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Workers’ Comp Claims Administrators: Average Days to Payment, 1/1/2016 to 3/31/2016

July 15, 2016 by Catherine Montgomery

In the first quarter of 2016, DaisyBill processed over 230,000 bills. In this blog we examine payment speeds for our top 20 claims administrators based on volume.

DaisyBill’s electronic billing software compiles data on every processed bill. We track payment amounts, payer activity, submission types, code counts, denial reasons, and more.

Listed by volume of processed bills through March 31, the statistics below reflect payment speed -- the average number of business days between the electronic submission of a medical treatment bill and receipt of the explanation of review (EOR) -- for the 20 top claims administrators.

Remember, Labor Code 4603.4 and the DWC Billing and Payment Guide require claims administrators to process electronically submitted bills in 15 working days.

Claims Administrator Payment Speed: Fastest to Slowest

For DaisyBill’s top 20 claims administrators by volume of processed bills during the first quarter of 2016, our data identifies: 

Three fastest-paying claims administrators:

  1. Liberty Mutual / The Zenith, 6 average days (tie)
  2. Broadspire / CNA Insurance / Keenan & Associates, 9 average days (tie)
  3. Gallagher Bassett / State Compensation Insurance Fund, 10 average days (tie)

Three slowest-paying claims administrators:

  1. Zurich Insurance North America, 29 average days
  2. AmTrust North America, 22 average days
  3. AIG Claims, Inc., 19 average days

Table for Average Days to Payment, 1/1/2016 to 3/31/2016

Claims Administrator

Bills

Days

Sedgwick Claims Management Services

42,404

13

State Compensation Insurance Fund

30,559

10

Gallagher Bassett

26,295

10

Liberty Mutual Insurance

15,836

6

Zurich Insurance North America

14,894

29

CorVel

13,116

13

Travelers

12,378

12

York Risk Services Group

12,048

16

Broadspire

8,230

9

Tristar Risk Management (TPA)

7,465

17

ICW - Insurance Company of the West

7,175

13

ESIS, Inc.

6,643

16

AIG Claims, Inc.

6,365

19

The Hartford

6,260

14

The Zenith

4,737

6

Berkshire Hathaway Homestate Companies

4,296

11

Keenan & Associates

3,806

9

Employers Compensation Insurance Company

2,790

17

AmTrust North America

2,465

22

CNA Insurance

2,389

9


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DaisyBill is a trusted authority on workers’ comp billing. Thousands of work comp professionals attend our webinars and state agencies and professional organizations turn to us for our expertise. We created this blog to help everyone involved in workers’ compensation; sharing news, tips, and data of interest to the community.

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