Workers' Compensation Administration
When it comes to workers’ compensation claims administration, our solutions offer a simplified approach to a complex process. It starts with efficient incident reporting and early intervention by an integrated service model that advocates focused claims management from the very onset of injury. Because all of our claims management services are connected in a single database, interested parties can access healthcare intervention, reporting, analytics and claims data in real time, reducing costly delays.
Connecting patients with appropriate, quality care is the cornerstone of CorVel’s risk management solution. Our early intake process begins with access to a 24/7 nurse call center where injured workers can speak with a registered nurse for first aid advice or referral to preferred providers.
Our value continues with automated solutions that personalize medical treatment programs using precise protocols. All to improve the timeliness and quality of care for injured workers. Our approach includes three point contact, nurse triage and proactive assignment to case management.
Our integrated claims management and managed care solution runs on a single technology platform and keeps everyone connected. User friendly workflows, informed by human intelligence, make it easy to manage claims and provide all parties with complete visibility and real time communication.
Risk Management System
Claims information entered into our proprietary database is always available for collaboration by all parties involved, including adjusters, employers, providers and CorVel nurse case managers. A customizable dashboard makes it easy to review pertinent data, including number of visits, duration of care, improvement in function, comorbidities, risk scores and other metrics. These tools allow us to respond to a claim within moments rather than days, coordinate care for injured workers quickly and keep activity transparent for employers.
Once an incident is reported, our integrated solution focuses on compressing traditional delays, allowing immediate care for injured workers, regardless of the compensability for first time treatment authorization. This accelerates appropriate care and early return to work outcomes, while reducing the total cost of loss and keeping more claims in medical only status.