

THIRD PARTY CASUALTY CLAIM ADMINISTRATION
RISK MANAGEMENT and LOSS PREVENTION SERVICES
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Providing insight - Providing solutions
what you can expect
every.time.
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24-hour, 3-point contact
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Electronic claim reporting to specific state EDI
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Full claim investigation, including site investigation when necessary
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Strategic occupational clinic relationships
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Utilize CCP (as desired) to facilitate medical communication
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Medical bill review with electronic processing
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Nurse case managers assigned based on task and severity
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Prescription drug program
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RTW – modified duty offering with charitable organizations
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Medicare set-a-sides and MMSEA compliance
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Subrogation recovery handling
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SIU – surveillance, fraud investigation
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Contracted hand picked defense attorneys
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On line claim access with client dashboard
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Customizable loss reporting and analysis
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Reserve and settlement discussion at desired level
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Regular claim reviews at desired intervals
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Supportive material for employer WC packets
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Loss prevention
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Consulting services for risk modeling