Avalon Claims Management

Professional Healthcare Management

Avalon Claims Management, LLC, is a versatile Third-Party Administrator organization that assists organizations to develop claims management efficiency and cash flow improvement.

Specializing in the healthcare industry, with focused attention on nursing homes, hospitals and doctors, our clients consist primarily of captives, self-insureds and risk retention groups.

Managing multi-state professional liability claims, we help them control claim costs by customizing our efforts specifically to their organizational philosophy.

With 24-hour access to an online claims system, administrative and investigative claims services, and professionals with extensive backgrounds in the industries we serve, we help them stabilize their claims management processes from the ground up. From malpractice to general professional liability to claims litigation, our consultative process envelops their organization’s essential elements.

Our process includes:
•  Consulting and advising on existing claims investigation processes
•  Preparing loss run reports
•  Conducting case review meetings with clients, including auditing files/legal bills
•  Establishing defense counsel guidelines
•  Providing claims management from inception to conclusion
•  Evaluating liability, causation and damages of each case
•  Strategizing for litigation
•  Attending settlement negotiations, mediation and trials
•  Providing case reserve recommendations
•  Reporting pursuant to an organization’s guidelines