Interested in implementing a tool that uses a best practices model? Check out our calculator to see how Mitchell ClaimIQ can help you use your own best practices to improve liability and injury assessment accuracy.

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With so many factors at play in the third party claims process—from adjuster turnover to aligning management goals with adjuster actions—many carriers can struggle with consistency.

Find out how you can help get your program back to the basics with FREE resources:

Focus on the fundamentals to help boost third party claim consistency, accuracy and efficiency.

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Establishing a consistent approach to liability and injury evaluation is one of the most important steps a carrier can take when building their third party workflow. Without a programmatic approach to assess and calibrate liability and injury across the organization, adjuster teams will inevitably diverge in their claims handling practices.

Liability and Injury Evaluations: 

Do You Know Which Recommendation Model is Right for You?

Making medical bill payments via paper costs a claims organization anywhere from $4 to $30 per payment, with an average of $8 to $9 per check? You could reduce those costs by 60% to 90% by switching to digital payment processing. 
Find out how with our FREE resources:

Why are paper payments so expensive?
Labor and material costs associated with managing hard copy payments can add up—consider the cost of processing checks, EOBs and 1099s, plus the charges associated with making payment status inquiries. Outsourcing and digitizing payments can help reduce these costs and eliminate extra work for your staff. 

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The Fundamentals of Third Party Claim Processing


Liability & Injury Evaluations: Understanding the Two Types of Recommendation Models

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Common Characteristics of High-Performing Third Party Claim Workflows

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Mitchell processes more than a half million demands annually with more than 3.5 million medical bills. We’ve seen firsthand the claims practices that help carriers succeed. To help you better position your organization, we’ve pulled together a list of the most common characteristics we see in today’s top-performing third party claim teams.

Find out how your organization compares—read Mitchell’s guide to the top characteristics carriers need in their third party claims program.

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The Top Characteristics of High-Performing Third Party Claims Workflows

Choosing a liability and evaluation recommendation model can help improve consistency and accuracy but it may be difficult to determine which type of model is right for your organization. Here’s a quick breakdown as to how the models differ:

Pure Statistical Model

Built based on historical claims data. Quick to stand up, but sometimes adjusters using it may struggle to explain the exact reasons for their evaluations based on the recommendations, and may leave certain claims unaddressed.

Best Practices Model

Built based on your organization’s claim handling philosophies. This model helps adjusters prepare for negotiations and defend their evaluations as the recommendations are based on best practices allowing adjusters to provide clear explanations and reasoning for why they were made.

So, which model is right for you? Read our comprehensive guide, which is designed to help you understand the differences between the two types available in the market today.

Find Out What Model is Right For You

So, what are the most important building blocks of third party injury claim handling? Mitchell has helped more than half of the top 20 auto carriers build successful and consistent third party claim programs. Based on that experience, we’ve put together a list of the top 5 fundamentals that are vital for consistent third party claim processing, including:

Build and Standardize Best Practices

Establish a Process to Connect Management Goals and Adjuster Activities

Use Reporting and Management Tools to Optimize Performance

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The Fundamentals of Third Party Claims Processing

Read the article now to find out the other two and to learn more about how putting a special emphasis on these fundamentals can help boost efficiency and accuracy.

Claim professionals like you seek to settle third party claims accurately and efficiently, but the complexity of third party claims processing can sometimes get in the way. Keeping up with the latest technologies or trends is an important way to stay relevant, remain competitive and enhance efficiencies. However, when carriers lose focus on the fundamentals they may create inconsistencies across their organizations and make it more challenging for adjusters to succeed.

Mitchell provides you with the building blocks to lay a solid foundation for your third party claims process. The Mitchell Third Party Solution is designed to smooth out your third party claims handling workflow, bringing adjusters the injury and liability information they need, exactly when they need it so they can consistently settle claims accurately and efficiently. Mitchell also helps you succeed by working with you to customize your third party solution based on your own claim handling philosophies versus historical data practices. We can help you arm your adjusters—regardless of experience—with the tools and information they need to make more accurate settlements on each and every claim.

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Mitchell provides you with the building blocks to lay a solid foundation for your third party claims process.

The Building Blocks for Better Third Party Outcomes

 Listen to our mPower podcast featuring third party expert Chris Williamson, to learn more about third party trends, challenges, and foundations.