provides a staff of 50 to assist in managing a claim to a successful conclusion. Each claim is assigned to an experienced claim examiner who works closely with the injured worker, the medical care provider, and the employer to bring about a favorable resolution. A case management team with registered nurses is active in managing severe injuries.
Participation in AlaMed, the state’s largest and most cost effective worker’s compensation preferred provider organization (PPO), helps to control medical costs. State of the art claim management software processes claims promptly and automatically pays the lower of billed charges, PPO schedule, or state fee schedule.