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2020
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Complex Claims Services 2022
Who Delivers Consistent Results?
Author
Mollie Hunt
Author
Alex McIntosh
Author
Chloe Jensen
To process complex claims (specifically, claims for motor vehicle accidents, VA, workers’ compensation, and out-of-state Medicaid), provider organizations must make significant time and resource investments. By hiring specialized firms with the knowledge and experience to handle complex claims, organizations can increase revenue, decrease the cost to collect, and reduce A/R days while saving resources. Contingency-based pricing—which is typical for the market—also makes engaging with these firms fairly low risk. This report examines the performance of each complex claims services firm across different claim types and details their delivery of outcomes and strength of client relationships.
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Key Findings:
- Argos Health, an EnableComp Company, Engaged across Claim Types
- Revecore Exceeds Expectations with Creative Approaches to Strategic Success
- Inconsistency from Kemberton Affects Overall Client Satisfaction; Revecore & Aspirion Execute Most Consistently
- High-Touch Relationships from Aspirion & Revecore; EnableComp & Kemberton Less Consistent, with Kemberton Making Improvements
- EnableComp & Aspirion Most Often Increase Revenue; Argos Most Often Decreases A/R Days
Writer
Amanda Wind Smith
Designer
Jess Wallace-Simpson
Project Manager
Isaac Burgi
This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2024 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.