Claims Management & Oversight
Highly Effective Strategies to Manage Catastrophic Workers’ Comp Claims
Put care first on the claims where the stakes are highest
Playbook content
Introduction
- PDFPlaybook outlineDownload · PDF
- Focus On Care FirstVideo · 2:31
Section 1
- Clearly Defining What Is A Catastrophic Claim?Video · 8:39
- Protocol check 1Pass at 70%
Section 2
- Number 1 Priority in Catastrophic ClaimsVideo · 13:02
- Establish The Catastrophic Care PlanVideo · 16:44
- Coordination of Ongoing CareVideo · 17:28
- Protocol check 2Pass at 70%
Section 3
- Implementation PlanVideo · 5:35
- Protocol check 3Pass at 70%
About this playbook
Catastrophic claims are a small group, but the stakes are highest, both in dollars and in the injured employee's life. Knowing which strategies to use, and when, can change the outcome. This playbook defines what makes a claim catastrophic, sets care as the first priority, and covers the catastrophic care plan, coordination of ongoing care, and an implementation plan for your program.
You will be able to
- Define what makes a claim catastrophic
- Respond correctly at the time of a serious accident
- Build a catastrophic care plan across all 16 body systems
- Connect the family, the TPA and the medical experts
- Estimate reserves more accurately on catastrophic cases