WORKERS COMPENSATION

HealthSmart delivers programs that satisfy each employer’s unique occupational coverage needs. Our experienced team is ready to address your needs in many areas:

  • Self-Funded Plans for Governmental Entities
  • Private Entity Workers Compensation Self-Funded Plans
  • Non-Subscriber Occupational Employee Injury Plan
  • Stop-Loss Insurance

In addition, HealthSmart is uniquely positioned to provide an array of integrated services that operate in conjunction with your Workers Compensation program. These services include loss prevention, on-site claims investigation, employer-sponsored healthcare clinics, managed care, electronic access to claims information, insurance quote facilitation and much more.

Loss Prevention

Our consultants are qualified to address state and federal regulatory health and safety concerns. We offer a variety of services that reduce the frequency and severity of injuries.

Onsite Claims Investigation

Local HealthSmart adjusters investigate claims onsite, attend proceedings before local workers compensation offices and meet regularly with clients.

Employer-Sponsored Healthcare Clinics

HealthSmart Primary Care Clinics will provide medical treatment for workers compensation needs. This benefit allows your physician and health care professionals to work directly with the risk manager and the employee in determining return-to-work status. The program is tailored to maximize the use of your clinic along with protocols to ensure compliance with state mandates while ensuring quality care.

Managed Care

HealthSmart provides comprehensive managed care services. Services include medical bill audit, preauthorization, retrospective review, pharmacy management programs and preferred provider networks. Our flexibility allows us to integrate these services with your vendor of choice.

Claims Management System

HealthSmart's exclusive, state-of-the-art claims system is tailored to generate claims reports, payment history and adjuster notes along with statistical and safety information. The employer has online access to claims information and reporting tools.

Insurance Quote Facilitation

As an approved TPA with several insurance carriers, HealthSmart assists with obtaining insurance quotes from carriers of the employer’s choice.