Claims
We Strive to Deliver Optimal Outcomes
Our empowered Claims professionals make critical decisions aiming to achieve equitable and judicious claim resolution. As part of our effort to deliver optimal outcomes, we:
Limit case loads.
Our Claims professionals have the time and resources to execute quality claims management protocols.
Achieve significant claims savings.
Our average claims costs are 18% below the industry average from 2017 to 2021.1
Assign a dedicated Claims adjuster to each of our customers.
We take pride in providing clear and constant communication throughout the process.
Offer a texting option for claims correspondence.
In addition to our standard communication vehicles, we offer a texting solution on all non-litigated claims, which improves efficiency and service for our customers. Through our partnership with Hi Marley, customers who utilize the texting option will be able to communicate with our claims team in real-time and in more than 10 different languages without the need for a translator.
Develop strategies before losses occur.
We collaborate with our customers to identify opportunities and help develop customized safety programs and protocols.
Offer optimal pharmacy program solutions.
Through our partnership with myMatrixx by Evernorth, injured workers who may require medications can rest assured knowing they are in good hands. myMatrixx provides injured workers access to best-in-class pharmacy services, including home delivery and specialty pharmacy care, physician outreach programs, utilization management and more. myMatrixx leverages the robust network of over 68,000 pharmacies and commits to providing a smooth and personalized experience for our injured workers.
For more information about this unique pharmacy program partnership, click here or contact your dedicated underwriter.
Identify medical providers who adhere to best practices for treating claimants.
Through the analysis of millions of medical bill transactions and years of claims data, we established Care Analytics®, a database of experienced workers’ compensation medical providers that adhere to best practices for treating claimants, resulting in cost savings for policyholders.
Provide in-house medical management team.
Our team is comprised of nurse case managers and a full-time medical director.
Support customers with medical bill review.
Our Medical Bill Review team collects injured worker bills to review for accuracy. This process can lead to savings in medical and claims expenses and help keep premiums lower for our policyholders.
Are you in Georgia, Tennessee or Virginia? Injured workers must select a provider from a list developed by their employer and insurance carrier. A list of providers can be found on our secure portal. For login instructions, click here.
We do our best to help you ensure accidents don’t happen. However, when they do, we’ll be there to guide you. To gain a better understanding of the claim process and how we support you throughout it, click the link below:
CLAIM QUICK STEP GUIDE – SPanish
1 Based on 2017-2021 Workers’ Compensation Division data (excluding medical only) and industry data from NCCI, WCIRB (CA), NYIRB and NJCIRB.
