Workers Compensation Third Party Administration

Claim Strategies specializes in the management and administration of Workers’ Compensation Claims. We offer personalized, efficient and result oriented claims management and cost containment strategies to our clients. With a comprehensive Total Program approach, we deliver Best in Class service, focusing on claims management rather than claims handling.

Our Claims Handling Process

Customizable to each clients’ goals and objectives, Claim Strategies works to create a customer-centric claims experience by offering elite services such as:

Claims Service Standards
Personalized service that begins with contacting the employer, injured worker, and treating physician within 24 hours of assignment. Caseloads for Claim Strategies personnel are well below the industry standard allowing our team to thoroughly investigate and manage every claim. Conducting regularly scheduled claim review meetings with clients is our way of maximizing communication between our team and our valued customers.
Medical Cost Containment
Innovative administrative techniques to ensure the true cost of services provided are paid for. Our strategies related to medical cost containment average cost savings for our clients in excess of $4,000,000 annually.
Litigation Management
By working closely with our selected qualified compensation attorneys, Claim Strategies works tirelessly to deliver favorable claim resolutions and reduce the litigation expenses for our clients.
Claims Management Services
Developing specialized Managed Care Treatment Networks, Medical Expense Verification, Best In Class Reserve Setting practices, efficient Claim Payment processes, effective Rehabilitation & Job Placement services, and a culture for aggressive Subrogation Recovery are just some of the Claims Management Services Claim Strategies has to offer.

Workers Compensation Claims Consulting Services

Claim Strategies employs a team of experienced Workers Compensation Adjusters offering comprehensive consulting services on your lost time claims. Our consultants are focused on building a customer-centric Claims Management Experience that is tailored to each client. Our team will work with you to develop a personalized plan focused on saving you premium dollars.

Our service package includes:

Collaboration with your insurance carrier to streamline claim handling
Proactive management of lost time claims
Analysis of reserve accuracy
Experience Modification projections
Annual review of lost time reserves prior to experience modification calculation
On-Site claim reviews

Multi-Line Third Party Administration

Claim Strategies offers comprehensive claims administration and management for various lines of business including General Liability, Professional Liability, Excess Liability, Auto Liability and Auto Physical Damage. We value our client’s opinions and regularly communicate claim status’ and settlement discussions in order to solicit client input. Maintaining a close professional relationship with our customers sets us apart from our competitors.

Our licensed claims professionals adhere to Top Notch adjustment standards including:

Comprehensive Coverage Reviews
Thorough Claim Investigations
Expense Management
Consistent Communication
Superior Liability and Settlement Negotiations

In addition to our Top Notch claims management, our investment in technology allows us to offer weekly, monthly and quarterly reporting, benchmark data and client access to our claims management system. By maximizing technology and our superior claims management standards, Claim Strategies offers our clients a TPA service that is oceans apart from our competitors.

Subrogation Recovery

Claim Strategies provides Subrogation Recovery Services to Public Utility Organizations, Municipalities and other self-insured entities when property is damaged by a third party. Using top notch adjustment techniques, our Subrogation Specialists provide a seamless recovery from start to finish achieving a 96% recovery rate on behalf of our clients. In addition, using industry specific benchmark date, we provide invoice analysis for our customers to maximize recovery.

Why choose Claim Strategies?

We differentiate ourselves by offering:

Elite negotiation skills
Specialization in municipal and self-Insured subrogation
Outstanding customer service
Exceptional recovery results

Injured-On-Duty

Claim Strategies provides local municipalities with consultative services for the management of Police and Fire Injured-On-Duty and Disability claims.

These services include:

Claims Management

Assistance with the administration and management of Injured on Duty and Disability claims in accordance with department policies, collective bargaining agreements and Section 45-19-1 of the general laws of the State of Rhode Island.

