|

|
Our guiding business principle is the reduction
of our client's cost of risk. We act as
an employer/insurer advocate protecting
the assets of our clients while assisting
truly injured employees in securing the
best of medical care and occupational
therapy. At the core of our success is
the maintenance of the balance between
these sometimes described opposing forces
and the belief that employee, employer
and insurer benefit most from speedy recovery
and early return to work.
Work-related injuries and often the recovery
from them are, by nature, stressful events.
Managing the myriad circumstances associated
with a normal claim calls for special
people. Technical excellence, responsiveness
and sensitivity to the expectations and
needs of all parties require both an effective
operational structure and hands-on management.
We achieve our goals of customer value
and cost effectiveness four ways. First,
we maintain a single location in Lake
Oswego to assure consistency in the service
delivery process. Second, we attract,
develop and retain only the very best
of Oregon's workers' compensation claims
professionals. Third, we establish high
standards for their work product and then
regularly measure the adherence to those
standards. Lastly, we regularly monitor
our workflows and customer interface to
maintain the highest level of efficiency
possible.
We believe there is a direct relationship
between the skills of the claims professional
and their responsibilities, e.g., the
closer the match, the higher the quality.
It can also be said that quality diminishes
in direct proportion to the increase in
claim loads. Results of our internal reviews
and feedback from our clients enables
Empire Pacific to maintain expert delivery
throughout the claims process while keeping
desk loads at optimal levels. This combination
has enabled us to gain and maintain a
reputation for excellence and efficiency.
Claims management services available include:
- Initial three-point contact
- Claims file setup
- Compensability review
- Investigation and surveillance services
- Propriety of care review
- Case reserving
- Provider payments
- Preferred provider network
- Rehabilitation management
- Independent medical exam scheduling
- Hearing board appearances
- Utilization and bill review
- Early return-to-work program
- Short-cycle file reviews
- Litigation management where unavoidable
|