Integrated Injury Management
Integrated Injury Management is the Sedgwick CMS best practice for managing workers’ compensation medical claims. IIM integrates the two core services most of our workers’ compensation clients need: claims administration and medical case management. IIM brings our claims examiners and nurse case managers together as teammates and collaborators in a unified, technology-based, outcomes-oriented service process.

Medical costs are the biggest financial driver in the workers’ compensation equation – and rising faster than any other expense. IIM is the centerpiece of the Sedgwick CMS response. IIM enables claims examiners and nurses to share the power of each profession’s distinctive skills and knowledge in order to…

• Help injured workers recover and return to work more quickly
• Improve communications with injured workers and medical providers
• Improve efficiency, eliminate redundancy and leverage technology in work processes
• Mitigate double digit inflation rates for medical costs
• Improve total cost of risk results for our clients

Integrated Injury Management drives these results through the use of…

• Automated, database-driven multi-dimensional triage triggers customizable by client
• Streamlined, non-redundant first contact protocols
• Joint action plans for the full cycle of managing workers’ compensation claims
• Unified operational supervision for claims administration and clinical colleagues
• Consistent application by all staff of disability duration guidelines
• Refined tools for measuring the impact of nurse case management on treatment outcomes

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