MEDICAL MANAGEMENT
This service provides an objective physician evaluation of an injured claimant to address issues such as diagnosis, causation, treatment, or work restrictions.
What is an IME?
This service involves discreetly observing and documenting a claimant's activities to determine whether their actual activity is consistent with what they have reported.
What is Surveillance?
Answer: A prospect says, “We already have vendors we work with.” The best response focuses on positioning Ethos as this rather than immediately trying to replace their existing relationships.
What is an additional resource in your backpocket
This service involves searching publicly available websites, online sources, and digital information to uncover relevant intelligence about an individual or subject.
What is an Internet Mining Search?
This service provides an independent medical opinion from a physician or specialist to help clarify a disputed medical issue in a claim.
What is a Peer Review?
This service can help an SIU or claims professional gather additional information about a person, business, or claim when there are concerns about the accuracy of the information provided.
What is a Background Investigation / Desktop Investigation?
Answer: When a prospect says, “Just send me some information,” the goal isn't simply to email a brochure—it’s to use the conversation to uncover this before ending the call.
What is an opportunity to schedule a meeting?
When traditional contact information has gone cold, this investigative service uses available data sources to help identify where a subject may currently be found.
A workers' compensation claimant has been treating for an extended period, the adjuster questions whether the treatment remains necessary, and the employer wants an objective assessment before continuing to authorize care. Which Medical Management service would you recommend, and why?
What is Utilization Review?
An adjuster has concerns that a claimant may have a history of prior injuries or treatment that was not fully disclosed on the current claim. They want to identify potentially relevant prior medical treatment providers and obtain additional information about the claimant's medical history. Which investigative service would you recommend?
What is a Medical Canvass?
Answer: “We don't have a need right now” doesn't necessarily mean “never.” A strong response explains why it can still be valuable to know about Ethos before this happens.
What is a difficult or complex claim?
Rather than simply identifying whether someone has been arrested or convicted, this service focuses on uncovering a subject's involvement in non-criminal court proceedings.
What is a Civil History Profile?