Workers’ Compensation/ Liability

Workers' Compensation and Liability

Hewitt Coleman’s services for workers’ compensation and liability programs include program analysis and design, claims management, loss control, managed care services, excess insurance placement, data management, reporting, and dedicated client service.

Program Management
Our professional employees, client focus, and service flexibility distinguish the customized claim management programs we deliver to our clients. Our people are empowered to provide the services needed by our clients. Core standards and experienced people ensure quality and consistent service delivery. However, Hewitt Coleman is more than a claims administrator. Our risk management services include:

  • Providing dedicated Account Executive and Client Service Representative
  • Assistance in understanding loss reports and other aspects of self-insured program
  • Providing ad hoc reports as needed
  • Conducting quarterly claim reviews as requested
  • Marketing and placement of excess insurance and security required by State regulations
  • Reporting to Excess Carriers per specific reporting guidelines
  • Requesting Excess Recoveries
  • Assisting with completion of State required forms and reports
  • Calculating Experience Mod as needed
  • Section 111 Reporting
“The Underwriter Who Missed the Total Loss.”

© H M Bateman Designs

Medical Management
Total Care Management is a division of Hewitt Coleman that staffs registered nurses and provider bill processors. We offer a full range of medical management services that complement the management of Workers’ Compensation claims including bill review, telephonic and field case management, and utilization review.

Information is Power
Our innovative risk information system, HCView, offers the versatility you need to analyze your claim data. Hewitt Coleman provides secure access to claims information via our website. With proper authorization, users can view all claims information, including payments, reserves, reserve worksheets, adjuster notes, and managed care notes. Users have the ability to query claims data and download the information into Excel®. The user has the ability to select the fields desired and generate requested data within seconds. The Report View section empowers the user to create customized reports and save in a personal Template Library for future use. Multiple graphs are presented for historical relevance and trending through our Stewardship View, while the Snapshot View offers a window into the month by month trending of the program, allowing for targeted risk management activities and injury prevention.

Other online services include First Reports of Injury and OSHA Reporting.

A Snapshot of Services:

Comprehensive Claim Management

  • Adjusting, Litigation, Settlement, and Cost Management
  • Designated Claims Team
  • Quarterly Claim Reviews

Risk Managment

  • Loss Control

Financial

  • Escrow Account Management

Dedicated Service Team

  • Compliance Services
  • Insurance Placement
  • Annual Report Card

Cost Containment Managed Care Services

  • Medical • Diagnostic • Pharmacy PPO Networks
  • Medical Claim Nurse Negotiators • U.R. & Pre-Cert
  • Telephonic & Field Nurse Case Managers

RMIS Web Interface

  • Customized Reporting • OSHA 300, 300A & DART
  • Stewardship Trending Analytics
  • Layered Claim Search Options, and more

IT/EDI Support

  • Section 111/MMSEA SCHIP Reporting
  • Scheduled Report Generation and Delivery
  • Excess & Large Deductible Carrier Reporting