Third Party Administration

Control claims costs and ensuring consistent file handling are two primary objectives of our Third Party Administration (TPA) services.

Delivered through our TPA unit in Mississauga, our cradle to grave claims administration services provide careful management of each claim,  tight cost control, adequate claim reserving, accurate loss payments, and strict administrative expense supervision.

The key is how we structure our TPA team. Every claim is reported to the designated Control Adjuster (CA), In addition to providing you with a single point of contact for all program inquiries, the designated CA overseas the handling of every file throughout its life cycle, ensuring compliance with the claims handling instructions.

Situations that can be handled in a telephone manner are done so to conclusion by a Desktop Adjuster.  Their main objective is to ensure every claim meets your exacting service standards using a customized workflow and quality claims handling practices.

Where warranted, Cunningham Lindsey field adjusters or Accident Benefits (AB) specialists may be assigned to carry out the partial or full investigations.

This workflow enables us to limit your exposure, reduce the average life of each file, and minimize your average cost per file.

As part of our TPA services, you may elect to establish a trust account from which cheques are issued directly through our claims management system.  An initial funding amount is determined at the commencement of the program. The trust account is then reconciled and reported monthly.  The reconciliation report shows the prior months' closing trust balance and lists deposits made and cheques issued during the month to determine the reimbursement amount required for the following month. 

For further information on our TPA services, please contact:

Albert Poon
Senior Vice President, Business Development
50 Burnhamthorpe Road West, Suite 1102
Mississauga, ON L5B 3C2
Tel: 905 896 8181
Fax: 905 896 0644
apoon@cl-na.com