SHORT-TERM DISABILITY ADJUDICATION AND ADVICE TO PAY
Wellpoint has extensive experience working with employees in safety sensitive positions, union environments and both small and large organizations. Wellpoint provides a full scope of services including: Disability Management to Physician Services, Evaluations and Independent Medicals and an excellent, national specialist network.
Our customers and their employees receive one dedicated Case Managers who are experts at assessing medical information and adjudicate claims in a timely manner.
STAY AT WORK SUPPORT
We help your employees with chronic conditions and other ongoing health issues stay at work by providing support to your employees who require accommodations or job modifications in the workplace. This process allows your employees to continue to work safely and efficiently with the appropriate medically supported accommodations.
RETURN TO WORK SUPPORT
We focus on return to work as soon as a claim is opened. A Return to Work Program outlining the employee’s capabilities and limitations is developed for review and implementation. By setting expectations around return to work and laying out the process, we set the groundwork for expedited Return to Work success for both the employer and the employee.
COMPLEX AND MENTAL HEALTH CLAIMS
We offer a robust approach to physical claims, mental health claims and claims with secondary or tertiary workplace complications. We have a high caliber interdisciplinary network across Canada that can provide all aspects of case assessment, including: case treatment, cognitive behavioural therapy, mindfulness and stress coaching, and facilitated return to work meetings.
COMMUNICATION AND REPORTING
We pride ourselves in having a reputation of being highly responsive and easily accessible. Each Case Manager has a toll free direct telephone number, so they can be reached by both the employee or the employer. We ensure the employer is always made aware of a change to case status and when to expect an employee to return to modified or full duties. Our software allows each employer to view the real-time status of open and closed cases and allows for detailed reporting.
TO CASE STATUS/