Self Insured Solutions (SIS) believes that injury claims must be handled promptly, professionally, and aggressively.
Aggressive claims management starts the minute a claim occurs. It entails gathering information from supervisors and witnesses, verifying that the claim occurred legitimately and that the worker is due benefits.
It also means working with medical providers to ensure proper, complete and adequate care while avoiding over-treatment and unnecessary procedures.
SIS believes that all legitimately injured workers should get the benefits they deserve, and do so promptly and without hassles or unnecessary delays. On the other hand, all fraudulent claims should be investigated, shut down, and fraud perpetrators referred for prosecution.
SIS insists that the TPA investigate any and all suspicious claims, perform clandestine surveillance on suspected fraud practitioners, shut those claims down, seek reimbursement, or even send fraud practitioners to jail.