Provider Coordination

Claim Strategies coordinates with medical providers to ensure appropriate care and treatment for the injured party. We go above and beyond to make sure our service men and women are seen by quality providers who balance patient wellness with an emphasis on getting the employee back to work when appropriate.

Independent Medical Exams

We offer recommendations for the selection of physicians to perform independent medical examinations. Our network of qualified physicians provide detailed examinations and reports so that we can develop a plan to get the employer back to baseline and back to work.

Collective Bargaining Agreements

We understand the unique challenges of administering Injured on Duty claims. Our consultants provide assistance with interpretation of collective bargaining agreements and contracts as they relate to injuries while on duty as well as the Disability Pension and Medical Arbitration process.

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Professionals

Jennifer Salpietro, Senior Vice President

Jennifer Salpietro is a Senior Vice President at Claim Strategies who has focused on advocating for clients and ensuring excellence in claims service for nearly 20 years. Jennifer joined the firm in 2000 and has been managing a claims department since 2011. She is a Licensed Insurance Advisor (LIA) and has 10 years of experience working with Risk Retention Groups providing Third Party Administrative services. Jennifer is an active member of the Travelers Agency Advisory Council, Assurex Claims and Loss Control Planning Committee, and the AIG Advisory Board. As department manager, Jennifer oversees both the operation and sales divisions of Claim Strategies. With a wealth of industry experience across all lines of business, she offers our clients and employees extraordinary leadership. Jennifer holds a B.A. in Political Science from Providence College.

Justin Williams, Claims Specialist

justin-williams A licensed claims adjuster, Justin joined the firm in 2016. Justin was previously employed with The Hanover Group where he adjusted auto and liability claims. At Claim Strategies, Justin specializes in providing coverage analysis and consultation for our construction, marine, non-profit and hospitality clients. Justin works closely and diligently with clients for favorable results in coverage and amicable resolution of claims. This creates a needed and valued level of trust, which benefits not only the clients but their employees. Justin graduated from the University of Massachusetts with a B.A. in Political Science and a minor in Philosophy. He is currently working towards his CPCU designation.

Pasquale "Pat’ Granata

Pat will be the City’s dedicated consultant for Police & Fire as well as Heart and Hypertension claims. Pat recently joined our Police & Fire division at Claim Strategies. With an extensive background in law enforcement, human resources, and Police & Fire claims administration, Pat is uniquely qualified to provide professional consultation services to our men and women in uniform. Pat brings to our program a vast array of experience having worked for the Providence Police Department for 33 years. During his tenure with the City of Providence, he held various positions including Director of Human Resources Bureau, Administrative and District Sargent, and Patrol Officer. His experience includes administering the Injured-On-Duty program for the Providence Police Department. Pat earned his Bachelor of Science in Criminal Justice from Bryant University and his Master of Science in Criminal Justice from Northeastern University.

Skylar Paris, Claims Specialist

Skylar joined the firm in July 2017 and is concentrating in commercial lines of business. As a Claims Specialist, Skylar’s primary responsibility is to advocate on behalf of our customers to effectuate a positive claims experience. With 13 years of subrogation experience, Skylar has a proven track record of efficient and effective claims management with exceptional recovery results. Skylar’s background includes recovery in the following concentrations: Municipal, Non-standard carrier, Auto recovery, No Fault/Medpay. In addition to subrogation recovery, Skylar also served as an arbitration panelist for Arbitration Forums where she resolved carrier to carrier conflicts. Skylar is a licensed claims adjuster and is currently pursuing her AIC designation.

James Arnold, Claims Management Consultant

james-arnold Jim Arnold, claims consultant at Claim Strategies with over 36 years of industry experience. Jim joined Claim Strategies in 1993 as the Medical Cost Containment Supervisor. He was named Manager in 1995 and has held various other leadership positions with the firm. Jim possesses a wealth of industry experience including medical rehabilitation, medical insurance, claims management, medical coding, and subrogation recovery. His attention to detail and dedication to process improvement has laid the foundation for significant growth and expansion opportunities at Claim Strategies. Jim was certified by the Self-Insurance Unit of the Department of Labor, Division of Workers’ Compensation in 1993.

