1010 E. Union St. Suite 203, Pasadena, CA 91106 P: (866) 808-GSGA
Runaway File Management Program

GSG’s Runaway File Review and Management Program is a solution for your “Old Dog” claims. These are the claims that have turned sour or have been ongoing for a long period of time. They may have multiple treating physicians and months or years of temporary total disability (TTD). They may involve treating doctors unwilling to release the injured employee to transitional duty, or to write a permanent & stationary (P & S) report. These claims may have years of unwarranted, unsuccessful chiropractic and/or other treatment, involve multiple body parts and have a complex medical history. They are usually time consuming to review.

GSG’s nurse will take these “dogs” off your desk, and find a medical solution or direction to help resolve these issues and assist in case closure.

  • Cases are assigned to the GSG nurse based upon criteria set by the client and GSG.
    (i. e. excesive/lengthy treatment, prolonged TTD, inability to get a P & S report from the treating doctor, etc.)
  • The nurse performs the initial review at the client’s office where the case can be discussed with the claims staff. (Work on file may then be performed at GSG’s main or satellite office.)
  • The nurse communicates with the providers of treatment telephonically and in writing to obtain the goals specific for each file.
  • Communication continues with the providers until the goals are reached. Each communication is shared with the claims adjuster until resolution.
  • Brings the medical and disability issues of these “dog” claims under control.
  • Restrictions received from physicians allow the injured employee to return to the workplace in a temporary modified position or, establish qualified injured worker (QIW) status so that the employee may begin to participate in vocational rehabilitation, where applicable.
  • Moves the “dogs” off the desk and toward resolution while assuring that medical treatments are appropriate and disability parameters correlate with industry best practice standards.
  • Brings the medical and disability issues of these “dog” claims under control.
  • Reduces the size of pending caseloads.
  • Increases claims department productivity by removing the burden of hours of complex medical review and physician follow-up from claims adjusters.
  • Reduces the overall costs of the Workers’ Compensation program by ending unnecessary, unproductive treatment and TTD, therefore reducing the employer’s claim severity.

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