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.

Internal Nurse Case Management Team supports our claim representatives by using their experience in the medical field to 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.

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.

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.

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.

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.