Liability claim costs are soaring, fueled by escalating medical treatment expenses and social inflation. Since 2020, verdicts on complex and severe liability claims have nearly quadrupled, driving up costs for businesses.
Gallagher Bassett's Liability Nurse Review (LNR) solution is designed to provide valuable insights that will improve financial and operational outcomes of high-severity and complex liability claims.
Our seasoned professional nurses meticulously review medical records and treatment plans to validate medical causation, uncover any pre-existing conditions, and assess the appropriateness of care. These clinical insights will equip our resolution managers (RMs) with valuable information to help them strategize and resolve claims efficiently. This solution not only streamlines the claims process but also drives down expenses, leading to lower costs and improved claims outcomes.
Key Benefits of Our Solution
Expert medical review: Experienced nurses opine on medical causation, evaluate care appropriateness, and identify pre-existing conditions to analyze damages.
Enhanced efficiency for RMs: Our solution delivers comprehensive reports that save RMs significant time and effort, allowing them to focus on developing effective claim strategies and resolutions.
Informed negotiations: Our in-depth analysis and clinical insights improve reserve accuracy and timeliness, streamline decision-making, and strengthen negotiating position.
Significant cost savings: Our solution will result in lower expenses and settlement costs by enabling our RMs to effectively negotiate settlements based on the analysis and clinical insights.
Recommended Referral Criteria
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Medical Bill Review |
Clinical Review |
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Comprehensive medical bill analysis and comparison against usual and customary (U&C) rates for cases with medical specials or bills greater than $20,000. |
Detailed review of medical bills by clinical nurses applies when demand is greater than $350,000 and/or medical specials exceed $100,000, or if there are allegations of:
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$150 per package review |
$130 per hour (full cost estimate provided) |
Gallagher Bassett's dedicated team of Liability nurse consultants provide expert clinical insights to improve claims management and achieve superior outcomes.
Experience the difference with our Liability Nurse Review solution and see how it can optimize claims management, deliver efficiency, and achieve exceptional results.
For more information, please reach out to your client services manager.
Make Gallagher Bassett your dependable partner
When making the right decision at the right time is critical to minimize risk for your business, count on Gallagher Bassett's extensive experience and global network to deliver.