Integrated Claims Management for Self-Insured Employers
Where Strong Relationships Drive Stronger Outcomes
When your claims program lacks alignment between your organization and your claims team, performance suffers. Self-insured employers need more than transactional claim handling—they need a partner who understands their culture, risk tolerance, and operational priorities. Specialized Contract Administrators builds each claims management program around collaboration, clear communication, and disciplined execution. The result is work comp claims management and liability administration that reduces friction, mitigates losses quickly, and strengthens long-term program stability.
A Seamless, Comprehensive Claims Experience
Customized Risk Management Solutions
No two employers face identical risk exposures. We tailor insurance administration for employers by aligning claim workflows, reporting protocols, and communication standards to your organization’s structure and expectations—while leveraging advanced claims and medical cost containment technology to increase efficiency and control litigation exposure.
High Standards and Account-Level Accountability
We establish clear account instructions, adhere to defined best practices, and maintain fiscal responsibility on every file. Regular supervisory review, structured reserving, and transparent reporting ensure your employer workers’ comp program and liability portfolio remain aligned with your financial goals.
Advanced Technology and Visibility
Our online claim system delivers real-time adjuster notes, customizable dashboards, and detailed ad-hoc reporting. This visibility empowers leadership teams to track trends, benchmark performance, and make informed decisions backed by accurate, accessible data.
How Our Process Reduces Claim Duration and Cost
A structured, consistent process drives measurable improvement in claim outcomes. From early identification of exposure to disciplined reserving and strategic resolution planning, our approach is designed to shorten claim life cycles and strengthen cost control. By combining clinical oversight, legal coordination, analytics, and compliance management within one integrated model, SCA creates a cohesive risk management services portfolio rather than disconnected administrative functions.
Our Full Range of Claims Management Services
At SCA, we redefine claim management with our comprehensive, integrated approach. Our services span workers' compensation, auto and general liability claims management, and disability and leave management. Backed by a standardized, streamlined, and strategic process, we aim to shorten claim duration and reduce overall claims costs. Leveraging our team of experts, we swiftly identify and address issues, ensuring a compassionate touch throughout the process to facilitate a healthy return to work for your employees.
Workers Compensation:
Our workers' compensation program is truly comprehensive, offering claims professionals access to a complete portfolio of services. From medical management to legal cost control, our team is empowered to resolve injured workers' claims effectively and efficiently.
Auto and General Liability:
Our experts manage various claims, including those involving company-owned vehicles, personal cars used for company business, bodily injury, property damage, and personal injury. Our services extend globally, with representatives well-versed in regional laws.
Litigation Management Platform:
Our platform features a user-configurable dashboard for monitoring and identifying important legal information throughout the case's life. It serves as a collaboration and communication hub for efficient resolution of litigated files.
SCHIP Reporting:
Our dedicated SCHIP Compliance Team provides accurate and timely Section 111 reporting to CMS, ensuring compliance and preventing high-cost penalties.
Second Injury Fund:
We provide Second Injury Fund Recovery services, identifying claims eligible for recuperating costs from state government funds set up to compensate injured workers with significant disabilities.
Medicare Set Aside: For Medicare-eligible injured workers, our cross-functional team predicts the costs of future medical needs, aligning closely with Medicare expectations to ensure approved and sufficient set asides.
Investigative Services:
Our comprehensive surveillance and investigative services network assists claims professionals in making faster and better-informed decisions, ranging from simple fact verification to online and field investigations.
Subrogation: Our in-house subrogation services recover funds on behalf of you or your carriers, with charges based on recoveries, aligning our incentives with yours.
Move Forward With Greater Control and Clarity
Experience excellence in claim management with SCA. Contact us today to explore how our services can elevate your claims experience, reduce costs, and ensure a compassionate approach for your employees.
