Our business is not taglines, buzzwords or glossy reports that mean little; we identify, focus on and fix your problems – even the ones you have not yet recognized!

Triage

“Medical drives indemnity”…it’s become a catch phrase in managed care. We at The Kingstree Group, Inc. however understand the impact on your injured worker and your bottom line.

Our Triage Team

  • Identifies the issues and develops the most expeditious plan for the claim from Day One
  • We triage every day, every claim

Predictive Modeling
“20% of claims represent 80% of the costs”

  • Science based and evidence based questions were identified to measure claim cost and longevity
  • Psychosocial indicators are inherent in the process and show predictive patterns with certain claim outcomes
  • Early identification allows early intervention for medical resolution
  • Predictive medical data mining means better medical outcomes and thus better claims outcomes
Telephonic Disability Management

Triage identifies the issues and our telephonic division establishes the plan to resolve them, expertly and seamlessly.

  • Immediate identification of and plan for medical and claims issues
  • Reserve detailing that saves you money
  • Compliance to recommended course of action
  • Return to work timeline, clearly and concisely detailed and achieved

Exceptional communication… a pre-requisite.

Field Case Management

The most difficult balance to achieve is the transition from telephonic disability management to the field.

  • Kingstree Group has field team staff ready when and where needed
  • Kingstree Group manages the cost of the risk without jeopardizing the integrity of the care needed
  • Kingstree Group responds quickly to coordinate with telephonic counterparts seamlessly
  • Kingstree Group provides clear, concise, goal focused communication with your entire team

Creative & efficiently managing care… expected.

Network Management

Creative implementation of specialty networks that cut your costs and streamline targeted, specialized care for your injured worker.

  • Increased network penetration
  • Exceptional treatment results – consistent follow up
  • Focus on results….Increased productivity and decreased costs

Finding the “right” provider… a must.

FMLA

Kingstree works directly with internal Human Resources, General Counsel or other designees to structure the optimal program.

  • Data analysis to identify appropriateness of the leave request
  • Seamless coordination of information
  • Clear, fast and comprehensive reports

Determining appropriateness… critical.

Short/Long Term Disability

Kingstree understands the policy driven issues that drive your costs and targets to resolution to fix them.

  • Analysis of the policy constraints so that only appropriate steps are taken
  • Custom programs based on the policy constraints and claim specific issues
  • Custom plan with report to resolve/mitigate the issues

Policy constraints… a reality.

At Risk Claims

When questionable claims/treatment are an issue, Kingstree will immediately identify high risk medical issues and behaviors

  • Clear multi option strategies are outlined
  • Unnecessary or inappropriate claims are swiftly identified

Ability to see the “red flags”… essential.

Contact us to start the dialogue.