Lanzko offers customized claim file audits designed to comprehensively evaluate and improve claims operations. Our thorough process combines industry-recognized best practices with your internal guidelines to assess key areas such as coverage considerations, customer service, investigation thoroughness, and file management. We provide detailed, actionable reports that identify strengths and weaknesses, offer recommendations for improvement, and help prevent claim leakage and reduce the risk of bad faith claims.
Reviewing internal guidelines and best practices
Designing custom audit criteria
Developing a representative file selection plan
Creating a custom audit database
Conducting file reviews and management interviews
Providing a comprehensive written report with actionable recommendations
Coverage and policy considerations
Customer service
Investigation thoroughness
Reserving accuracy
Litigation management
Vendor selection and management
File management and documentation
Detailed assessments of your operation's strengths and weaknesses
Non-punitive identification of areas for improvement
Actionable advice for enhancing performance
Individual audit sheets for each file reviewed
Evaluation of all exceptions found
An overview of all files reviewed
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