TPA Sentinel Program

Whoever said the "squeaky wheel gets the oil" must have had your TPA in mind. We squeak for you.

In today's claim environment, TPA resources are strained to the limit. The competitive pricing structure in which TPAs operate force them into a business model that cannot be profitable for them, and effective for your claims.

• Seasoned adjusters go out the door only to be replaced by less experienced, lower salaried adjusters.
• Remaining adjusters are strained beyond their limit, invariably working excessive caseloads.
• Managerial oversight of cases becomes a luxury the TPA cannot afford.

You foot the bill for the final cost of claims. We have an effective claim solution. Our TPA Sentinel program adds the layer of oversight that is missing from the success equation. Our TPA Sentinel program ensures the success of your claim program by providing an all-inclusive approach to case and TPA management.

• We conduct operational audits to ensure compliance to agreed standards.
• We direct the activity of the adjusters in very specific ways on select individual cases, and develop action plans that reach the most effective case closure or containment.
• You are plugged in at every step along the way with computerized access to all our action plans, insights, and correspondence, working within authorization provided by you.