Self Insured / Large
Self Insured / Large Deductible
This document provides guidance on the set up options in the Claims Portal
available to self insured organisations or those with a large deductible who
deal with EL/PL claims in house or via Third Party Administrators (TPAs).
This should be read in conjunction with the information contained within
Section A of the Administrator User Guide found on the Using the Portal page
at
www.claimsportal.org.uk
.
Notes about Set Up Option 1
• If your organisation handles and process all claims that fall within the Pre Action Protocol in Employers’ Liability and Public Liability or you want to control access to your claims for a TPA you can register for an account on the Claims Portal.
• This compensator account will belong to your organisation and your nominated Administrator will be responsible for controlling and maintaining access for all users in all branches.
• This account will appear to claimant representatives when they look for a defendant/insurer when creating a Claim Notification Form and you will receive claims straight into this account.
• Within this account you can create branches and claim handler profiles to meet various requirements. For example, you may allocate work to internal teams and wish to recreate this structure within your Claims Portal account.
• By using branches and relevant branch claim handler profiles you can allow access for a TPA or other claims handling organisation. This allows you to maintain control over access to your claims.
Notes about Set Up Option 2
• If your organisation wants all claims that fall within the Pre Action Protocol in Employers’ Liability and Public Liability claims to go straight to a single TPA or other claims handling organisation you do not need a Claims Portal account.
• Providing your TPA or other claims handling organisation is already registered/or intends registering for a compensator account that receives EL/PL claims, it is possible to list your organisation on the Claims Portal so that when it is
selected by a claimant representative the claim notification form is sent to your nominated TPA or other claims handling organisation.
• If you wish to pursue this set up you will need to speak with your TPA or other claims handling organisation and agree this approach.
• Once agreed your TPA Claims Portal Administrator will need to request this set up via the Helpdesk at
helpdesk@rapidclaimsettlement.org.uk.
• They will need to provide;
– Your organisation name and address and
Notes about Set Up Option 3
• If your organisation uses more than one TPA or other claims handling organisation to process claims that fall within the Pre Action Protocol in Employers’ Liability and Public Liability claims you should register for an account on the Claims Portal. • This compensator account will belong to your organisation and your nominated Administrator will be responsible for
controlling and maintains access for all users in all branches.
• This account will appear to claimant representatives when they look for a defendant/insurer when creating a Claim Notification Form and you will receive claims straight into this account.
• In order to pass claims to the relevant TPA or other claims handling organisation according to your own business rules, you can either set up branches and allow access for your various TPAs (as described in Set Up - Option 1) or you can re-assign all or some claims from this account direct to the relevant TPA.
• IMPORTANT: If you create a branch in your account to allow access for a TPA or other claims handling organisation you must not create an Administrator user for them as this will enable the TPA to control access to all branches and claims.
• If you intend re-assigning claims out of your account to a relevant TPAs, each TPA must already be registered/ intending to register as a compensator that receives EL/PL claims.
