Self Insured Solutions believes that injury claims must be handled promptly, professionally, and aggressively.

Aggressive claims management starts the minute a claim occurs. It entails gathering information from supervisors and witnesses, getting a drug test performed, and verifying that the claim occurred legitimately and that the worker is due benefits. 

It also means working with the medical providers to ensure proper, complete and adequate care while avoiding over-treatment and unnecessary procedures.

Aggressive Anti-Fraud Saves SIG's on Claims

SIS believes that all legitimately injured workers should get the benefits they deserve, and do so promptly and without hassles. On the other hand, all fraudulent claims should be investigated, shut down, and fraud perpetrators referred for prosecution. To do that, we insist that any TPA we work with investigate any and all suspicious claims, perform clandestine surveillance on suspected fraud practitioners, and shut these claims down and seek reimbursement or even send those folks to jail whenever possible. (Downloads Claims Packet)