"If a man does his best, what else is there?" -General George S. Patton

The Philosophy behind ClaimQuest is simple: Provide the best service possible, with the highest integrity; keep open communication with our clients and their injured employees; and respond to claims in a timely and effective manner. Total Claim Management (TCM), our unique approach to claims administration, is the cornerstone of this program.

TCM, a proactive program, is a partnership implemented by both ClaimQuest and the client to reduce loss frequency and severity. Through prompt contact with the injured worker, employer and physician, ClaimQuest quickly identifies, investigates and resolves any AOE/COE issues. We coordinate the services of quality medical providers to assure appropriate care for your employees, focusing on early return to work so the injured worker may remain productive.

All medical expenditures are thoroughly reviewed for appropriateness and reasonability, and will be adjusted accordingly. ClaimQuest works closely with each client to develop a proactive program to reduce the frequency of litigation. When litigation cannot be avoided, costs are controlled by jointly developing an action plan with counsel, closely monitoring its progress, and insuring that the billing reflects only planned activities.

Equally important to the care of your employees is the establishment of a proactive loss prevention program. With ClaimQuest, we help you reach this goal by providing detailed loss analysis information and recommendations which will allow you to take active steps to improve your work environment, reduce claim frequency and claim severity. We assist you in training your management staff in the proper reporting and handling of an injured worker and the evaluation of the various management reports they receive. Frequent roundtable discussions and analysis of your claims with ClaimQuest will help you realize a proactive safety program for long-term cost containment.

One of the keys to superior claims administration is the computer information system that provides the cornerstone for effective case management, communication between the third party administrator and the client, and the information needed to monitor the entire claims administration program. ClaimQuest’s ClaimLink System, one of the most technologically advanced RMIS systems available, allows you to interactively transmit information about new accidents, review your claims, and to communicate with ClaimQuest 24 hours a day, 365 days a year. This system contains a depth and breadth of information not found in other RMIS systems, resulting in a extensive reporting capability, providing you with the information you need, when you need it

One of ClaimQuest’s founding premises was the need for open communication and 100% customer satisfaction. In implementing these premises to the handling of your claims, we ask that we be treated as an extension of our clients organization. For communication is more than the act of relaying information, it is our ability and desire to listen and understand what is being conveyed. No matter what concern may arise, we encourage our clients to contact us immediately to resolve issues expediently. In doing such, ClaimQuest is able to provide a depth and breadth of claims administration service that cannot be matched by any other third party administrators.

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