Benefits 1 Group experts work with State-Funded employers in three key functional areas: Claims Management, Financial Management and Accident and Loss Prevention. These core areas are the foundation of a successful Workers’ Compensation and Absence Management Programs for employers of all sizes.
Our State Fund TPA Services include:
Risk Management & Financial Expertise
- Underwriting or Manual Classification Review
- Group Rating Analysis
- Retrospective Rating Evaluation
- Self Insurance Studies
- 10 Step Business Plan
- Calculate Internal Merit Rating Where Viable
Claims Management
- Evaluate all established claims with ongoing payments in the experience period.
- Assist in the new claim certification decision.
- Work with MCO and Bureau to obtain early return to work of injured workers.
- Help implement a transitional duty program, where appropriate.
- Collaborate with MCOs to obtain appropriate injured worker medical care.
- Obtain independent medical examinations, when needed.
- Work with involved parties to avoid disruption, cost, and hostility of preventable litigation.
Accident and Loss Prevention
- Periodic Safety Self-inspection
- OSHA Record Keeping Consultation
- OSHA Regulation Compliance
- OSHA Citation Defense
- Ergonomic Assessment and Remediation
- Division of Safety & Hygiene