Claim Management Services

Many insurance carriers and TPA’s are faced with a myriad of concerns from clients, vendors and other stakeholders. Most common problems are late reporting, failure to return phone calls and lack of transparency. These issues can lead to increased litigation, increased claim costs and frustrated clients. MedicusRx will be proactive in helping to identify, elevate and address these issues. We will act as an advisor between your business, the insurer, third-party claims administrator and any other stakeholders. We can prepare, present, and negotiate your claims, helping manage the claims process through to completion.

We can provide you with guidance on the legal aspects of a claim, such as policy coverage, availability of legal remedies, and other related issues. Additionally, we can help to identify issues that may arise during the claims process, allowing you to take the necessary steps to mitigate any potential risks associated with the claim.

Through our dedication to detail and personal attention, our claims team will initiate timely responses at all stages of our claims management process. We also provide regular updates on the progress of the claim and advice and guidance on any settlement offers to ensure that your claim is fully and fairly evaluated. Finally, we can offer support and advice on any disputes or appeals related to the claim, helping to ensure that your interests are fully represented and costs are mitigated.

Our Claims Services include:

  • Complex Claims Management
  • Litigation Management
  • Catastrophe Claims Management (Non-Property)
  • Large Loss Claims Management
  • Longshore/Jones Act Claims Management
  • Railroad Transport
  • Motor Carrier Transportation

MedicusRx will service your complex claims, complex litigated claims and large loss claims – offering careful detailed attention to every aspect of every claim. Our claims team has years of experience in litigation management from plan implementation to final claim resolution. We have worked with several attorney firms nationwide and will work tirelessly to mitigate cost. Our meticulous file reviews have led to numerous favorable outcomes and claim closures.

We can review any old files or tackle a new complex claim from inception. Our team of claim professionals has handled Longshore/Jones Act claims to Railroad and Transportation claims. With over a century of combined experience in claims services, our model is comprehensive to deliver quality, efficient claims services and cost containment all in one single entity. Our claim services goals are to:

MedicusRx claim services goals are to:

  • Be Proactive
  • Stay Updated
  • Be attentive to the Customer/Claimant
  • Provide Solutions
  • Meticulous Records Keeping
  • Be Accessible
  • Provide Resources
  • Be Transparent
  • Timely and Accurate Reporting
  • Responsive

Claim Reporting

MedicusRx’s Claims Management System, ClaimPilot is web-based and can be accessed with any web-enabled device with an internet connection. Our staff is trained to manage all lines of coverage. We have a secure database for storing and retrieving all claim information. ClaimPilot also allows MedicusRx to track the progress of their claims from entry to […]
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Reserves are a cornerstone when providing superior claims management. Reserves are established as efficiently and quickly as possible. At MedicusRx we strive to set reserves within the first 3 days of receiving a claim. Our team of examiners are equipped with the wisdom, skills, and knowledge to evaluate reserves of any nature and at any […]
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In recent years litigation costs have skyrocketed. MedicusRx cost-containment model streamline systems, creates uniformity, mitigate damages, proactively control costs, and improve outcomes for litigated matters. Our litigation management program is designed to: Identify and prioritize high-risk litigation matters. Streamline processes for managing and analyzing litigation data. Develop a proactive strategy for reducing litigation costs. Implement […]
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Identifying and pursuing subrogation is a job specialty. MedicusRx is experienced in handling all types of subrogations and second injury fund cases. We follow all applicable laws, regulations, and procedures of the state in which the claim originated. MedicusRx will diligently conduct the necessary research, investigations, and negotiations needed to secure the maximum recovery for […]
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Our Biostatistics and Information Technology team can provide: Big Data Analytics Predictive Analytics Treatment Outcomes Cost Effective Analysis Meaningful Return to Work Analysis   In addition, our Claims Management System provides the ability to visually monitor the progress of claims and medical bills through the claims process. The system provides a real-time graphical display of […]
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MedicusRx’s claims capabilities include management of commercial auto and general liability claims for corporations and public sector entities. We manage your simple slip-and-fall incidents to serious injuries and fatalities; our priority is to provide effective resolution of claims. At initiation of the claim, we start with a thorough investigation of all issues involved before deciding […]
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Return to Work Programs

A robust return to work program should include ongoing communication and documentation between the employer, employee and treating physician to ensure that the employee is progressing safely and timely. This engagement is often not the case.  This involves communicating with the treating providers and evaluating the employee’s ability to perform their job duties.  Our claims […]
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Workers’ Compensation

Following our open and honest communication philosophy, we establish from the beginning of the claim an atmosphere of mutual dignity and respect. Ensuring the injured worker knows their rights and responsibilities. Their claims will be managed promptly, administered fairly, and they will receive the full measure of benefits to which they are entitled. MedicusRx feels […]
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Claims Department Contact

Our claims team is on call 24/7 to assist on any emergencies or catastrophic matters.

For all non-emergency calls during normal business hours, please contact our claims department 

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