Claims Management Solutions

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Understanding Claims Management

Claims management will help to eliminate wasted time; the longer it takes for an employee to get a claimed process, the longer it takes for the employee to recover. This can impact your future coverage contributions and your productivity may suffer.

CompOneUSA claims management procedures will verify the validity of claims and ensure employees’ injuries and illnesses are handled quickly and effectively. Claims management can also save your company from losing time and money by helping to expedite employees’ return to work.

How it Works

As your claims manager, CompOneUSA Workers’ Compensation Benefit will ensure that your insurance company:

Contact employees in a timely manner.

Investigate suspicious claims.

Facilitate the timely delivery of benefits.

Establish and implement return-to-work plans for employees.

Review the status of each claim regularly to keep costs down and encourage employees’ recovery.

Active involvement in the workers compensation and medical process ensures the employee is treated fairly and that he or she can return to work as quickly as possible.  CompOneUSA Workers’ Compensation Benefit is your advocate to guide and assist you through the claims process.

Return to Work Programs

CompOneUSA’s Return to Work Program strives to minimize downtime and help get employees back to work as quickly as their medical condition allows. An Early Return to Work program has numerous potential benefits:

1

Increased productivity

2

Reduced lost time

3

Improved employee morale

4

Fewer performance issues

5

Faster resolution of claims

6

Reduced claim costs

Basic services that assist in early return to work:

  • Job Site Analysis: An on-site evaluation to help provide a detailed description of required technical skills and the physical requirements of a specific job.
  • Ergonomic Evaluation: An on-site assessment of a specific job or workplace to evaluate the physical characteristics of the work area and how employees relate to their environment. The goal is to ensure the workplace is safe and efficient.
  • Return-to-Work Coordination: Collaboration among the injured employee, employer and treating physician can facilitate early return to work.

Basic services that assist in early return to work:

  • Job Site Analysis:An on-site evaluation to help provide a detailed description of required technical skills and the physical requirements of a specific job.
  • Ergonomic Evaluation:An on-site assessment of a specific job or workplace to evaluate the physical characteristics of the work area and how employees relate to their environment. The goal is to ensure the workplace is safe and efficient.
  • Return-to-Work Coordination:Collaboration among the injured employee, employer and treating physician can facilitate early return to work.

Early return to work benefits may include:

  • Advances the goal of permanent return to work
  • Promotes the healing process
  • Relieves stress due to illness or injury
  • Increases sense of job security
  • Boosts employee morale
  • Improves labor relations
  • Involves management in employee recovery
  • May reduce lost work days

Early return to work benefits may include:

  • Advances the goal of permanent return to work
  • Promotes the healing process
  • Relieves stress due to illness or injury
  • Increases sense of job security
  • Boosts employee morale
  • Improves labor relations
  • Involves management in employee recovery
  • May reduce lost work days

Want More Coverage?

We can help. Give us a call at 1-559 573-8214.
We will take your information and have a CompOneUSA Workers’ Compensation Associate in your area contact you within 24 hours.

Request a Certificate

A certificate of Benefit Coverage is generally accepted as proof of Benefit Coverage. It is commonplace in many industries, especially service and construction, for one business to require a Certificate of Benefit Coverage from another business prior to having any subcontract work performed.

A workers’ compensation Certificate is issued to the Certificate Holder to provide evidence of current coverage. This protects the Certificate Holder from having to pay additional premium for your coverage on their own policy during an audit. If a policy is terminated prior to its expiration date, the benefit agency who issued the Certificate of Benefit Coverage will notify the Certificate Holders of the policy termination.

Claims Review

The Claims Review process is both an internal and external process.

  • Internally we are continuously collecting data that will help us analyze your policy.
  • Externally this data will be used to pin point the areas of your workers comp program that need attention.

There are mainly four variables that come into account in the process of a Claims Review.

  • Workers Comp Classification Code
  • Total incurred amount per claim
  • Deductible amount
  • Status of the claim (Open or Closed)

Claims that are consistently lower than the deductible may lead to better rates discounts or credits that apply to the renewal of the policy.

American Labor Alliance Membership Card

There are some cards you don’t want to leave home without; American Labor Alliance’s membership card is one of them. But your toddler hid your wallet so well, you can’t find your American Labor Alliance card. Do not worry, we’ve been there. Simply call 1-(559) 573-8214 and we’ll send you a new one via email if you need it now, and via mail which will arrive in a few days.

Through Abenity, we’re proud to offer you member-only discounts and corporate rates on everything from pizza and the zoo, to movie tickets, car rentals, and hotels! With over 302,000 offers across 10,000 cities and easy mobile access, you’ll always find a reason to Celebrate Your Savings! Enjoy private access to discounts, giveaways, movie show times, wellness tips, exclusive offers, voluntary benefits, and more!

LEGAL DISCLAIMER:   Currently not accepting participants in California.