We draw upon the best resources to control claims from the onset, emphasizing a healthy return to work.
Whether your Workers' Compensation coverage is insured or self-insured, Matrix administers and manages claims to facilitate an employee' s recovery and timely return to work. Workers' Compensation can be managed on a stand-alone basis or integrated with the management of disability claims.
Your claims team reviews each case at its initiation and regularly thereafter to ensure that your injured employee is progressing as expected. At each review, using screening criteria developed in cooperation with you, we consider whether case management would improve the employee' s recovery or facilitate return to work. (For information on case management services, please refer to Nurse Case Management.)
We participate in the development of individual rehabilitation programs. We also engage outside service providers—rehabilitation counselors, investigators and independent medical consultants—to facilitate recovery, identify fraud and minimize the potential for litigation.
When litigation does arise, we manage it proactively to minimize costs to you and facilitate better outcomes. We consult with and assist your legal counsel in file assessment, report preparation and trial preparation.
The estimation of financial liabilities is critical to the successful management of Workers' Compensation claims. We establish and monitor reserves for the estimated cost of claims with great care, requiring management sign-offs at specified monetary levels and key junctures in the life of each claim.
We also disburse payments for outside service providers, subject to your approval, negotiating rates and monitoring charges for reasonableness.