Windley Ely specializes in comprehensive claims management for both occupational and non-occupational programs. Our solutions help organizations optimize costs, improve outcomes, and make data-driven decisions across the entire claims lifecycle.
Our approach combines personalized service with innovative technology and expert consulting. We deliver tailored solutions for your industry needs, supported by advanced analytics and reporting capabilities that provide actionable insights for better decision-making.
Our workers’ compensation portfolio includes comprehensive and partial medical claims management, specialized injury management programs, expert consulting services, legal advisory support, and workplace accommodation solutions. Each service is customized to address your organization’s specific requirements and challenges.
We streamline employee care through integrated management of non-occupational programs, including short-term disability and comprehensive attendance management. Our solutions help reduce administrative burden while ensuring consistent application of policies and improving return-to-work outcomes.
Yes, we offer both comprehensive and targeted medical claims management solutions. Our full medical claims management coordinates all aspects of care from initial treatment through ongoing support, while our partial medical claims management provides focused support for specific elements of the claims process. Both services ensure employees receive appropriate care while effectively managing costs and improving outcomes.
We support diverse sectors including transportation, logistics, retail, manufacturing, healthcare, construction, and municipal organizations. Our solutions adapt to each industry’s unique risk profiles and regulatory requirements, ensuring relevant and effective claims management regardless of your sector.
Our team provides end-to-end guidance through the workers’ compensation claims process. We assist with initial incident reporting, claim documentation and submission, medical care coordination, ongoing case management, return-to-work planning, and final claim resolution. At each step, our experts work to ensure optimal outcomes while minimizing disruption to your operations.
Clients have 24/7 access to our secure, SOC 2-certified Claims Management Platform. This comprehensive solution provides complete visibility into claims data with real-time reporting and analytics to support efficient management and informed decision-making. The platform’s intuitive interface makes monitoring claim status, tracking trends, and generating custom reports easy.
We integrate regulatory compliance into our claims management approach by implementing best practices for workplace safety and developing robust risk management protocols. Our team ensures all claims handling meets current legal requirements, monitors workplace conditions, and identifies potential safety risks before they lead to claims. This proactive approach helps minimize liability while creating safer work environments.
Our nurse triage services provide immediate clinical assessment of workplace injuries, ensuring employees receive appropriate care from the outset. This early intervention helps reduce unnecessary emergency room visits, guides employees to in-network providers, and facilitates better outcomes while controlling costs. The service also provides valuable documentation of the injury and initial care decisions. Additionally, by acting as a 24/7 telehealth service, Nurse Triage allows for the implementation of First Aid measures anywhere there’s phone coverage. This allows some incidents to remain First Aid only and never become a reportable WCB claim.
Yes, we offer comprehensive workplace accommodation services that help ensure compliance with legal requirements and remove workplace barriers for employees with medical conditions. Our experts implement tailored solutions that address individual employee needs, maintain productivity while supporting employee recovery, and document accommodation processes for compliance. This holistic approach benefits both the employee and the organization.
We accelerate recovery through prompt clinical interventions, coordinated case management, and personalized return-to-work planning. Our approach ensures workers receive appropriate care and guidance, minimizing disability duration and improving outcomes for both employees and employers. By focusing on the individual needs of each case, we help facilitate optimal healing and successful workplace reintegration.
We identify cost-saving opportunities through strategic early intervention, advanced analytics to detect claim patterns, coordinated medical management, proactive return-to-work programs, and targeted prevention initiatives based on your specific claims history. Our clients typically see significant reductions in both direct claim costs and indirect expenses related to lost productivity and replacement staffing.
We provide timely clinical interventions and case management, ensuring workers receive the proper care and guidance to recover and return to work as quickly as possible.
Our attendance management program monitors attendance patterns with early alert systems for potential issues. We offer data-driven recommendations based on absence trends, strategies to address chronic absenteeism, policy development and implementation support, and regular reporting on program effectiveness. This comprehensive approach helps organizations maintain productivity while addressing legitimate employee needs.
Yes, we provide legal advisory services to resolve disputes and ensure compliance with workers’ compensation laws.
Yes, we offer consulting and account management services, providing tailored advice and strategies for your claims management needs.
Starting your partnership with us is easy. Contact our team through our website contact form or call 1-877-947-2090 to speak with a representative. We’ll guide you through our onboarding process and customize our solutions to meet your needs.