Our People
Our Processes
Our Technology

ESIS differentiates ourselves within the market by using a holistic approach to claims management in order to achieve the best possible outcomes for our clients. Our people are the best in the business; these key resources are supported by our technology, which is recognized as a leading solution within the industry. Our best practice processes tie each of these core components together, resulting in a customized solution that gives our clients the services they need.

Our People

At ESIS, we’re proud of our people. They know their craft and they’re focused on service, and our best practice approach to staffing ensures things stay that way.

Hiring the right people
We utilize strict hiring criteria and have specific skill requirements for every job in our organization, and we use a behavioral competency model to identify those skills in our claims professionals. We realize that a comprehensive hiring process is merely the first step in ensuring that our clients’ claims needs are met by only the most highly qualified and experienced people. ESIS recognizes that intensive training services and ongoing education programs are inherent to the personal success of our colleagues as well as the professional success of our clients’ programs.

Training and skill enhancement
We have developed extensive training courses and other learning enhancement programs to assist our colleagues with their ongoing education endeavors. The most expansive of this offering is our three phase claims training program, which includes orientation with ESIS, attendance at a four day claims skill school, and a twelve week period of on-the-job training with supervisory coaching. Additional programs and services available to support ESIS’ training initiative include the following:

• Jurisdictionally specific training and seminars, which are provided via the regional offices on an as needed basis
• Continuing education credit classes, which are frequently provided internally; employees are also encouraged to attend outside classes
• Enrollment for accredited insurance certifications is encouraged for claims and account management team members
• ESIS’ Education Payment Plan pre-funds employees for 100 percent of passed educational programs and degrees that apply to their positions within ESIS

Training profiles are created for each and every employee and are maintained on our HR intranet site. These profiles are reviewed regularly to ensure ongoing education is being pursued.

ESIS is committed to providing a workplace where all of our people—our greatest assets—are treated with respect, are fully supported, and are continuously encouraged to contribute their talents, skills, and efforts to our organization and the success of our clients’ programs.

Our Processes

ESIS has helped hundreds of Fortune 1,000 companies significantly reduce their loss costs. From this experience, we’ve learned that the leading factors in claims management success are account level program implementation and employee support of the claim process. We have developed several initiatives to ensure the success of our clients’ programs:

• Account level program implementation – We provide each of our clients with an experienced account executive who is responsible for ensuring your satisfaction. The individual is able to cross organizational lines to obtain answers and solve problems. He or she intervenes for you, as needed, in matters involving billing, claims, statistical analysis, loss control areas, and rehabilitation or recovery needs.
• Claim service activity bulletin – This tool is used to guide our field organization in performing claim activities in connection with your account. Distributed electronically on ESIS’ Service Activity System (SAS), bulletins give all claims personnel 24-hour access to this information via ESIS’ intranet browser.
• Enhanced communication processes – In a superior claim service program, effective communication that keeps all parties fully informed on a timely basis is essential. At ESIS, we believe in maintaining open channels between your field locations and our corresponding claim offices. Our experienced claims personnel are always happy to answer questions on specific claims as well as on claims handling in general
• Employer support of claims practices – Controlling the cost of workers’ compensation claims is a team effort, and there is no more important member of that team than the employer. Helping employers take an active and positive role when an employee is injured on the job means a better outcome for you and the employee at a lower cost

Each of these initiatives is fully embedded in our best practice processes, which are the basis of the daily management of our client’s claims management programs. When handling claims, our experience has taught us that certain qualities are essential—integrity, experience, skill, focus, and, most importantly, consistency. Our best practices act as a guide to our pledge of consistency, assuring ESIS’ clients that our performance standards do not vary with place or time.

Our Technology

OMNI

ESIS’ proprietary OMNI claims system enables our adjusters to perform each of the tasks required for top tier claims handling services, including registering claims, creating notes, assigning diaries and task reminders to the file, making reserve and payment transactions, and accessing client-specific claims handling specifications.

