TPAs are responsible for:
• Hearing Representation – TPAs are a party to the claim and available to attend hearings to represent the employer.
• Claims Administration – assistance in determining compensability and ensuring timely resolution.
• Actuarial Analysis – audit BWC rates and charges to the employer’s experience ensuring accuracy and further assisting the BWC with any issues involving rates or premiums. Available to evaluate the impact of settlements, handicap reimbursements, or wage continuation can have on an employer’s experience.
• Group Rating Programs – If eligible, employers in similar industries join together through a sponsoring organization, to be rated as a group for their BWC premium payment discounts.
• Assistance with application to BWC for consideration of Self-Insured status.