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Claims Management Differentiation

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Without proper systems, staff, training and an overall strategy to achieve their goals, businesses will always be behind the risk-based competitive curve as they compete with businesses that do have these resources in place
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Our Clients understand the cost of their insurance program is a function of how well they prevent and manage claims. 

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O.O.D.A Risk System

Our client-facing O.O.D.A. Risk system is your own Risk Management Information system that organizes, measures, and manages Key Risk Indicators (KRIs) making your incident and clams data actionable. You can’t manage what you can’t measure.

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Systems


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Internal Agency Software

Internally focused policy management system designed specifically for insurance agencies. This system is built to handle insurance transactions; claims are one of these transactions. Offers customers no forward-looking metric to their end-user customer base.

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Blueprint Assessment 

We analyze your industry and company size to create a business-specific risk assessment that touches on your HR protocols,  incident reporting, your data collection & management, risk controls, and Key Risk Indicators (KRIs) that you are presently managing. We take this information and overlay it with your 1-3 year strategy for your organization to identify the gaps.

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Risk

Assessment 


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Insurance Applications

Many of our competitors simply focus on pricing the insurance transaction. While this is important, risk financing is not risk management. It’s building a holistic risk management program that impacts your P&L, not just the line item of insurance within your P&L.



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Client Specific Training 

We deploy our system called “Profit Tools” to help you tighten up the weak spots in your organization. We train your staff on our systems and best practice protocols to help achieve your organization’s strategic goals.

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Training


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Training? 

Think and name two training sessions your organization has had with your current broker. Were they developed specifically for your staff to support the identified weak spots in your organization or were they generic training?

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Claim Management

We’ve managed thousands of claims and discovered it takes an average of 47 touches to close a claim (WC, GL, Property). Most of our clients are understaffed and do not have the bandwidth to get their claims closed at a reduced valuation. Their best practice competition can take the time which makes their cost of risk lower.

When a claim is reported to us, it’s the first step of a long process to get our client a result instead of an outcome

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Claims


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Claim Reporting 

For many brokerages, claims is at best a 2 step process.

1) Report the claim to the carrier 2) Forward the claim # to you. Their goal is only to report, not to manage, train, and advocate to maximize results. The strategy should be to compress the final payout of the claim to it’s lowest payout point for 3rd party, highest payout for 1st party.
It’s not a strategic plan, it’s a transaction.


Just outcomes, not results.

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Incident Reporting & Tracking

Utilizing our mobile app or desktop O.O.D.A Risk system, we provide a system for your managers and supervisors to report near misses & site hazards. This is a critical component within our risk management system. By tracking incidents and resolving why they occur lowers/prevents future incidents from becoming claims.



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Reporting


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Incident Reporting & Tracking 

No Comparable Program

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911 Protocol

Contingent on what comes at you, we have a specialist ready to dispatch at a moment’s notice to help you manage and mitigate a large loss. From forensic engineers to professional accident investigators, labor lawyers, employment lawyers, ex-OSHA investigators. When an incident gets reported into us where we think there will be big dollars attached to the claim, we will call in “Special forces” to help document and compress the end value of the claim.

*For more information ask us about our case studies

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Protocol


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911 Protocol

No Comparable Program

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[av_heading heading=’Positive Outcomes ‘ tag=’h2′ link_apply=” link=’manually,http://’ link_target=” style=’blockquote modern-quote modern-centered’ size=’4.5vw’ subheading_active=” subheading_size=’15’ margin=” padding=’10’ color=” custom_font=” custom_class=” id=” admin_preview_bg=” av-desktop-hide=” av-medium-hide=” av-small-hide=” av-mini-hide=” av-medium-font-size-title=” av-small-font-size-title=” av-mini-font-size-title=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=”][/av_heading]

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Disclaimer: Positive Outcomes are based on a number of variables within each account and case. Metropolitan Risk cannot guarantee a positive outcome for every account or case.

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Risk Management Protocol Positive Outcomes
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General Liability Positive Outcomes
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Workers’ Compensation Positive Outcomes
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Please Note: The above representation only pertains to our Consulting and Consultative Clients who have a signed service contract with us.  Brokerage Only clients can have access to the above resources however additional fees and authorizations may apply.

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Insurance Brokerage and Risk Management

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