Various electronic inbound and outbound data exchanges are available within OMNI, significantly decreasing our data entry requirements while increasing accuracy and streamlining workflows and processes. These exchanges include the following:

• Electronic First Notice of Loss (FNOL) is received via EDI from our intake vendors, allowing most claims registration screens to be pre-filed
• OMNI automatically sends acknowledgement/disposition notices via e-mail from Global RiskAdvantage^® when claims are registered and closed
• Central Index Bureau inquiries are automatically generated for all new claims registered
• Feeds are directly received from medical bill review repricers for medical bills and invoices, along with Explanation of Payments (EOPs) to ensure accurate and timely payment
• TyMetrix legal bill review services provide upfront legal bill adjudication, which automatically feeds and pays approved legal bills

The OMNI claims adjudication system utilizes an elaborate trigger system derived from the claim handling instructions developed within the Service Activity System (SAS). These SAS triggers effectively prompt the adjuster for action when claim milestones are reached or if the adjuster’s activity meets the criteria established in the claim handling instructions.

ESIS’ clients access the information stored in OMNI through Global RiskAdvantage^®, which is a proprietary application and is the premier browser-based, thin client application on the market.

Global RiskAdvantage^®

As a risk manager, you make choices daily that can cost or save your organization many millions of dollars. Therefore, you need the most sophisticated tool you can find for generating risk management reports and analyzing loss trends. ESIS’ Global RiskAdvantage^® is a proprietary application that is recognized as a leading technology within the industry. Through our Global RiskAdvantage^® loss management system, we provide the decision support tool you need by combining meaningful analysis of loss data with the power of Web technology. By putting Global RiskAdvantage^® on the Internet, we make it cost effective, timely, and user friendly.

Global RiskAdvantage^® offers several key benefits to our clients:

• Customization – Global RiskAdvantage^® is customizable, allowing you to choose the functions you need—inquiry and claim notes, or inquiry, reports, and claim notes—and also contains enhanced features such as customized reporting functionality.
• Imaging – Our electronic document storage and retrieval system enables ESIS to offer a paperless environment to our clients. This product enhancement gives claims adjusters and other claims staff quicker access to file information, enabling them to accurately respond to our clients’ needs in a timelier manner and enhance their file management capabilities.
• Electronic interfaces – The comprehensive system incorporates multiple carrier data as well as your internal claim data into a combined reporting and analysis system. And by offering daily updates to ESIS claim data as well as real time access to claim adjusters’ notes and diaries, our clients are able to choose the frequency of updates to other carrier data and/or internal claim data.
• Reporting – Our systematic report scheduler allows you to set reports to run on your schedule—weekly, monthly, quarterly, etc.—with no manual intervention.
• International capabilities – Global clients benefit from its international capabilities, including containing key international data such as the name of the booking company and risk country, and the ability to define values in local currencies or U.S. dollars.

Additionally, the Global RiskAdvantage^® dashboard module allows customers to create meaningful reports and display them in graphic format. This function enables users to identify emerging trends, see where more frequent losses and/or lost time days are occurring, etc. Our customers are able to design the dashboard based on a list of pre-determined graphs/reports and are also able to determine whether or not to display the dashboard immediately upon system log-in.

The Global RiskAdvantage^® is both well-supported and well-protected. Answers are found quickly through ESIS’ customer service group, online help screens, informational job aids, and other reference materials. Global RiskAdvantage^® has also earned a “Secure Site” certification from industry leader VeriSign^®. We use multi-level firewalls, Secure Socket Layer protocols, IDS intrusion detection monitoring, 128-bit data encryption, and enhanced password and user verification procedures to protection our clients’ information.

ESIS e-risk MANAGER^®

ESIS’ e-risk MANAGER^® empowers organizations to avoid loss and increase compliance through improved data accuracy, corrective action management, and real time reporting. Prominent organizations have turned to ESIS to help protect their most valuable assets—their people, their products, and their brands. The e-risk MANAGER^® system is a paperless process, start-to-finish, for use with both risk assessment and compliance audit reports. The end result provides rapid, high quality reports with real-time trending and analysis. Our paperless process begins with field consultants using tablet PC’s at our clients’ locations to gather report information. Once completed, clients are able to view visit reports, track and monitor activities, and conduct statistical analysis via the Internet.