PCM provides boutique-level service for employers seeking a highly involved and dedicated partner for the management of their workers’ compensation claims. We take an aggressive approach to claims management, with a reputation for making our clients’ workers’ compensation programs as efficient, effective, and affordable as possible.
In such a highly regulated and competitive industry, PCM stands out by its commitment to the fundamentals—in particular, excellent claims handling. We achieve this through a combination of time-tested best practices, new technology, and workflows that help our employees to resolve claims as fast and cost-effectively as possible.
Click the services below to learn how we could help you.
Claims Administration
- Custom tailored programs servicing public and private self-insured entities
- Expertise in management of captive groups, JPA’s and guaranteed cost programs
- Utilizing time-tested and cutting edge best claims practices
- Consistently effective processes anchored through communication, engagement, partners and results
- Efficient claims handling resulting in cost savings
- Setting a new standard for TPA performance
Medical Bill Auditing & Alignment
- Software integration
- Contracted PPO networks
- Full reporting capabilities
- Consistent with the most current regulations and fee schedules
Utilization Review
- Customized review plan & referral criteria
- Web-based adjuster software approval system
- Appropriate use of peer review
- Client specific URO capabilities
Financial Services
- Assistance in financial forecasting
- Statistical trending review
- Employer management collaboration
Lien Management Services
- Focused resolution of outstanding medical bills
- Interfaced with medical bill and auditing team
- Dedicated experts in lien resolution
MPN Service Options
- Established custom network
- Multiple partner options for selection
- Capability for placement in client-owned network
Nurse Case Management
- Outsourced service to select industry experts
- Selective criteria for referral to nurse
- Active monitoring for appropriate utilization of services throughout the claim
High Performance Results
- Savings in workers’ compensation program costs
- Shorter claim life cycles
- Reductions in claims per $100 of payroll
- Dramatic improvements in interactions with service providers