Upon notification of illness or injury, a telephonic case manager will immediately begin managing the claim. They notify all appropriate parties, monitor progress and provide weekly reports. Using their clinical expertise in conjunction with evidence-based guidelines, they make recommendations for safe and effective return to work. They are supported by on-site physician advisors who handle complex cases and peer negotiation.
Our telephonic case managers meet state-by-state jurisdictional regulations for utilization review so you don’t need to worry about regulatory fees and fines.
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Throughout the claim and across your program, we collect claims data and benchmark against industry guidelines and norms to identify areas for program fine-tuning and improvement.
In addition to onsite case management, you can leverage national telephonic case management, recorded statements, and translations for non-English-speaking claimants.
Not every worker’s injury warrants a trip to the ER, but without medical expertise, it’s natural for supervisors to err on the side of caution. Genex’s 24/7 Nurse Triage Hotline provides medical expertise at the time of injury, so injured employees are channeled to the most appropriate and cost-effective level of care. Now you can influence medical care, claims costs, return-to-work outcomes, and employee satisfaction at the earliest, most critical point.
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