Disability Review Services

Claims and Independent Medical Reviews

Successfully managing short-term disability (STD) and long-term disability (LTD) claims and SIU cases are critical but often a significant challenge for Employers to navigate this complex, strictly regulated program component.

Our Disability review services provide our clients clinical and compliant guidance so they can effectively manage occupational and non-occupational disability claims. With timely, accurate, and defensible information employers can effectively manage disability duration and patient treatment necessary to advance return to work outcomes and workers can be assured they will receive the financial support they are entitled. Evidence-based decisions help validate conditions and determine appropriate treatment and duration.

The Clinical Experts
NEXUS provides disability review services that are tailored to meet your unique claims processing regulatory requirements and client-specific goals. These customizable services are delivered with specialized clinical expertise to help our clients improve processing efficiency and mitigate claims costs.

Our Disability Review Services Include:

STD Peer Review
LTD Peer Review
Permanent/Total Disability Peer Review
Functional Capacity Evaluations

Impairment Rating Reviews
FMLA Reviews
Independent Peer Review
SIU Services

YOUR MODEL, OUR PLATFORM

NEXUS has designed clinically sound cost-containment solutions for seamless integration into any disability claim management model.. We can tailor our platform to effectively align process, technology, and reporting for any unique workflow architecture.

Every aspect of our platform has been honed for efficiency, sustained by our state-of-the-art utilization review portal. Our physician portal was designed to optimize the reviewer’s expertise and reduce the administrative burden for all panelists and clients. Our customized client portal allows easy access real-time case information and determinations, rendering evidence-based decisions quickly and streamlined so your team can efficiently handle claims.

MAKE THE RIGHT DECISIONS ABOUT DISABILITY CLAIMS

Our disability review services provide timely, accurate, defensible reviews.