Universe Of Services
Workers' Compensation
MCS is committed to providing our clients with Workers' Compensation Claims Management expertise. We help navigate our clients through the turbulent Workers' Compensation claims environment. By minimizing our clients' prior claims experience and mitigating future claims activity we can have a direct impact on how much they will pay in future Workers' Compensation premiums. What we do is:
• Review of Loss Runs to identify claims and to confirm accuracy.
• Schedule and attend open file reviews to review open indemnity cases face-to-face.
• Review the plans of the claims administrator on all open indemnity cases.
• Scrutinize reserves prior to unit statistical filing and prior to renewal.
• Report an objective summary/status of the open indemnity cases to the client.
• Project the next experience modification post unit statistical filing.
• Review the injury program at the client's location (i.e., to separate first aid).
• Be on call for the client regarding workers' compensation claim inquiries.
• Grow client's internal resources.
• Enhance Return to Work efforts.
• TPA Selection Process - Including developing the RFP, timeline, sending out RFP's, analyzing the responses, conducting the interviews, selecting the TPA, and negotiating the contract.
• E&O Claim Audits - auditing claims to identify poor claims handling practices that have resulted in a financial impact to the client and quantifying that financial impact.
• HCO Feasibility Study and Implementation - assisting the client in understanding whether or not the use of an HCO will aide in the medical control and RTW issues.
• Performance Contracting - developing performance contracts tied to bonus/penalty. This includes negotiating the performance standards along with corresponding percentages for compliance and monetary bonus/penalty.
Workers' Compensation/Employee Benefits Integration
MCS has an Integration Strategist on staff who can conduct feasibility studies for candidates to see if they can lower their premiums and minimize claims activity by integrating their Workers' Compensation, Short-term and Long-term disability programs.