Claims Management Services

Program Administration

Engle Martin Claims Administrative Services (EMCAS) is a third-party administrator (TPA) that provides comprehensive claims solutions to the insurance program industry.

Our role is to deliver prompt claims handling while controlling costs for our clients. Our aim is to serve program administrators and individual insureds by delivering collaborative claims solutions, effective cost containment, and seamless claims management.

Claims Management System:

  • In-house IT/IS staff with extensive experience
  • Multi-syndicate management skills
  • Electronic Data Interchange (EDI) capabilities
  • Real-time access to electronic files through secured EMCAS Online website

Financial Support:

  • Monthly loss run & bank reconciliation
  • Escrow statement audits
  • Stewardship reports to monitor trends and data
  • Segregated funding
  • Ability to work with client retained bank accounts (ZBA)

What to Expect with EMCAS:

  • Designated account managers are assigned to each program to develop a solid relationship with client, ensure all aspects of the on-boarding process are followed and anticipate needs
  • Adherence with the Lloyd’s of London Guidelines: Key Performance Indicators, Minimum Standards, Bordereaux & Loss Run Production, and Treating Customers Fairly
  • Dedicated examiners are accessible and responsive
  • SOC1 Type II , MMSEA, Fraud and OFAC Compliant
  • Customized account instructions per program
  • Robust peer review processes
  • Highly-trained claims professionals understand coverage application and when to apply expert resources to deliver better outcomes