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Reserve Reduction
Workers’ Compensation Claims Management Services

How can Alper help me reduce reserves?

Through Proactive Advocacy—Our Claims Management Team acts as a liaison between our Client, the insurance adjuster and the defense attorney, and advocates on behalf of our Client to hold the adjuster accountable for forward claims progress and swift resolution.

Through Focused Attention to Detail—Our Occupational Nurse Consultant provides our Clients with periodic written reports on their claims, which summarize the injury, management and progress of the claim, as well as the total amounts paid and reserved. She is in regular contact with each adjuster to monitor all claims to determine any special needs, including surveillance, IME, peer review, or the assignment of a field nurse.

Through Procedural Change—Our Claims Attorney is a resource to assist you in understanding the complex Workers’ Compensation laws and regulations from state-to-state. We help our Clients minimize the impact of Workers’ Compensation costs to their bottom line by drafting and implementing company-wide policies on modified duty, on utilizing FMLA, and on protecting themselves from potential ADA claims.

Through Education and Training—Dedicated to being proactive in avoiding workplace injuries, Alper also provides safety and loss control services, training and manuals, as well as on-site inspections for OSHA, state and federal regulation compliance.

Alper’s Claim Management Team of Experts

Leslie A. Morse, Esq., Director of Claims Management Services—An attorney with over 15 years of experience as a litigator and corporate adviser.

Carol Matteucci, R.N., Occupational Nurse Consultant—A registered nurse with over 25 years of experience as an ER nurse and Workers’ Compensation Case Manager.

Cindy Harris, Senior Claims Representative

Katrina Love, Claims Representative

Frank Marino, CSP, Safety/Loss Prevention Consultant

 

 

 

 

 

For more information on how to better manage your Workers’ Compensation Claim Reserves, please contact LMorse@AlperServices.com

 

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CASE HISTORY

Challenge
A Client notified our Claims Management Team of a suspect Workers’ Compensation claim. Their employee claimed he was seriously injured when some stock fell on his head. The insurance adjuster set an initial medical reserve of $20,000 due to the allegations of a head injury and possible surgery.

Action
Our Occupational Nurse Consultant closely monitored the claim. Once the employee’s doctor determined he was at maximum medical improvement (MMI), she notified the adjuster that the employee actually received only very minor medical treatment.

Results
The reserves were reduced by $17,000. The claim was settled quickly and medical bills totaling only $3,000 were paid.

 

 

Alper Services, LLC   |   60 West Superior, Chicago, IL 60654   |  p: 312.642.1000   |   f: 312.944.7000
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