Self Insured Best Practices

CCI has embraced national best practices to provide the best customer service in our industry. These include:
  • Three-point contact is achieved within 24 hours.Â
  • Claim investigation is initiated during the contact phase and completed within 14 days to determine compensability and develop a claims management strategy.Â
  • Subrogation and recovery are recognized and pursued.Â
  • Appropriate medical cost containment measures are utilized and supporting medical documentation is obtained.Â
  • Disability management and vocational rehabilitation measures are utilized to pursue an early return to work.Â
  • Reserves on all lost-time claims adequately reflect the current exposure in the file.Â
  • All claim payments are timely and accurate in every lost-time claim.Â
  • A plan of action is developed (30 days) to resolve outstanding issues to facilitate resolution and closure of the claim.Â
  • Action plans are updated as circumstances evolve, but no less than every 90 days.Â
  • Communication is maintained with the employer, injured worker and treating physician until the claim is closed.Â
  • Documentation is timely and written in a logical and sequential order.Â
  • When warranted, cases are referred to counsel in a timely fashion while maintaining control, directing counsel activity and reviewing status reports from counsel.Â
  • Client’s special account instructions are documented and complied with.
Copyright 2009 CareWorks Consultants Inc.   5500 Glendon Court, Dublin, Ohio 43016  office: 800.837.3200  fax: 888.837.3288
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