TPA Services

Criterion Claim Solutions has brought together the resources, people, and technology to help our clients effectively manage risk and provide the highest levels of quality, efficiency, and services. These include:

• 24/7 Toll Free loss reporting
• Full claim investigation, litigation management, and medical management services
• A professional, experienced, trained, and dedicated staff of claim professionals
• Knowledgeable and experienced Program Managers and front line Claim Supervisors
• National network of independent adjusters, appraisers, managed care vendors, defense attorneys, and other experts necessary for complete and seamless handling of claims
• Fraud detection and SIU services
• Accurate and timely loss reserving with reserve reviews conducted continuously throughout the cycle of each claim
• Internal quality control and audit programs
• Dedicated Recovery Unit for salvage, subrogation, deductibles, and retentions
• Loss fund account management
• Timely, accurate, and comprehensive reporting

We specialize in Transportation and related claim programs, including Workers Compensation and General Liability. We provide a full array of claim management services and also have claim data systems that can supply the information and tools for our clients to effectively manage their claims.

Please explore further from among the following specific areas:

Transportation Division

At Criterion Claim Solutions we specialize in managing Transportation Claims of various types. This includes Long Haul, Intermediate, and Local Trucking, Owner-Operator and other lease operations, as well as Non-Trucking and Bobtail Liability, and specialty areas such as Public Transportation, Flatbed and Container Operations, Tankers, Dump Trucks, Logging, Tow Trucks, Medical Transportation, and Livery. We have extensive experience with both standard and non-standard transportation programs.

Our claim professionals have the experience and savvy to sort through lease provisions, Bills of Lading, and various transportation coverage forms in order to appropriately identify and resolve appropriate coverage issues. We know truckers and the trucking industry. We also have developed a nationwide network of local adjusters and attorneys who are knowledgeable in the investigation and defense of transportation issues.

We feel that our Truck Physical Damage and Cargo Claim Unit is second to none in the industry. We have brought together a staff with the experience and expertise to handle practically any type of claim that might occur. We understand the importance of handling claims quickly and efficiently in order to get damaged trucks back on the road with a minimum of downtime.

Our experience and expertise also extends to various Auto Programs including Garage Liability and Garagekeepers, Dealers' Open Lot, Lessor's Contingent Liability, and others.

Workers Compensation Division

At Criterion Claim Solutions we realize that Workers Compensation results are determined by bottom line costs associated with losses. By maintaining lower claim counts, our claim specialists are able to take the time necessary to handle each claim. This allows them to provide more proactive claim management, to work closely with our clients to return injured employees to work, and to help guarantee consistency within each program and each claim. Overall, this approach helps us to maximize the control of costs for our clients' claims.

We work hard to make sure that our claim specialists are familiar with each client, its program, philosophy, and procedures. We have a network of local and national resources available, including investigators, attorneys, and other vendors. We have partnered with leading providers of Managed Care Services to allow our clients access to a network of preferred medical providers, medical bill review services, individual medical case management, vocational rehabilitation services, prescription drug card programs, and other services that help us provide effective cost controlled claim management.

Our data systems allow us to capture any claim information that might be required for statistical reporting needs, as well as standardized and customized reports. We can identify and sort data by various divisions, branches, or departments as needed in order to allow our clients to track their claim history and results accurately and in detail. We also have the ability to track OSHA data, and other information required by various states.

General Liability / Other Lines

At Criterion Claim Solutions we also have broad experience in managing various types of General Liability and Specialty loss programs. These include such diverse programs as Liquor Liability, Inland Marine, Amusement-Entertainment-Special Events, Governmental Entities, Excess, Umbrella, and Contingent Liability, and others.