Claims Management & Loss Control

Injury Triage & Medical Case Management are at the heart of our Claims Management & Loss Control comprehensive solution. Beginning with 24/7 physician consultation in responding to injuries, continuing with attentive medical management of claims, and ending with claim closure, our clinical case managers ensure your injured employees are given the care they need to return to work safely and on-time.

Fractional Medical Director Consulting is an excellent resource for highly complicated claims. Our physician consultants are occupational health experts with a wealth of knowledge and experience our clients can utilize on-demand and for a fair rate.

Baseline information collected in a Post Offer Functional Employment Test can be referenced to determine an employee’s medical/physical status when he/she was first hired. Employers use this baseline data to help inform rehabilitation strategies and goal-setting, as well as return-to-work decisions. In some cases, baseline information collected during the Post Offer Functional Employment test can be used in apportionment when establishing permanent disability ratings.

WorkSTEPS Functional Capacity Evaluations (FCE) may be used alone to document existing impairments or may be used in combination with the Post-Offer Comprehensive test as a comparison against original, baseline data. One FCE should be given at the time of injury to determine severity and legitimacy for optimum injury management. Another FCE should be administered during rehabilitation to determine progress. A final FCE should be conducted post-rehabilitation to determine the employee’s ability to return to his or her job.

At the time of injury, when compared against data previously collected, the FCE may be used to prove consistency and validity of performance and create realistic, objective rehabilitation goals, return to work recommendations, or work conditioning programs. This information is valuable in objectively moving the patient through the system in a fair and timely manner.