In-House Collaboration for
CLAIMS MANAGEMENT
A Culture of Collaboration
Our proactive, in-house experts work together to close claims faster than industry average, which gets your injured employees back to work faster with fewer claims costs, and makes a bigger impact on your productivity.
In-House Experts. Collaboration. Outcomes.
That’s the Zenith Difference.
When claims occur, Zenith is known for implementing efficient communication as we apply the combined power of our in-house attorneys, doctors, nurses, claims managers, and other experts - all of which can lead to lower premiums by improving your experience modification over time.
Better for You. Better for Your Employees.
We are recognized for our focus on delivering quality outcomes that protect your interests and your employees. Our goal is to prevent claims from happening with evidence-based, proactive solutions from our Safety and Health experts.
How We Deliver Optimal Outcomes:
Superior Claims Management
Return to Work Expertise
Subrogation and Recovery Services
Legal Services
Bill Review
Utilization Review
Managed Care Services, including Nursing Services and Case Management
Services: Durable Medical Equipment, Diagnostic, Home Health, Transportation, Translation
Certified Networks including MPN and HCN
PPO Networks
Customized Direct Partnership Agreements
Pharmacy Benefit Management
Provider Negotiations
Medical Case Management by Experts
Zenith policyholders get superior outcomes and needed care for their employees as a result of collaborative medical case management from Zenith’s in-house:
Board-certified physicians
Registered nurses
Occupational health experts
Physical medicine experts
Rehabilitation experts
Board-certified surgeons
Pharmacists
Claims specialists & more!
Together, they collaborate with claims examiners to coordinate individualized care for injured workers ensuring optimal care and maximum recovery.
We Pay What Is Appropriate So Your Business Can Control Costs
Most of our in-house experts are also certified medical coders who process thousands of medical bills submitted on claims.
With 50+ nurse attorneys, physical therapists, nurses, and other medical professionals reviewing incoming medical bills, customers benefit from the deep perspective of experience.
Pharmacy
Zenith also utilizes our national provider network for timely and appropriate treatment with a focus on return to work and sustained recovery.
Our approach to our pharmacy program minimizes dosage miscalculations, fraud, and drug misuse.
The Zenith Difference In-House Legal Services
Zenith customers benefit from predictable and lower claims costs because we handle most of the legal work in-house. Our attorneys can collaborate directly with other multidisciplinary staff to efficiently and affordably resolve claims in a timely manner and at a reasonable cost.
Results Driver Subrogation
Our dedicated in-house team of subrogation attorneys and specialists are highly skilled in identifying and pursuing third-party reimbursement opportunities. No pursuit is too small or too complex. Zenith frequently achieves a 75% to 100% recovery rate.
Lien Resolution and Recovery
Our lien unit successfully mitigates and fights improper liens to lower claim costs, positively affect experience modifcation rates, and deliver value to our customers. We pay an overall average of 7% of resolved lien costs and proudly pass the savings to our customers.