Who is Emerald claims management?

ECM is a claims and risk management company based in Kingwood, TX. We use a controlled method of claims handling, along with sophisticated information systems in order to produce exemplary results for workers compensation programs.

We offer innovative solutions including claims management, medical managed care, alternative risk options and RMIS technology. We currently handle most of the challenging industries that require very aggressive front end claim processing to drive down the average cost for our policy holders. We have two offices in Texas, but also provide risk management services in most states.

How can ECM help me reduce costs?

ECM takes a comprehensive, well-structured and expertly managed approach to every claim. Our claims professionals communicate clearly with all parties involved and continuously monitor and manage all of the issues that can affect the cost of a claim.

  • Efficient Claim Intake
  • Early Claim Assessment
  • Aggressive Claims Management
  • Progressive Technology Support
  • Accurate Reserve Management
  • Superior Cost Containment
  • Extensive Quality Audits
  • Appropriate Medical Care

what type of clients does ecm service?

Traditionally, the claims management industry has been fragmented with multiple systems and service providers. We offer one integrated model for claims and risk management services that includes; complete services from claim intake to file closure.

We know all programs are not the same, so we do not force fit ready-made solutions. Instead, we are flexible, drawing from our array of services to create a program tailored to fit each client’s needs – we will design a program to deliver optimum results. ECM’s flexibility, along with our ability to apply appropriate resources, will make your transition to ECM seamless and painless.

Our Business Commitment

ECM commits extensive time and effort to quality.

Our Corporate Claim Unit executes a formal audit process at multiple levels within the organization. Our Business Process controls are audited by independent external auditors through our commitment to a SSAE16 Audit. Formal internal auditing is scheduled and performed in a variety of scenarios such as onsite office audits and electronic office audits. In addition, we routinely facilitate carrier audits as well as jurisdictional audits as requested. ECM also maintains a detailed Claims Procedure Manual which thoroughly and completely documents our adjuster’s claim management procedures. ECM has also established best practices for workers’ compensation based on decades of experience and expertise.

 

Why Choose Us

1.
Reduce costs and increase revenue
ECM will reduce the cost of your claims which directly impacts your bottom line. We can help make your risk management department put money back into your company.
2.
Custom programs that fit your needs
You will receive prompt, personal attention to all of your claims and claimants. We will be your partner in risk management, providing reports, analytics, and services to better your program.