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Each Johns Eastern office is staffed with experienced claims professionals who are available to you 24 hours a day, year-round. We tailor our programs to your specifications, providing as little or as much as needed. Whether we supervise a field office or set up a system to review your medical bills, all services are supplied with the speed and accuracy for which we are known.

Services





Adjusting Services

A Johns Eastern professional can handle claims including:

  • Workers' Compensation
  • Automobile, Trucks & Motorcycles
  • General Liability, Professional & Medical Malpractice
  • Property
  • Commercial, Residential, Mobile Homes, Time Element
  • Marine, Wet & Dry
  • Commercial Losses
  • Building, Contents, Business Center
  • Extra Expenses
  • Condominium
  • Agriculture Losses
  • Loss of Revenue
  • Packing Houses & Equipment
  • Residential Losses
  • Dwelling
  • Personal Property
  • Scheduled Property & Floaters
  • Alternative Resolution Services
  • Appraiser
  • Umpire
  • First-Party Policy Provisions
  • Restoration Coverage




Field Investigation Services

Full Service Claims Administration

We handle your claim from inception to a successful conclusion and claim payment; all of course, with speed and accuracy. We can operate as your home office, providing all levels of management, along with field and supervisory services.

Limited Services

Johns Eastern Company handles portions of your assignments, from taking statements, to performing activity checks on injured parties, to property appraisals.

Program Supervision

Our employees will set up a regional office when you need field and supervisory services, whether in Florida or the Mid-Atlantic states. Johns Eastern can provide field personnel where we have staff; or we can supervise independent adjusters in all other areas.





Catastrophe Services

Since our company grew up in Hurricane Alley, we understand the importance of handling catastrophic losses promptly and reliably. When a major disaster strikes, rest assured that our catastrophe specialists will swiftly respond to those losses.

Our job is to settle claims with speed and accuracy, all while allowing you to maintain your normal level of services. As claims come into our call center, files are set up and appointments are made as soon as possible.

Catastrophe services include windstorm, hail, flood, riot, residential/commercial/condominium, and agricultural.





TPA Services - Workers' Compensation

Our nurses and adjusters work side-by-side with one goal in mind: returning an injured or ill employee to work as soon as possible. The result for your organization is decreased workers' compensation, indemnity, and medical costs; and an increased bottom-line. Together our nurse-adjuster team uses the same system to manage a handful of cases or a comprehensive claims program. We become involved in a case within the first 24 hours and follow it through to its completion.

The nurse-adjuster team performs a three-point contact during those first crucial hours - to the injured worker, the medical provider, and the client. This helps to clarify information related to the claim while letting the worker know that you, the employer, care.

Johns Eastern Company recognizes that clients have unique needs and therefore, want different levels of participation. Our flexibility gives us the tools to customize a program to meet your needs.





TPA Services - Property & Casualty Claims

Johns Eastern provides TPA services for all property and casualty lines beyond workers' compensation. These services include:

  • Managing Property & Casualty Programs for Lloyds of London
  • Managing Property & Casualty Programs for Self-Insured Corporations and Governmental Entities
  • Managing Property & Casualty Programs for Insurance Companies

We provide all services necessary, including:

  • Claims Management
  • Field Investigation
  • Data Collection and Reporting
  • Reporting to Regulatory Entities, as necessary




Cost Containment/Bill Review

Our Bill Review team examines all medical bills for potential savings. Bills are reviewed and reduced to State Fee Schedule (if applicable), Usual & Customary, and Preferred Provider Organization (PPO) discounts. Bills are also reviewed to ensure consistent standard billing practices. Finally, we track a history of provider payments to determine if the duration of care or the number of visits billed exceeds a reasonable level.





Risk Management Information Services

Our state-of-the-art data system, AIM, facilitates the adjusting, investigation, and management of your claims on the Internet. This allows you, the adjusters, and supervisors immediate and real-time access to all claims information. You can retrieve this data in a secure environment and communicate quickly with the parties involved.

Here are some of our RMIS products and services:

  • iAIM – Internet version of our claims management AIM system (Adjust, Investigate, Manage).
  • Ad Hoc query and reporting tool.
  • iNOI – Workers' Compensation First Report of Injury or Illness (online Notice of Injury) through the Internet.
  • Web Assignments – Submission of new cases for our adjusters.
  • Periodic Reporting – Both on paper and via e-mail – daily, weekly, monthly and quarterly.
  • Custom Reports – Reports to your specifications.
  • Data Conversions – For new clients and other data exchanges.
  • Paperless System – Images available online for clients.
  • State EDI Reporting - Claims EDI and Medical EDI reporting.
  • Mandatory Insurer Reporting - Electronic filing of all required Medicare Secondary Payer claims.




Excess Insurance Placement

Johns Eastern Company's subsidiary, JECO Excess Agency, specializes in placing excess insurance on self-funded, workers' compensation programs.





All Lines Aggregate (ALA) Programs

ALA programs are special programs designed for larger governmental entities and corporations. They allow multiple lines, such as workers' compensation, automobile liability, and general liability to be combined into one policy under one aggregate. Specialized policy provisions such as "clash" coverages help the client control retention costs.

These programs are best handled by one TPA, because it is important to have the data in one system. If the data is in multiple systems, the client may lose some of the benefits that the ALA program provides in cases that involve one occurrence, but multiple coverages.

Johns Eastern has written special computer programs that properly manage ALA arrangements. This is offered by very few other TPAs.