Skip Ribbon Commands
Skip to main content
  • Patriot Claims Center
 

 Investigations

 

​First Reports of Injury are reviewed and assigned by a claims supervisor. Simultaneously, an investigative specialist, a subrogation manager, a loss control expert, and a nurse case manager also review each new claim. Our adjusters use these various resources to gather all necessary information to determine the validity and exposure of a claim.
 

 Reserves

 

​Adjusters incorporate valuable information obtained from our investigative and medical case management partners to assist in estimating financial exposures on each claim. Formulating accurate reserves that reflect likely costs through claim resolution is critical to our clients’ success.
 

 Return to Work

 

​Crucial to a successful claim resolution is an injured employee’s return to work. Our adjusters will seek opportunities whenever possible to transition an employee back to work early and in a modified capacity if indicated.
 

 Closures

 

​Addressing claim issues from all angles on the front-end results in timely resolution and claim closure in accordance with statutory requirements. We monitor our closing ratios and strive to minimize reopens. Our goal from day one is to resolve each claim in the most efficient and effective manner possible for our clients.

  • We Are Committed To You

    We value long-term business relationships while recognizing our commitment to continually deliver results that create a competitive advantage for our clients.

     
 

 About the Claims Process

 
​​It is important to report workplace injuries within 24 hours of notice.

Patriot offers 24/7 accident reporting to help control claim costs. Our data shows that the average cost of a claim increases the longer an injury goes unreported. Costs attributed to delayed injury reporting include:
  • Limited ability to control medical treatment costs.
  • Lost details from accident investigations, which can affect our ability to pursue fraud or abuse.
  • Increased odds of litigation.
  • Delays in an early return to work, which may prolong the length of the claim and cause an increase in ultimate costs.
 

 Claims Administration

 
At Patriot National Insurance Group, we take a unique approach to claims administration. The difference is our aggressive, multi-disciplinary review of each claim. Our claims adjusters work immediately with investigation, subrogation, loss control, legal and medical case management units. As a result, we have a team of experts working together to identify, from day one, the most appropriate and cost-effective way to resolve each claim by applying our approach to the fundamental aspects of claims management:
  • Investigations
  • Reserves
  • Return to Work
  • Closures
swarm-small.jpg