Complex Claims Management
When claims become complex, experience matters.
Organizations often engage Dallas Mercer when a claim has become prolonged, stalled, contentious, or difficult to resolve. Our experienced team brings fresh perspective and specialized expertise to understand what is driving the complexity, restore direction, and move the claim toward appropriate resolution.
Complex claims often require deeper assessment, additional expertise, and a more strategic examination of the factors affecting progress.
When Claims Require More
In-Depth Claim Assessment
Understand what is driving the complexity.
Examine the claim history, recovery progress, medical and functional information, workplace factors, and other issues contributing to prolonged absence or stalled progress.
Multidisciplinary Expertise
Bring the right expertise to the claim.
Draw on medical, psychological health, rehabilitation, legal, and other specialized expertise to clarify complex issues and support informed decision-making.
Specialized Assessments & Opinions
Get clarity when more information is needed.
Identify and coordinate independent medical, psychological, functional, or other specialized assessments and expert opinions when they can help clarify the path forward.
Strategic Claim Direction
Establish a path forward.
Bring together the evidence, expertise, and relevant information to determine priorities, address factors affecting progress, and establish clear next steps.
The Result: A clearer understanding of what is driving the claim, a defined path forward, and the specialized expertise needed to move complex matters toward resolution.
“Our Disability Manager has been intervening on complex cases with psychosocial issues... and has been a tremendous support to Memorial’s internal team helping to provide significant resolution to very complex claims.”
— Memorial University