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A customizable plan for effective claims management.

Claims administration is central to healthcare risk management. This article examines several key aspects of claims management and provides useful information for both new and experienced claims professionals. It offers tools and examples for inexperienced risk managers to master effective claims management practices and outlines suggestions that seasoned risk managers can use to update or validate their own processes. These claims management practices serve to protect the organization's assets and can be customized to meet each organization's needs.