Complex Catastrophic Care
Payers spend annually $58.3 billion in benefit payment under Workers' Compensation.* While catastrophic claims only represent 1% of all Workers' Compensation losses, they account for 20% or $11.6 Billion of the overall spend.
Our unique program includes the selection of regional service providers to ensure timely intervention and cost management of high dollar exposure losses at the pre and post excess and reinsurance retention levels. A dedicated local Catastrophic Nurse Case Manager (NCM) is assigned to each case to conduct an assessment and to customize a plan of action to the payer. This consultative, pro-active approach provides the optimal strategy for all parties involved, ensures timely intervention and cost management of high dollar exposure losses, and applies a best practice approach for excess and reinsurance claim management.
|Our Fully Integrated Approach|
*U.S. Social Security Administration, Office of Retirement & Disability Policy, "Annual Statistical Supplement 2011" (Released February 2012)