. (Adjusters have a minimum 15 years work comp experience)
- Three-Point Contact within 24 hours. (Employee, Physician, Employer)
- Reserves established within 24 hours
- Phone Calls Returned same day or within 24 hours if after 3:00 PM
- Designated Claims Team Single Point Contact
- Electronic Data Conversation & EDI capabilities
- Maximized Cash Flow. (Sweep Accounts)
- Telephonic & On Site Case Management, Plus Medical Bill Review
- Customized Reports and Loss Runs. OSHA 300 Logs Completed (Via Internet)
- Online claims reviews & reports (24 hrs/7 days a week)
- Quarterly claims review (minimum)
- Dept. of Work Comp Best Practices Guidelines
- Low case loads for Best Practices claims management
- Continued communication with Insureds, Brokers, Underwriters, Excess Carriers & Vendors
Uhlemeyer Services Administrators
manages claims for Missouri Retailers Insurance Trust, a major insurance company, and self-insured employers.
For information, contact Uhlemeyer Services Administrators at 888·909·6588, fax 314·909·7415, or email tpa@5starsp.com. Contact Us for a free consultation.
Read more about our new Pro-Active Claims Consulting Services
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