Act as a liaison between the insurance company and all providers, and involved parties. Make recommendations and intervene when and where appropriate. Utilize alternative treatment programs when appropriate. Coordinate all non-claim activities allowing the claims adjuster to focus on other activities. Have ongoing Quality Assurance guidelines for the case managers to follow.
Early intervention is the key to a successful recovery .
Comprehensive recovery plans, projection on length of disability period, and assessment of the rehabilitation potential. When the period of recovery is anticipated to last more than 60 days. When the diagnosis or prognosis is undefined. When complex social issues are involved.