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.