Claims Management
Workers' compensation claims can quickly become complex, costly, and difficult to manage without proactive oversight, timely intervention, and consistent claims management.
Our workers' compensation claims management services provide a structured, results-driven approach, with our team working closely alongside clients.
How We Manage Claims
Claims Reporting
Build the right foundation.
Accurate, comprehensive reporting helps establish claim direction from the outset.
Adjudication & Entitlement Review
Get the right information to the decision-maker.
Identify medical, factual, and legislative considerations affecting claim acceptance, entitlement, and ongoing eligibility.
Active Claims Management
Keep the claim moving.
Continually assess progress, address emerging issues, and take timely action throughout the life of the claim.
Return-to-Work Planning
Develop the right strategy.
Translate functional abilities and workplace requirements into a practical plan for timely, safe, and sustainable return-to-work.
Stakeholder Collaboration
Keep everyone informed and aligned.
Maintain regular, proactive communication with employees, managers, WCBs, healthcare providers, unions, and other stakeholders to clarify expectations, support timely decisions, address issues, and maintain momentum throughout the claim.
Recovery & Return-to-Work Support
Address barriers and maintain progress.
Assess recovery progress, clarify functional information, recognize opportunities, and take timely action to support workplace participation and return-to-work.
Recognizing Opportunities
See opportunities and act on them.
Identify and address medical, vocational, legislative, entitlement, and claim-specific factors that can influence duration, outcomes, and costs.
Documentation & Regulatory Compliance
Support every decision with a strong record.
Maintain comprehensive documentation and compliance with legislative and WCB requirements throughout the claim.
The Result: Claims move toward resolution, employees are supported in returning to work safely and sustainably, and organizations reduce lost time, claim duration, and costs.
“Dallas Mercer is innovative at identifying return-to-work programs for our employees and progressing the claims to closure. They are proactive in communicating... so that the workers and management teams obtain the necessary functional information in a timely manner.”
— Clearwater