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Workers’ Compensation Claim
Management
The impact of employee injuries on their families and
the employer business can be significant and costly. Our
dedication to make a difference in this area can be seen
in myriad of services brought to bear on all facets of a
workplace injury. While we are national in scope, we
address each workplace injury locally. This means we
utilize the best resources in each geographic location
rather than to compel a single servicer to address more
than 50 jurisdictions. This brings the best of the best
to help employees and employers gain the best medical,
financial and workplace results.
• 24/7 FNOL via web, phone, fax, email for fast, easy use
• Medical Bill Review to audit overcharges, as well as unnecessary and
duplicate charges by those experts who utilize the very
latest in technology and with dedicated experts
• Special Investigation Units (SUI) aggressively combat fraud to help
reduce loss experience.
• Preferred Provider Networks deliver high-quality care at contracted
discounts below state fee
schedules. Not all PPO’s are
alike so we seek out those who are contracted with the
Best Doctors
and Facilities geographically to best serve
the population of the clients and at the best fee rates
possible.
• Medical Management professionals help injured employees receive the
proper care and return to
productive work as soon as
medically appropriate. There are many service providers
and many
times one company is not the best for all
services in all areas. Many times employers have special
relationships with a company who knows their industry
best. We do not utilize any outside service
on a fee
revenue sharing basis.
Auto and General Liability
Managing liability claims, especially complex or unique
industries, can be quite challenging for any company.
The financial stakes are often high. Our overall
experience levels for liability are great across the
country with specific locations having exceptional
expertise in areas such as Public Entity Liability,
Contractor Liability, Product Liability,
Transportation—both management and field investigations,
and Construction Defect.
Services Delivered
• Initial investigation to verify facts, obtain statements, photographs,
diagrams, obtain all special
damage verifications, and
document by reports
• Verify all coverage’s and limits of liability
• Set initial reserves and adjust as facts dictate to reflect ultimate
potential loss exposures
• Determine liability based on all facts gathered and all applicable laws
• Evaluate settlement value based on all criteria or recommend denial
• Negotiate settlement and obtain closing documents utilizing all
techniques available such as ADR,
arbitration,
mediation.
• Should litigation occur, follow to the end using full Litigation
Management, attendance at hearings
or trial with full
reporting throughout.
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