Even with the most robust of loss prevention strategies, occupational injuries or illnesses are an unfortunate reality. That is why it is important to have an experienced claim professional to help navigate the increasingly complex Workers’ Compensation system.

We understand that claims dollars play a primary factor impacting not just your insurance premiums, but productivity, employee morale, and profitability. Should an accident occur, the next best strategy is to take necessary steps to contain the costs of the loss. Our team is ready to support your organization, leveraging their years of experience, key relationships, and strategic approach to claims management.

Our goal is getting your injured workers the appropriate level of support and care they need to return to work. We advocate for both employer and employee by fostering strong communication and partnership between all parties involved. This ultimately reduces friction points, resulting in more efficient and effective resolutions.

The following steps are taken to support your internal claim management efforts:

First Report of Injury

  •  Claim filing assistance and Medical Provider Network navigation
  • Preliminary incident investigation best practices and protocols

Claim Status & Reserves

  • Formal claim status reviews as needed
  • Claim oversight of insurance company’s communication, treatment plan, reserving logic, and closures
  •  Modified duty/return to work strategies

Experience Modification Reconciliation

  • Analyze experience modification worksheets against payroll and incurred values for accuracy
  • Errors in claim values or coding are submitted for correction and recalculation when appropriate

Tools & Resources

Workers' Compensation Claims Reporting

Most states require an employer to report a workers’ compensation claim directly to their carrier, which can be accessed through our Carrier Contacts page.  If your employee has sustained an injury at work, but does not require or desire medical treatment, they should complete a Declination of Medical Treatment form.

If an employee does require medical treatment, you MUST provide access to a medical provider and the DWC-1 Form within one (1) working day of your knowledge of the injury. Please feel free to contact our office at 805-543-6887 for additional assistance.

Related Articles

man signing a form learn what an sr-1 is and when you need one

Sep 15, 2022

What’s the Deal with the SR-1?

If you are involved in an auto accident in California, you may be required to complete an SR-1 form and mail it in to the DMV. Here we discuss some of the questions we commonly receive regarding this form, along with answers from our experts.

Read Story
woman at a table looking at paperwork filing a claim affect insurance rates

Sep 08, 2022

How Does Filing a Claim Affect My Insurance Rates?

Every carrier handles claims a little differently with no one-size-fits all answer on how filing a claim will affect your rates or availability of coverage. Reporting a claim promptly though, is one of the most important actions you can take to protect your rights under the policy.

Read Story
man reading piece of paper

Aug 17, 2022

A Note to Professionals – Understanding Errors & Omissions Insurance

As an established professional with extensive knowledge in your field, it is your responsibility to ensure accuracy in the services you provide to your clients. Despite best efforts, sometimes mistakes are made. Understand Errors & Omission insurance and what kind of protection Professional Liability can provide.

Read Story
cars parked next to each other

Jun 02, 2022

Handling Auto Claims: Vehicle Theft

In the unfortunate event you find yourself facing a vehicle theft claim, understanding how the insurance process works can ease some of the stress you’ll be facing.

Read Story

What "covered" should feel like.