Manage Claim Complexity
Strategic management and specialized experience in claims and benefits operations.
Our seasoned team works tirelessly to achieve optimal outcomes on all types of claims – from the most routine to the most complex. We deliver customized solutions focusing on operational excellence designed to deliver positive ROI.
Our Solutions
Clinical & Vocational Resource Support
We are ready to amplify your efforts and supplement your staff when needed. Specializing in complex claim management, we have the experience necessary to explore ways to enhance our customers’ risk management capabilities. Our network of over 300 clinical professionals and highly trained vocational consultants covers an array of more than 30 specialties.
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Appeals Support
Volume in disability claim appeals has peaks and valleys during the year, and staffing to periods of higher volume can be difficult. Our claim consultants have experience adjudicating appeal decisions with our industry’s top carriers.
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Behavioral Health Claim Support
Our psychosocial surveying identifies key issues impacting function or other complexities that create return-to-work barriers, connecting claimants, claims professionals, and employers to ensure optimal claim outcomes.
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Settlement Reviews
Our highly trained claims team consistently identifies appropriate settlement candidates and completes comprehensive file reviews on every candidate to ensure only viable claims are offered settlement opportunities. Our settlement assessments certify both the medical and financial aspects of each claim and provide detailed rationale for all next steps identified.
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To learn more about how we can add value to your organization, contact us.