Claims

The Claims Process

Each policyholder benefits from dedicated claims representation, ensuring personalized attention with lower-than-average caseloads. Our adjusters offer timely communication, effective cost containment, and innovative dispute resolution. Unlike others, our adjusters operate without monthly claim closing requirements, ensuring settlements based solely on file merits. Throughout the claim’s lifecycle, we keep you informed on adjusted reserves, changes in medical treatment scope, ratings, and settlement offers. By understanding the unique needs of specialized industries, our adjusters not only address claim developments but also work closely with policyholders to minimize impact on claim costs and improve the Experience Modification Rate (EMR).

Our Claims Benefits

Discover unparalleled claims benefits at Waypoint Mutual, ensuring efficient resolution and support for injured workers.
Our services include:

• Streamlined management of lost time claims by dedicated adjusters for enhanced efficiency.
• External resources for robust hiring and light-duty return-to-work programs, fostering a safer, more productive workplace.
• External resources for robust hiring and light-duty return-to-work programs, fostering a safer, more productive workplace.
• Reach our emergency phone line for prompt assistance with serious accidents outside office hours.
• Benefit from the First Fill Pharmacy program, preventing out-of-pocket expenses for injured workers.
• Implement fraud detection measures, including web-based activity searches and medical records canvassing, safeguarding the integrity of claims processes.