Claims Recovery Services

The Claims Recovery Services Group of Cook & Company conducts electronic, retrospective audits of insured and self-insured health plans for municipalities, corporations, commerical insurance companies, and health maintenance organizations. With computer systems able to handle any size database, we help you assure that every dollar spent on medical claims is justified.

At Cook & Company, we:

Conduct electronic retrospective audits of 100% of medical claims
Unlike other firms who only review claims over a certain size or do samplings, Cook & Company examines every claim for validity.

Realize recoveries or cash settlements of improperly paid claims
Cook & Company systems follow a suspicious claim from identification through to recovery. Recovery may be in the form of a confirmed credit or check.

Maintain sophisticated, proprietary software
Cook & Company has developed its own software programs and continually updates and improves them.

Use flexible electronic format
(tape, cartridge, modem, or diskette)
Cook & Company has modified its computer system to accommodate data from clients and their administrators in whatever format is available.

Excel in third party liability recovery, including reinsurance
Cook & Company has recovered more than $25,000,000 for its clients.

Our expertise in identifying Medicare liability, reinsurance, and workers' compensation claims has made us a leader in recovering claim dollars where there is third party liability or where the claim was inappropriately paid.