Patriot National’s industry leading claims professionals have developed a revolutionary approach to claims handling. Patriot uses a SWARM approach. This unique claims model is a break from the traditional linear thinking that has plagued claims management services.
The secret to our success is in the high-touch, front-end loaded claims review and case management process — The SWARM. This aggressive, proactive model reviews all levels of the claim, at every management level, immediately and simultaneously.
First Reports of Injury are reviewed and assigned by a claims supervisor. Simultaneously, each new claim is also reviewed by an investigative specialist, a subrogation manager, a loss control expert and a nurse case manager. Our adjusters use these various resources to gather all necessary information to determine the validity and exposure of a claim.
Adjusters incorporate valuable information obtained from our investigative and medical case management partners to assist in estimating financial exposures on each claim. Formulating accurate reserves that reflect likely costs through claim resolution is critical to our clients’ success.
Return to Work
Crucial to a successful claim resolution is an injured employee’s return to work. Our adjusters will seek opportunities whenever possible to transition an employee back to work early and in a modified capacity if indicated.
Addressing claim issues from all angles on the front end results in timely resolution and claim closure in accordance with statutory requirements. At Patriot National Insurance Group, we monitor our closing ratios and strive to minimize reopenings. Our goal from day one is to resolve each claim in the most efficient and effective manner possible for our clients.