Claims Management Services and Impact of Reducing the Experience Modifier
Are you paying too much for Workers’ Compensation Insurance?
Reduce excessive workers’ compensation premiums, through our innovative claim reserve audit services, which will lower your experience modifier.
A thorough Audit will assess the following variables:
Verify accuracy of reserves using first reports of injury and review the circumstances that let to the injury.
Review claims investigation procedures, including whether subrogation and second injury fund are appropriate.
Review attending physician’s reports and independent medical reports.
Review the potential for returning the claimant to either full or light duties, medical rehabilitation or vocational rehabilitation.
If using medical or vocational rehabilitation, review the appropriateness of this service.
Request activity checks and surveillance by the insurance company or third party administrator if appropriate.
Determine whether the insurance company has requested appropriate DIA hearings, including discontinuance, earning capacity, vocational rehabilitation, fraudulent claims, impartial physicians and non compensable claims.
Review the lump sum demand and advise on appropriateness of settlement.
As a broker we represent you, the buyer of insurance, in the world insurance market. Our role is to assist you in evaluating operating risks and in preventing financial loss to you and your stakeholders..