Donna Alexander, Claims Management Consultant

donna-alexander With over 34 years of industry experience, Donna has been an essential member of the Claim Strategies team for nearly 15 years. Donna’s core responsibilities include administering and managing lost time claims for the healthcare, eldercare, education and religious industries. Her superior customer service and attention to detail has driven her reputation for excellence. In addition to earning her Associate’s Degree in Legal Studies, Donna has also earned her SCLA and AIC designations and is a licensed workers compensation adjuster.

Paul Ricciardi, Claims Management Consultant

paul-ricciardi Joining Claim Strategies in 2014, Paul brought with him 15 years of countrywide worker’s compensation experience. Paul currently specializes in manufacturing, eldercare and municipal claims adjustment as well as provides consulting and subrogation services for a number of companies in RI and MA. Paul’s ability to quickly resolve ordinary claims and pro-actively manage catastrophic claims sets him apart from most claim adjusters. He offers top-notch customer service to each and every client with an emphasis on communication and effective claim resolution. Paul is a graduate of the University of Rhode Island with a B.A. in Journalism. He presently holds his LPCS designation and is a licensed workers compensation adjuster.

Ann Marie Tortolanni, Claims Management Consultant

ann-marie-tortolanni Ann Marie has over 20 years of experience adjusting worker’s compensation claims. She joined the Claim Strategies team in 2013 providing claims management services to large scale clients with a concentration on the healthcare industry. Ann Marie’s greatest asset is her ability to communicate and establish rapport with all parties to a claim which allows her to effectively facilitate favorable claim resolution. Our clients can trust that each claim will be thoroughly investigated by Ann Marie and that she will offer sound advice to effectuate the best business decision possible while following the letter of the law for each venue. Ann Marie maintains her worker’s compensation adjuster’s license in RI, CT, and ME.

Patricia Knight, Claims Specialist

patricia-knight Patricia joined the firm 26 years ago and has served as an advocate for both personal and commercial customers alike. Patricia possesses a wealth of industry knowledge and has earned her AIC and CISR designations in addition to maintaining her broker’s license. She provides a superior level of service to her clients, going above and beyond to bring their claims to a favorable resolution. Patricia graduated from Southeastern Massachusetts University with a B.S. in Business Management and is currently working towards her CPCU designation.

Jennifer Gibb, Claims Specialist

jennifer-gibb With 15 years of industry experience, Jennifer administers both personal and commercial claims for our Martha’s Vineyard clients. Jennifer possesses strong customer service skills that our Vineyard clients have come to rely on. She offers trusted advice focused on delivering a favorable claims experience to our customers. Jennifer graduated with an Associate’s degree from Katharine Gibbs College.

Jonathan Cuneo

Jonathan has worked in safety since 2008 when he started his own business consulting for construction companies in the region. In 2013, Jonathan was hired by Shell Canada as Chief Safety Officer at the Fort McMurray Oil Refinery in Alberta Canada. In 2017 he began working for a large construction conglomerate where he oversaw safety and compliance for nine companies spanning several industries. His responsibilities included creating a safety program that satisfied the requirements of OSHA, DOT, FMCSA, MSHA, and other regulatory bodies. In 2016 Jonathan became certified by the NFPA Fire Ground Safety Coordinator and was appointed as a safety officer for his local fire department. He continues to assist with department safety during large events such as structure fires, MVC, and other special situations. Jonathan holds his degree in Occupation Health and Safety from Bridgewater State University. He has OSHA certified for General Industry and Construction compliancy. He is an American Safety Council Advanced Safe Certified as well as a certified National Safety Officer (NCSO). Jonathan has written several safety-related articles for Construction Outlook, OHS Magazine, and Fire House Magazine.