Advocacy-Based Claims Model

The Advocacy-Based Claims Model (ABCM) is the foundation of every TSRS program. It replaces reactive, transactional claim practices with an empathy-first approach that builds trust, improves communication, and accelerates resolution.

At TSRS, advocacy isn’t a buzzword — it’s a system. Our model is built on four core principles that reshape how staffing companies, adjusters, and injured workers interact:

• Empathy First
  Every injured worker deserves to be treated with respect, understanding, and transparency. Advocacy begins by restoring trust and dignity to the claims process — leading to faster recovery and fewer disputes.
   
• Early Intervention
  Rapid engagement after an incident prevents miscommunication and establishes a coordinated care path from day one. This early touchpoint drives both clinical and financial outcomes.
   
• Collaboration
  Claims should never operate in silos. TSRS helps align staffing coordinators, supervisors, and claims partners through structured communication protocols and clearly defined responsibilities.
   
• Transparency
  Consistency in documentation and communication creates accountability. TSRS promotes open visibility into every claim, ensuring stakeholders always know where things stand.

Every staffing company should have a designated Claims Coordinator responsible for consistent communication and oversight.
TSRS provides training, tools, and templates to help coordinators:

• Standardize first report procedures
   
• Communicate proactively with injured workers
   
• Coordinate modified duty and return-to-work steps
   
• Track outcomes and escalation points
   

This position becomes the center of communication and compliance, turning what was once a reactive process into a proactive one.

The Advocacy-Based Claims Model delivers quantifiable results:

• Faster Return-to-Work Rates
   
• Reduced Litigation Frequency
   
• Higher Employee Satisfaction
   
• Lower Total Cost of Risk

The ABCM supports and strengthens every other TSRS service:

• Best Practice Assessment (BPA): Measures adherence to advocacy principles.
   
• Claims Handling Assessment (CHA): Audits claim file behavior against ABCM standards.
   
• Pharmacy First Fill System: Reinforces early care and communication.
   
• Bilingual Claims Kit Portal: Ensures accessibility and understanding across language barriers.