Handling the administration and management of our clients’ claims
is an essential service that we provide to all Wortham
clients. We take a hands-on approach to claims administration,
even before a claim is filed. Simply stated, our goal
is to help control costs through early intervention and
a consistent, high-quality cost containment program.
In an era of higher medical expenses and escalating
workers compensation, we offer solutions aimed at lowering
overall claims costs:
- For example, our proactive measures focus on rapid
internal and toll-free claims reporting, pre-certification,
field case and utilization management, and initial
injury assessment.
- After a claim has been filed, we support clients with
interactive solutions such as catastrophic case
management, return-to-work programs, specialty care
network providers, peer reviews, and analysis of proposed
treatment plans.
And our services don’t stop once a claim has
been completed. We provide retrospective options, including
statistical tracking, reporting and auditing, automated
re-pricing, vocational rehabilitation programs, nurse
consultation on complex invoices, and coordination for
state-required reports.
Wortham’s claims administration staff is dedicated
to servicing our clients and brings a diverse blend
of insurance industry knowledge and medical expertise.
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After
several frustrating months of trying to resolve some outstanding
workers compensation claims, the West Coast division of a
major food distributor turned to Wortham, its long-time insurance
broker, for assistance. Wortham’s claims administration
team rapidly stepped in for the client. Working hand-in-hand
with the client and the third-party carrier, our experts carefully
led the disputes to a successful conclusion. This skillful
approach exemplifies Wortham’s commitment to bringing
value to our clients. 
