Claims & Medical Management
An Experienced Medical Management Team
Our experienced medical management team and extensive provider network ensure we provide the very best care at the lowest possible cost. Our medical management program features:
Care Analytics®: Through the analysis of millions of medical bill transactions and years of claims data, Accident Fund has established a database of experienced workers’ compensation medical providers that adhere to best practices for treating claimants, resulting in significant cost savings for policyholders.
In-house medical management team: Our team is comprised of nurse case managers and a full-time medical director.
Pharmacy program: This program integrates a workers’ compensation focus which has helped to improve control over medication costs.
Expert medical bill review: Our medical bill review processes means savings in medical expenses, reducing overall claims costs and keeping premiums lower for our policyholders.
Texting option: In addition to our standard communication vehicles, we offer a texting solution on all non-litigated claims, which improves efficiency and service for our customers. Through our partnership with Hi Marley, customers who utilize the texting option will be able to communicate with our claims team in real-time and in more than 10 different languages without the need for a translator.
Pharmacy Program Partnership:
Through our partnership with myMatrixx by Evernorth, injured workers who may require medications can rest assured knowing they are in good hands. myMatrixx provides injured workers access to best-in-class pharmacy services, including home delivery and specialty pharmacy care, physician outreach programs, utilization management and more. myMatrixx leverages the robust network of over 68,000 pharmacies and commits to providing a smooth and personalized experience for our injured workers.
For more information about this unique pharmacy program partnership, click here or contact your dedicated underwriter.
Are you in Georgia, Tennessee or Virginia? Injured workers must select a provider from a list developed by their employer and insurance carrier. A list of providers can be found on our secure portal. For login instructions, click here.
We do our best to help you ensure accidents don’t happen. However, when they do, we’ll be there to guide you. To gain a better understanding of the claim process and how we support you throughout it, click the link below:
We’re dedicated to understanding and actively managing complex workers’ compensation risk with unwavering commitment to supporting the needs of our customers. Below you will find additional information and helpful resources to assist with your claims reporting.