Lovell’s Early Intervention Program demonstrates our proactive, progressive claims management approach. This program provides crucial contact among employer, injured employee and medical provider within 24 hours of any reported lost time claim. Upon receipt of an employer’s First Report of Injury, Form C-2, Lovell immediately assigns a Nurse Case Manager to the incident. This individual maintains close contact with all three parties in order to coordinate and expedite necessary medical care, hasten benefits approvals and implement a return-to-work strategy. Through the intervention and oversight of the Nurse Case Manager and Early Intervention Claims Examiner, employers are assured of accelerated authorization of tests and procedures, resulting in faster recovery time; accurate evaluation of work and pay status, to determine appropriate levels of benefits; close examination of treatment plans, discouraging abusive or excessive treatment practices by medical providers; and regular contact with injured employees, reminding them of ongoing observation and scrutiny.

In the meantime, other members of the client’s Service Team monitor the case with the insurance carrier to ensure proper handling during the critical, initial 120-day period. Independent medical examinations and field investigations are scheduled, if deemed advisable. In the event of an employee’s apparent malingering, the Lovell staff initiates challenges to excessive treatment by medical providers, requests hearings, becomes involved in settlement negotiations and recommends second injury fund applications.

Lovell’s Early Intervention Program is a unique, proactive claims management technique that results in minimal administrative delays, effective cost-containment for the employer, more responsive medical service and decreased recuperation time for the injured worker.