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Blazing Fast Averages for the Biggest Claims Administrators

April 8, 2015 by Catherine Montgomery

Workers’ compensation medical bills are getting paid fast. The latest data spans the period from 10/1/2014 to 3/31/2015, which includes the traditionally slower holiday season.

Across all 350+ claims administrators, the average days to payment for the bills we submit was less than 21 working days.

There’s even better news if we look at the top 20 work comp claims administrators (the 20 claims administrators  to which DaisyBill submits the most bills). For those 20, the average days to payment was less than 18 days! The table below represents the average number of days from submission of a bill until receipt of the explanation of review (EOR), and takes into account EORs that we received during the above time period.

The not-so-great news is that some claims administrators are not compliant with the mandated 15 working days to process electronic bills.  AIG Chartis, Employers, ESIS, and York Risk Services are among those claims administrators that exceed the mandated deadlines.

Claims Administrator

Average duration from submission to payment (in working days)

Sedgwick Claims Management Services (TPA)

18

Gallagher Bassett

20

SCIF - State Compensation Insurance Fund

16

Liberty Mutual Insurance

11

Travelers

19

Zurich Insurance North America

12

Broadspire

10

York Risk Services Group (TPA)

27

ESIS

31

The Hartford

21

ICW - Insurance Company of the West

16

Sedgwick (LA County 5000 Claims Only)

23

York Risk (LA County 1000 Claims Only)

16

AIG / Chartis

36

Keenan & Associates

12

Employers Compensation Insurance Company

33

BHHC - Berkshire Hathaway Homestate Companies

14

The Zenith

9

Tristar (LA County 2000 Claims Only)

15

Intercare (LA County 3000 Claims Only)

19

Read more on claims administrators:

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About Us

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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