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Case Study (H) - Claim Review Services
A worker left the employee of one of our clients and had not fully
recovered from a workplace injury. The employer and the insurer had not
maintained contact with the previously injured worker. The insurer had
estimates for wages and medicals coming into the employer's premium
renewal, which was capped at $150,000.00. The employer contacted us and
asked for our assistance.
The employer engaged our services as there Return To Work Coordinators. We
familiarised ourself with the details of the claim and requested the
insurer update us on the present status.
It became clear that the insurer had not realised the worker was now fully
employed elsewhere and had been for some time. Therefore there was no need
to calculate and allow for past or future wages or medical treatment. The
matter was reconciled and closed after minimal contact with the worker and
treating Doctors. The estimate and cost of claims was significantly
The total cost of claim was reduced to $36,467.00. A saving of $110,342.00
on the cost of that claim.
What the client say's
I have been trying to get someone to listen to my concerns about that claim
and the considerable costs assigned to it without success. I should have
got you in a long time ago. Matters like this have cost me dearly over the
years. People don't realise that a service like yours exists.