West Bend & Workers' Compensation Claims

The Silver Lining^® at Work for You

West Bend’s Workers’ Compensation Claims team works hard to deliver Silver Lining Service to our policyholders and their employees. Here’s how:

• New losses are assigned with a sense of urgency, matching claim severity with the appropriate expertise of the adjuster.
• Our team of claim professionals averages 13 years of experience.
• By limiting the jurisdictions in which they work, our professionals become experts in those areas.
• We emphasize and encourage continuing education for our claims professionals.
• A catastrophic team is dedicated to high-exposure claims.
• We maintain low average caseloads for each claim representative.
• We have an on-staff medical cost containment specialist.
• We apply best practices to all claims, regardless of the severity.
• We offer ambitious medical cost containment programs that include a rehabilitation network, bill review, and medical implant solutions.

The Silver Lining NurseAdvantage is our qualified nurse case manager program. Using their experience in the medical field, these professionals carefully examine the medical aspects of Workers’ Compensation claims to reduce the duration of the disability, as well as the cost. This not only helps control the cost of these claims, it results in a more positive outcome for both policyholders and their employees.

West Bend’s Narcotic Task Force developed a comprehensive program that executes strategies to cut down on the use of narcotic medication, while emphasizing education, early intervention, and comprehensive evaluations. The goals of this program are favorable outcomes, and more importantly, restoring the quality of life of injured workers. West Bend’s expertise-driven culture provides our claim staff with the knowledge, tools, and resources needed to attack this growing problem.

West Bend’s Special Investigations Unit (SIU) helps our policyholders manage loss costs through an integrated program aimed at early detection and resolution of questionable claims. Our commitment is straightforward – deliver timely, thorough, and efficient investigative service. Our goal is simple: Stop fraud in its tracks.

West Bend’s Early-Return-to-Work Program can significantly reduce the amount of time an employee is off work after a work-related injury, illness, or disease, and reduce our Work Comp policyholders’ premium costs by decreasing disability periods.

When submitting a medical bill or records electronically, please include the claim number for reference and payment. If you need claim information, contact West Bend Mutual Insurance at 800-236-5004.

E-Billing Information for all providers:

WorkCompEDI

Primary Payer ID: LS253

Sub Payer ID: WZ081 (the 0 is numeric, not alpha)

If providers are having an issue sending an electronic submission, they should contact WorkCompEDI at 800-297-6906 or via email at Sales@WorkCompEDI.com to discuss options for the submission of electronic transactions. Their website is www.WorkCompEDI.com.

When submitting a medical bill or records electronically, please include the claim number for reference and payment. If you need claim information, contact West Bend Mutual Insurance at 800-236-5004.

For additional information regarding submission of electronic bills, please contact WorkCompEDI at 800- 297-6906.

Workers' Compensation Claim Kits

The kit is provided to new workers' compensation policyholders and their agents, as well as to all current policyholders when their policies renew. It contains important West Bend claims contact information, an introduction to our current medical cost containment initiatives, and forms to help policyholders implement early-return-to-work programs for their employees.