This is the backbone of operation. Our advanced analytics drive efficiency and reliability in handling claims.
Our toolkit includes everything from utilization review to independent medical exam, and it lets us meet any contingency.
Our telephonic and field nurses offer the expertise and support that injured workers need to attain the best outcomes.
Information is our lifeblood. We use machine learning and robust algorithms to lay out the most successful path forward.
Berkley Medical Management Solutions’ medical bill-review system deploys advanced analytic technologies to deliver the most reliable and efficient handling of claims
Our telephonic case management service brings to bear a team of expert nurses to help workers achieve the most efficient and effective recovery and return to work
When a case manager’s ability to remotely oversee a case is stretched, Berkley Medical Management Solutions’ field case managers are available to direct the best possible outcomes for the most complex cases
Monitoring the clinical appropriateness of an injured worker’s treatment is key not only to a speedy and successful recovery but also to holding down medical spending
Our independent medical exams are foundational to ensuring injured workers are properly diagnosed and treated
We provide a comprehensive peer review program that matches like-to-like providers where required by a particular jurisdiction
Through our Physician Advisory Review solution, we harness the power of combined expertise to ensure thorough consideration is given the diagnosis and treatment of an injured or ill worker
One important service is a review of radiology readings to ensure a proper diagnosis of an injured worker's condition
An audit of a hospital or similar medical care facility is an important part of ensuring workers can obtain the best quality care that will speed their recovery
We maintain a network unrivaled in its quality because we believe giving those who are injured access to the most skilled clinicians is the surest way to allow for a speedy and successful recovery
When an important medical question needs answering there is no safer call than the Ask a Berkley Nurse program
Clear information is critical to better understanding and to a solid recovery so we make a point to provide relevant information through our work-site panels even when they’re not required
WeScoping out proper and accurate forecasts to ensure proper payment of future medical services is critical not only to the wellbeing of the injured worker but also to safeguarding the Medicare program
Our PBM program improves patient safety by flagging improper, duplicative or high-risk prescriptions and it also works to reduce unnecessary spending in one of the biggest drivers of overall medical costs