Individual claim file review, opinion and advice:
Do you want to increase your understanding of your organization’s risk exposure and the overall fraud risk profile of a claim file that you believe may have fraudulent elements? Let us review it for you. We will review the file with an objective perspective and provide our opinion on whether there are fraud risk factors present. If so, we will provide advice based on our extensive experience in dealing with fraudulent claims on how best you should proceed.
Modified Duties program review, opinion and advice:
Is your Modified Duties program is not performing up to your expectations? Perhaps you are having difficulty in identifying meaningful, productive work for Modified Duties program participants. Perhaps you are having difficulty getting medical professionals to sign off on Modified Duties placements for your workers or finding that workers are lingering on Modified Duties assignments for far longer than you believe they should be. We can review your Modified Duties program policies, procedures, forms, training and individual claims histories to develop strategies to improve the performance of your program.
Custom Consulting Services:
If you don’t see what you are looking for, please contact us to discuss your needs. With over 30 years of experience in workers’ compensation claims management, investigations, surveillance operations and consulting we can work with you to solve most any problem. If we can’t help you, we probably know somebody that can and will be happy to refer you to them.