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Worker's Compensation
Claims Management | Client Education Services | Coordination of Ancillary Services
Customized Reports | First Report of Injury (FROI) | Group Rating
Quality Assurance Review | Rate & Underwriting Services | Program Management
Temporary Authorization to Review Info (AC3)
 
Workers' Compensation

CompManagement, Inc. has been a leader in reducing workers' compensation costs since its inception in 1984. Although we offer a wide range of services today, our main focus continues to be enhancing our workers' compensation services.

Our goal is to provide professional claims management in the most cost-effective manner while maintaining positive rapport and good communication with the injured employee, medical providers and you, our customer. Teamwork between the client and our account managers, claims representatives and nurse case managers enables us to achieve this goal.

Our professional staff will work with you to develop a workers' compensation program specifically for your organization resulting in maximum cost effectiveness with minimal time involvement on the part of your internal personnel. We pride ourselves on providing a personalized approach to service while identifying areas of concern and progress.

CompManagement also offers an incomparable paperless information system providing new ways of looking at claim information. With "real time” processing, our system ensures constant, accurate access to your most current data via the Internet. Our system’s flexible design allows us to provide you with the information you need when you need it.

Key components that can be integrated into your specific workers' compensation program are:

  • Accident prevention and safety programs to reduce claim frequency and severity
  • Fast, accurate claim reporting through our toll-free telephonic reporting system, online via the internet, or via fax
  • Prompt claims investigations to determine compensability and ensure the claim is carefully evaluated before reserves are set
  • Accurate and realistic claim reserves to make sure you put aside only the money necessary to resolve a claim
  • Systematic evaluation of open cases to ensure quality control
  • Ongoing review and evaluation to maintain effectiveness and quality assurance
  • Coordination of corporate legal counsel, private investigation, case management and/or vocational experts to bring complex cases to resolution
  • Claim reports and comprehensive loss statistics customized to your individual needs

Claims Management Services

An important function of the administrator is the training of your staff. Claim processing seminars are conducted to assist your staff in understanding their responsibilities in the program. Accident and post-injury procedures are reviewed, and a preferred medical provider selected. Specialized incident reports complete with a medical release are instituted.

Professional, courteous, prompt service to your staff, injured employees, and interested medical providers will increase employee moral and avoid unnecessary litigation. All claims receive prompt turnaround, from initial three-point contact through potential settlement, with careful scrutiny by our experienced claims managers.

CompManagement reviews all claims to determine if handicap refund, second injury fund or other cost relief is due to the client resulting from a pre-existing condition or injury. Supporting medical documentation is obtained and the appropriate application filed.

Our objective is always to cost effectively close all claims quickly and in the most professional manner possible.

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Client Education Services

CompManagement provides detailed training and continuing education for all clients through our quarterly client newsletters, special bulletins, annual client seminars, and supervisory training sessions. We offer robust client education programs onsite throughout Ohio and via webinar services covering cost reduction strategies, investigation tools, industry trends, safety and loss control as well as a variety of other topics. In addition, the client is provided with various procedure manuals which include information about claim processing procedures, interaction with CompManagement and the client's managed care organization, and sample forms for internal use.

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Coordination of Ancillary Services

As a result of many years of experience, CompManagement has developed an extensive network of sources capable of bringing the most complex cases to a resolution. Our staff is trained to coordinate the involvement of outside legal counsel, private investigative firms, rehabilitation and vocational experts and personnel consultants. While proud of our speed and accuracy in problem solving, CompManagement will not hesitate to recommend and coordinate outside services when indicated and approved by the client.

In addition, CompManagement can provide feasibility studies to determine whether benefit continuation programs (wage continuation, $15,000 Medical Only Deductible Program, etc.) would be beneficial to the client. If the client elects to participate in any of these programs, CompManagement's claims department offers a full range of administrative services, including wage calculations/vouchers and medical payments to providers.

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Customized Reports

CompManagement can provide customized reports that meet the client's specifications. Claim reports and comprehensive loss statistics are provided on a frequency required by the client. The report may be customized to coordinate with the requirements of the client, and normally includes a summary of losses by type, part of body, frequency, severity, location, status and reserve projection.

Emphasis is placed on providing a custom format that is useful, easily understood and meaningful to the employer and other users. Output may be provided on hard copy or electronic formats. The client also has access to CompManagement's system via the Internet.

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Hearings

CompManagement, Inc. employs a staff of Hearing Consultants located strategically throughout the state of Ohio as well as an in house Docketing department. We take great pride in recruiting talented Hearing Consultants, all of whom are CompManagement colleagues and who have extensive experience in preparing for and handling hearings before the Ohio Bureau of Workers’ Compensation and Industrial Commission. Our hearing staff is large enough to aggressively handle hearings at all levels before the 12 Industrial Commission district offices in Ohio. CompManagement handles more hearings before the Bureau of Workers’ Compensation and Industrial Commission than any other organization in the state.

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Group Rating

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Group Rating is a program offered through the Ohio Bureau of Workers’ Compensation (BWC) which permits employers with better-than-average claim histories to join together through a sponsoring organization for the purpose of being rated as a larger group. By participating in group rating, employers enjoy much lower premium than could be attained on their own.

Over 90,000 employers in Ohio have joined a group rating plan and enjoy tremendous reductions in their workers’ compensation premiums.

Discover why more Ohio employers have found their way to CompManagement, Inc., a Sedgwick Company!

Since 1991, we have saved employers over $1.9 billion in workers’ compensation premiums.

Our first priority is maximum premium reduction. We also put strategies in place to preserve your discount and develop other substantial savings to improve your bottom line. Our network of statewide offices delivers personalized service no matter where you are located.

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Quality Assurance Review

The focus of all of our performance measurement efforts is on collaborative problem solving and the identification of opportunities for performance enhancement.

Performance direction
Performance direction refers to our commitment that CompManagement, Inc. colleagues will have the information and tools they need to align their efforts fully with the specific objectives of the clients they serve.

Performance measurement
Performance measurement refers to the ways in which we monitor our success in achieving client objectives. Our techniques provide frequent feedback on positive performance as well as on variances that can be remedied before they become big problems. These practices also help us identify opportunities for improvement.

Performance enhancement
Performance enhancement refers to bringing all the pieces together, bridging any identified service gaps, and sustaining outstanding client outcomes. It also includes preparation in anticipation of emerging needs. The Ohio Quality Assurance team is a full-time team of quality specialists who work directly with colleagues and management. Performance Assurance Analysts provide coaching, training, and help with problem solving to make alignment with client outcomes our way of life.

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Rate & Underwriting Services

CompManagement has an excellent Rate & Underwriting Section that is unparalleled in our industry. Rate Services’ colleagues assist clients in making financial decisions concerning their workers’ compensation policy including performing premium impact studies to project the effect a particular claim may have on future rates; informing clients about other Ohio Bureau of Workers’ Compensation (BWC) programs that can simultaneously earn premium reductions and improve overall safety; and advising clients about reportable payroll or transfers.

CompManagement has a separate settlement team whose sole responsibility is settlement of open claims. We have extensive guidelines relating to settlement of claims, and settle more claims than any of our major competitors year after year.

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Program Management

The colleagues within our Program Management department are well versed on all facets of Ohio workers’ compensation and are capable of providing guidance on the numerous alternative rating programs that are available to the Ohio employer community. They are responsible for meeting with our clients and reviewing their respective workers’ compensation programs. The members of this team are located strategically around the state so that a strong local presence is established and they are positioned to respond quickly when client assistance is needed. They have ultimate responsibility for managing all client relationships.

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