Guiding Our Members on How to Get Their Employees Back to Work
The California Schools Risk Management workers’ compensation program not only provides members the mandated coverage for work related employee injuries, but also provides additional enhancements and services as well.
Program Highlights
Highlights of the Program Include
Coverage up to Statutory Limits
Claims administration services included for the life-of-the-claim regardless of the retention level selected.
Our Claims Administration Services Include
Dedicated claims team
In-house technical claims professionals
Adjuster caseloads of 125 files maximum
“Day of Injury” nurse triage services and hotline reporting through Company Nurse
Quarterly file reviews
Viewing access to TPA claims system
All medical management services
Medical provider network
Utilization review
Bill review
Pharmacy benefit management program
Added Benefits at No Additional Cost
Coverage for district volunteers (If district board has passed a resolution approving such coverage)
Student worker coverage
Member workshops and roundtables
Occupational Clinic Management Program
Employee access to Kind Souls Foundation for any work displacing event
Workers’ Compensation 101 training for administrators and staff
Access to a free employment law hotline to assist with questions about the interactive process
Settlement evaluation
Litigation Management
Independent claims audits
Creation of new loss packets for employees
Utilization Review Pass Through Program: expediting treatment and reducing UR costs
