Claims Management
Comprehensive Claims & Loss Management Services
The EMPLOYERS® Claims Services Department provides efficient action after a claim is reported.
Using innovative strategies, we apply proven techniques to promote quality care,
rapid recovery, and high satisfaction on claim resolutions.
Claims & Loss Management Features*:
- Claims Reporting Center available 24/7.
- Claims Best Practices – Our network of experienced, well-trained claims
professionals execute prompt three-point contact with the physician, employer and injured worker to help control claims costs.
- Managed Care Services:
- Selected cases evaluated by Nurse Care Managers upon claim inception to facilitate appropriate medical care.
- Provider Network development and management.
- Utilization Review by experienced health care professionals.
- Strategically located claims-handling locations
- Dedicated Subrogation Resources that compare favorably against the National Association of Subrogation Professionals
2005 benchmark study. Current year-to-date gross recoveries as a percent of total paid: EMPLOYERS (2.69%), Regional
Carriers (2.05%), Primary Writers (2.17%).
- Fraud Prevention Specialists
- Loss Control - Professional assistance in minimizing worksite hazards.
EMPLOYERS continues to enhance and expand these and other customer services. Please feel free to contact our Customer Service Center for more information.
*State regulations determine the availability and restrictions on some programs. Contact your independent
agent or local sales representative for program availability.
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