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Spooner Risk Control Services (RCS) set the standard for managing workers' compensation over 30 years ago. Our proactive philosophy and best practices focus on preventing excessive compensation and medical costs in claims and assisting employees in early, healthy return to work.
Many preventable factors inflate workers’ compensation costs including fraud, inappropriate medical treatment, excessive time away from work, high-compensation awards, as well as “claimant-oriented” physicians and attorneys that go unchecked by TPAs. Spooner RCS are designed to aggressively manage claims by constantly monitoring activity to identify situations that are inappropriate and take action to stop the abuse.
Proactive Claims Management
Problem claims are identified early and controlled. Proactive claims management begins when an injury first occurs. Claims are fully investigated for medical and circumstantial evidence to properly advise clients about the potential impact before any decisions are made. Once determined, claims are continually scrutinized for additional claimant requests.
Litigation Management
Successfully defending challenged claims is routine. Contested claims are assigned to independent attorneys who attend hearings fully prepared with detailed documentation provided by Spooner. This ensures quality of evidence, establishes expectations for outside counsel, eliminates unnecessary expense, and results in better litigation outcomes.
Return To Work
Spooner RCS establish expectations for early return to work with a clear emphasis on work initiatives. Our initial investigation of each claim facilitates effective management of serious injuries and expedites implementation of our return to work program. Spooner coordinates the services needed to return employees to the job as quickly and safely as possible, utilizing the best vocational and medical experts available.
Claims Experience
Spooner RCS provide claims management experience and expertise in both self-insured and state-funded workers' compensation programs. Claims are managed by a staff of professionals who understand the system from the employer's point of view. Spooner is scrupulous about adhering to state workers' compensation regulations, maintaining detailed records, and paying claims on time.
Communication is Key
Continuous client contact is an integral part of Spooner RCS. Our staff stays involved, and keeps in contact on every critical decision. Questions? A single phone call gives clients all the information they need.
Our Staff Gets Results
Claims Cost Control Specialists are assigned reasonable caseloads to assure all claims receive proper attention. They participate in continuous training and are supported by a team of expert claim managers, actuaries, safety, human resource and independent legal professionals. Our best practices are regularly analyzed to ensure that they reflect our clients' needs and to improve efficiency.
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