For Injured Workers
With our program you will receive excellent medical care through approved medical providers. Our program helps injured workers get back to work as quickly as possible. It works hard to pay benefits accurately and on time. Our program claims adjusters take the time to answer all questions and concerns.
Our program closes claims much faster than the industry average. The fact is, claims that close quickly cost a lot less, which means decreased premium costs and less chance of litigation.
Our Program Claims Adjusters
Our Programs recruiting process is highly selective and they only hire exceptional individuals. Everyone who joins our programs claims management team gets intensive, ongoing training throughout their careers here. By providing in-house, customized training programs, it helps our programs employees stay up-to-date in workers’ compensation law, medicine, and technology.
Typical claims departments assign adjusters between 160–220 open claims. Managing so many claims makes it extremely difficult to do a good job. Our programs adjusters manage only 110–120 open claims. By assigning our programs adjusters the lowest caseloads in the industry, they have sufficient time to review each claim thoroughly and manage it effectively.
How Claims are Managed Makes a Difference
• Closing Claims Accurately and Quickly.
• Adjusters Who Actually Answer The Phone.
• We take fraudulent claims very seriously.
Our Programs entire claims operations are housed in a single location. This includes:
• Claims Adjustment
• Medical Bill Review
• Utilization Management
• Nurse Case Management
• Litigation Management
• Special Investigations
• Safety and Loss Control
• Pharmacy Services
• Claim Intake and Set-up
• Software Development
Because our program provides all of it’s services under one roof, it is able to offer high-quality, rapid, and reliable case management. It also allows benefits to be paid accurately and on time.
We Make Reporting A Claim Easy
Timing is everything! The earlier an injured worker gets treated, the better chance for a quick recovery and return to work. The earlier a claim is reported, the faster the claim is closed. It all adds up to lower costs to employers.
No two claims are alike. That is why our program has adjusters who specialize in market segments, local laws and industry regulations — so they can offer greater expertise in managing specific claims.