Insurance Claims

Knowing that even the safest employers will experience accidents, we have structured a claims operation whose mission is the intensive, immediate, highly personal management of all claims, but most importantly severe injuries. We encourage immediate reporting of all accidents through our toll free reporting and assistance system which allows us the opportunity to provide immediate notification to our Case Managers and early intervention in accidents. Our Case Managers emphasize a personal coaching and caring approach in guiding injured workers through medical treatment, rehabilitation, return to work and full recovery. We understand that expedient recovery and early return to work is the optimum outcome for all parties.

At Amerisafe, our claims priorities support a consistent philosophy of personal interaction into claims. In order to maximize our outcomes, we meet injured workers "face to face". This interaction provides our highly skilled Field Case Managers the opportunity to comfort, support and provide guidance to our injured workers and their families through the complicated system of benefits or expectations. At Amerisafe, we bring the best support possible to assist our injured workers', such as rehabilitation case managers or vocational experts to achieve the best plan and outcome for our employer.

As an Amerisafe policyholder, you can look forward to very personal services and policy features such as the following:

  • Claim Reporting.
    Our toll free accident reporting system, 1-800-699-6240, is essential in providing us immediate notification of accidents. We will ask you questions and prepare the claim report for you. The sooner we know of injuries the quicker we can begin to work with the injured worker and his family to assure that quality medical treatment is provided. Due to the diversity of the American workforce we have the ability to receive injury reports in many languages.
  • Field Case Managers.
    Our “face to face” approach requires that our Field Case Managers live in proximity to our clients and injured workers. They have many years of experience and are supported by Nurse Case Managers and other resources so that their time may be spend on the needs of injured workers. Each has an average case load of approximately sixty injured workers. We believe this is a very low number compared to other workers' compensation insurers, and affords them ample time to spend with each injured worker to produce a quality relationship and best outcomes.
  • Fast Track.
    If it is apparent that an injury will be relatively minor, it is managed by our Fast Track system. Fast Track Case Managers are in contact with the employer, the injured worker and medical providers to coordinate expected recovery and return to work. Most of our minor claims are managed through this system and includes those claims which have six weeks or less in lost time.
  • Managed Care.
    “Managed Care” means many different things. Our goal in working with medical providers is the achievement of timely quality care aimed at full recovery at the earliest possible time. Medical providers of all types are key partners in producing this result. We work with them so that they better understand workers' injuries in relation to physical requirements of their jobs so that the goal of return to work can be accomplished in a timely, well-planned manner. In severe injury cases, the Field Case Manager, and often a Nurse Case Manager, meet in person with medical providers to aid in development of an effective treatment and rehabilitation plan. We also arrange to purchase medical commodities at great discounts, which reduces overall costs. Further, we continuously update our available network of physicians to access the best providers possible.
  • Fraud Situations.
    We have been effective by understanding the dynamics of injured workers that go beyond medical treatment or even legitimate injuries. Much has been publicized about “fraudulent claimants” and their cost to employers and insurers. We believe the best detection of a possible fraud situation is a "personal" visit and understanding of an injured workers “psycho-social” makeup. Our Field Case Managers are very astute at ferreting out these situations. Our firm belief is that practically all of our injured workers have legitimate injuries and we treat them all with the utmost sympathy and respect. However, we also understand the "psyche" of fraud and respond accordingly when it is detected.
  • Flexibility.
    Our successes have been built on the deep understanding that “change” is constant and unpredictable. Claims situations and demands exemplify the need to stay nimble and objective to produce best outcomes. We're good at it! For more information contact our claims department at 1-800-256-9052 or e-mail us.

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Amerisafe, Inc.
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