Same-day response
Client Portal

Claims Oversight

Every Unmanaged Claim Costs You Money. Most brokers file the claim and let the carrier handle everything. We stay involved from first report through closure — challenging reserves, directing care, and pushing for the best possible outcome on every claim.
Get Started

Process

How Our Claims Oversight Works

Immediate Response

When an injury is reported, we activate our Medical Direction protocol immediately — directing the employee to a vetted occupational medicine provider and notifying the carrier within hours.

Ongoing Monitoring

Every open claim is tracked on a regular cadence. We review treatment plans, monitor medical progress, and verify that the carrier adjuster is managing the claim proactively.

Reserve Auditing

Inflated reserves silently increase your experience modification rate. We audit reserves on every open claim and push carriers to reduce them as the claim improves.

Resolution Advocacy

We push for timely claim closures, negotiate settlements when appropriate, and ensure that lingering open claims do not continue to damage your mod rate unnecessarily.

Monitoring

What We Track on Every Claim

Our oversight is detailed and systematic. Nothing slips through the cracks because we treat your claims like they directly affect our bottom line — because in a partnership, they do.

Medical treatment appropriateness and provider quality
Carrier reserve levels versus actual claim trajectory
Return-to-work readiness and transitional duty coordination
Adjuster responsiveness and claim handling timeliness
Subrogation opportunities and third-party recovery
Claim classification accuracy (recordable vs. first aid)

FAQ

Frequently Asked Questions

What does claims oversight actually involve?+
We actively monitor every open workers compensation claim on your account. This includes reviewing medical treatment, challenging inflated reserves, coordinating return-to-work efforts, and pushing for timely claim closures.
How do inflated reserves affect my insurance costs?+
Reserves are the carrier's estimate of what a claim will ultimately cost. Even if the claim closes for less, high reserves during the open period inflate your experience modification rate — costing you more on every premium dollar for up to three years.
Do you work directly with the insurance carrier?+
Yes. We maintain regular communication with adjusters, attend claim reviews, and escalate issues when claims are not being managed to our standards. We act as your advocate in every interaction.
How quickly do you respond to new claims?+
Our goal is same-day response on every new claim. Medical Direction is activated immediately, and we coordinate with the carrier to ensure the claim is set up properly from the start.

Stop Letting Claims Manage You

Let us show you what proactive claims oversight can do for your bottom line. Start with a free review of your current open claims.

Get Started

Or call us at (888) 524-0798