WORKERS' COMPENSATION

The continuing rise in cost of workers’ compensation claims, due in large part to rising medical costs that continue to outflank inflation, has resulted in extensive losses to workers' compensation carriers during the past several years. TRISTAR Risk Management has always focused on a total loss cost management approach to claims. Through the design and implementation of medical, legal and loss control programs, TRISTAR helps their clients minimize expenses and return injured employees to work in a cost effective, timely manner.

Our Workers' Compensation Program includes:

• Assessment of client's operating environment, exposures and risks
• Aggressive file management
• Excess/reinsurance carrier reporting
• Generation of statistical reports
• Production of required state self insurance reports
• Assistance with loss control programs

Medical Cost Containment

• Use of physicians trained in workers' compensation injuries
• Pre-admission review
• Second Opinion for surgical procedures
• Full array of case management services
• Line item review of state fee schedule and/or usual and customary charges
• Medical bill audits
• PPO Programs

Legal Cost Containment

• Pre-approved legal panel with negotiated hourly rates
• Legal assignments on specific task basis only
• Control of legal files maintained by claims examiner
• Non-disputed litigated files handled internally
• Investigations handled by in-house staff