21Feb 2019

Our New Approach to Claims Management


Restoring injured workers is the heart of what we do.  Always innovating and improving, we redesigned our claims management methodology to deliver better service and outcomes.  We organized our claims professionals into four specialized units, each with a single dedicated focus:

  • Intake Specialist – Evaluates and establishes liability for the claim.
  • Fast Track Specialist – Helps injured workers with minor injuries get well and back to work.
  • Return to Work Specialist – Helps more seriously injured workers get well and back to work sooner.
  • Legacy Specialist – Finds solutions to close older, more complex claims.

With our new focused approach, each part of the claims process is handled by an expert in that particular phase of the claim. Team members of each unit were selected based on their interest and skills in that particular part of claims handling. These are professionals who love their work, and care about outcomes.

Andy Jimenez, State Fund Executive Vice President of Claims, said, “We have seen very promising results so far through our new claims structure. We are very encouraged with our case outcomes to date and hope to continue seeing progress that meets our customers’ needs.”

Our specialists are empowered to do what’s right so injured workers get the care they need quickly and easily. Workplace injuries can be stressful for all involved, but with State Fund, we are with you every step of the way, with the best tools and people in the industry to quickly and efficiently handle claims.

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