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AIA’s claims functions are handled by Associated Claims Administrators (ACA).
ACA’s ability to manage costs and provide fast, fair claims service makes the Company an industry leader in servicing workers’ compensation claims.
ACA combines claims management, communication and worker rehabilitation programs, enabling effective and professional settlement of medical and compensation claims.
ACA’s Claims Policies and Procedures include:
Communication with Insured
- Instructions and all necessary claims forms provided upon coverage
- Immediate reporting of claims is emphasized
- Standardized First Report of Injury forms (AL, GA, MS, and TN)
Fast Response Emphasized
- Toll-free number for “call in” claims (catastrophic, fatalities, multiple injuries)
- Immediate three point contact
Contact employer to verify information and understand injury
Contact employee to explain benefits and learn more about the injury
Contact physician to discuss diagnosis, treatment plan and return to work
Medical Care Delivered at a Discount
- Cost-effective medical care
- Pre-negotiated discounts with preferred provider organizations
- Automated physician and hospital billing review and re-pricing
- Utilization review and pre-admission certification
- Prescription drug program
Medical Case Management
- Bills are audited and no payment made without complete documentation of services and appropriate medical codes
- Case management personnel are available and assigned immediately on catastrophic or serious claims
Risk Evaluation Capabilities
- Establishes a pre-claim handling program
- Educates employees about benefits
- Identifies preferred medical providers (where allowed)
Qualified Personnel
- All claims adjusters are licensed workers’ compensation examiners
- Continuing education with emphasis on current regulations and trends
- Senior personnel handle more complicated lost time claims
Click here to report a claim.
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Jan.25