11/7/2011
Winter Safety Tips to prevent work injuries
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Each winter we see weather related work injuries that could have been prevented - click "view our blog" to continue.
10/20/2011
Wrap Up Insurance Policies Need Special Attention
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Construction companies that work under "wrap up" insurance arrangements (OCIPS and CCIPS) should carefully examine the Wrap Up Insurance Manual before submitting their bid. The coverage, rules, procedures and method of calculating insurance cost are all included in the manual, and often vary from job to job (click to continue reading).
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(800) 298-9330
(800) 922-9161
The objective of our Claims Management program is to provide prompt and appropriate medical treatment for employees who suffer work related injuries and reduce the cost of claims. Our approach in addressing this challenge would be as follows:
Review processes for employer’s first report, including injury assessment and employee statement; and communication, claim file organization and tracking, documentation and follow up of claims;
Establish preferred medical providers for initial evaluation treatment of work injuries and methods to provide prompt post-injury treatment;
Institute process for effective communication among client, medical provider, nurse case manager, claims examiner and injured employee;
Identify potentially false or exaggerated claims, and claims most likely to involve significant lost time;
Implement return to work strategy where appropriate for lost time claims
Identify litigated and controverted claims for special handling, assist in carrier attorney preparation for DIA conciliations, conferences and hearings, and attend when appropriate;
Monthly review of open and lost time claims with client and periodic review of complex, high-exposure and controverted claims with client and carrier’s claims examiners.