Risk-Sharing
monitor medical care and translate the medical findings for all to understand. They will provide recommendations when medical referrals are needed. Most importantly, they will work with the medical provider to establish appropriate restrictions and work with the employee and employer to coordinate a safe return to work.
Workers’ Compensation Claims Management Claims Associates finds that using a team approach leads to successful claims management. The adjusters investigate and supervisors provide oversight. However, what you may not realize is that we refer claims to nurse case managers as well. While the adjuster continues to make decisions regarding compensability, benefits, and legal issues, the nurses assist with the medical aspects of the claim. The nurses from Rehab Associates provide assistance on the claim to benefit the adjuster, employer, and the employee. The nurse case manager helps to coordinate and
38
Some members may be utilizing the benefit of the injury reporting hotline. This is a tool for all timely claim filing but also important for serious injuries. A nurse will provide guidance as the claims process begins and is available to answer medical questions as well. INJURY REPORTING HOTLINE Call Toll Free 877-899-9112 Questions/Contacts: Jennifer Andrisen Selzler, Claims Associates, Inc. 605-275-5250 Deb Whipple, Rehab Associates 605-275-5252 Brad Wilson, Insurance Benefits, Inc. 605-334-7252 Jennifer Andrisen Selzler SCLA AIC CSRP SDWCS SDML Workers’ Compensation Claims Manager
SOUTH DAKOTA MUNICIPALITIES
