Workers' Compensation Services . . .

Claims Investigation & Management

At HealthFirst TPA, we recognize that today's medical-only incident is tomorrow’s indemnity claim. Our organizational structure ensures that your claims are fully reviewed and our flexibility allows for on-site investigation. Our proactive management style integrates the experience of our adjusting staff with medical case managers to arrive at appropriate compensability decisions. Our staff utilizes our “Best Practices” to ensure consistent and accurate claim handling.

If compensability is established, the adjuster initiates benefits and coordinates with the medical team to identify the appropriate level of care and its timely delivery to the injured worker. Speed and accuracy of care and communicating results promote a safe and early return to work. If the claim is found to be non-compensable, the adjuster works with a variety of client-preferred attorney firms to ensure that the employer’s rights are defended.

Subrogation potential is pursued by the adjuster assigned to the claim. Along with subrogation, pursuit of refunds from the “excess” coverage is also handled to ensure timely reporting and recovery of funds.

HealthFirst TPA's clients find that their interests are represented by the experienced personnel at HealthFirst TPA with the same heightened level of concern that their own employees would deliver. Additionally, HealthFirst TPA's sophisticated approach to claims management has resulted in many of our clients receiving acclaim from their excess insurance carriers.