Edge Claims delivers comprehensive workers’ compensation administration that balances cost efficiency with human-centric care. From first notice to return to work, our approach blends speedy triage, jurisdictional expertise, and proactive communication to keep claims compliant, compassionate, and controlled.
Our Winning Formula
We initiate three-point contact within 24 hours—touching base with the injured worker, employer, and treating provider using phone, secure messages, or portal updates. This early coordination allows us to confirm coverage, understand circumstances, and set the tone for efficient claims handling. Our approach supports early medical intervention, speeds up return-to-work planning, and engenders trust among all parties.
Each claim is carefully aligned with adjusters who specialize in the relevant jurisdiction and injury type—whether it’s medical-only, lost-time, or complex disability. Specialized handling ensures compliance with state-specific regulations and speeds assessment of compensability and benefits. By deploying targeted expertise, we minimize administrational delays and enhance outcomes through focused adjudication.
We partner with employers and providers early to structure light-duty plans aligned with medical guidance and business needs. This seamless coordination helps injured workers reintegrate faster—boosting morale, reducing lost-time costs, and mitigating long-term disability risks. Our approach protects experience modification ratings and demonstrates a commitment to holistic, employee-first care.
We harness internal benchmarks—like accepted duration thresholds—and cross-claim analytics to identify cost drivers and predict trends before they escalate. By reviewing outcomes across departments and comparing them to evidence-based standards, we focus interventions where they matter most. This not only curb excessive medical spend and reserve leakage but also informs program-wide improvements through strategic insights.