Business: Risk Control & Claims Management

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Claims Management

Claims Management Best Practices

Atlas Claims Management will always act as our client’s advocate. Our Claims Management best practices include:

Claims Assessment & Improvement

Our Claims Management consultants work with the your insurance carriers to set up customized standards and procedures to insure prompt claim reporting, timely and appropriate communication with all parties. We continuously investigate available cost containment measures using our Claim Best Practices Assessment. Our goal – reduce your claim costs!

Relationships & Partnerships with Insurance Carriers

Our Claim Management consultants will assist you in developing the most effective team to handle your claims, working with your insurance carriers and third party administrators on getting qualified and dedicated adjusters that best fit your organization. We work toward the following:

  • 3-Point Contact Within 24-Hours
    We will assist the client with setting up a 3-point contact process that will have a more effective approach to handling the claim.
  • Dedicated claims contact
    Atlas will work with your dedicated claims adjuster to facilitate superior claim handling.
  • Cost Containment
    We will require that controlling claim costs is a priority and will insist on having services such as Medical Bill Review, Pharmacy Management, Early Medical Case Management intervention for serious injuries or where complex medical issues are involved and a Preferred Provider Network.
  • Proactive Claims Management
    We expect the claim adjusters to make every effort to expedite resolution of claims. This would include maintaining a monthly diary and utilizing appropriate resources in a timely manner.

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Supervisor/Management Training

Atlas’ Claims Management consultants are available to provide managerial training in the areas of timely claim reporting, accident investigation, Workers’ Compensation 101, and early return to work.

Telephonic Injury Triage

Telephonic Injury Triage is a unique and time-tested cost containment strategy in the mainland, and Atlas is taking the lead in Hawaii by making it available to our clients first. We have partnered up with Medcor, an experienced Telephonic Injury Triage, to reduce your Workers’ Compensation costs. In short, during the first notice of loss, a triage nurse will gather pertinent information directly from your employee, assess the nature and extent of the injury, determine the appropriate level of medical intervention, and make a referral if appropriate.

Claim Review Meetings & Summaries

Regularly scheduled claim meetings with the insurance company claim adjusters are important to facilitate open communication and to develop action plans to bring early resolution to the claim. Atlas’ Claims Management consultants will coordinate these meetings and will provide value by bringing forward ideas to help bring closure to the claim.

Atlas provides a Claim Review Summary Report highlighting critical discussions from the claim review meetings.

Timely Claim Reporting

Our Claims Management consultants will develop a Claim Reporting Guide that reflects all special handling procedures. This will be completed anytime you change insurance carriers.

The Claim Reporting Guides contain all special handling procedures, pertinent phone numbers, maps to the designated medical facilities and tips on how to handle employees or injured third parties. Atlas can even develop Claim Reporting Wallet Cards which can be used as a quick reference for managers when there is an injury.

Return to Work/Stay at Work

Our Claims Management consultants will assess the effectiveness of your current return to work program. We want to ensure our clients are taking a proactive role by:

  • Managing the claim situation to contain costs and return injured employees to work as quickly as possible, and illustrating to managers and supervisors the skills and information they need to play their part in that process
  • Stressing early return to work, either to regular or transitional productive work activities
  • Recommending early rehabilitation intervention of possible long-term disability cases for the best approach to case management: early job placement, rehabilitation and/or retraining

Claims Consulting Services will assist the client in developing a written return to work policy.

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Claims Consultant Biographies

Keane Muranaka

KEANE MURANAKA

Sr. Claims Consultant, Client Consulting Services
Keane joined Atlas in 2012 and is responsible for overseeing the company's general liability, property and auto claims management services. 

Keane has nearly 25-years of experience and has held various claims positions in the property and casualty industry.  Prior to Atlas, Keane was assistant vice president, claims supervisor in the field unit for Island Insurance Company Ltd.  His previous claims experience also includes positions with National Interstate Insurance Company, Hawaii Hurricane Relief Fund and Pacific Insurance Company.

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Please note, coverage information contained in this website is for illustration purposes only, is general in nature, does not represent insurance contract provisions and is not meant to take the place of an insurance review. Please read your policy for specific details or contact one of our Atlas Agents for more information.