MEMPHIS, Tenn., Dec. 7 /PRNewswire/ -- Sedgwick Claims Management Services, Inc. (Sedgwick CMS) and UnitedHealth Group (NYSE: UNH) today signed a letter of agreement to develop and operate a program for the integrated servicing of employer-sponsored disability, group medical and workers' compensation plans along with FMLA and other employee leave and absence programs.
"The traditional practice of stand-alone delivery systems for workers' compensation, disability, group health and leave of absence programs exposes both employers and employees to confusing compliance requirements," said Sedgwick CMS President and Chief Executive Officer David A. North. "It also increases the difficulty of achieving optimal treatment, return-to-work and long-term wellness outcomes. Our industry has made significant advances in recent years through integrated disability and total absence management strategies. Now Sedgwick CMS and UnitedHealth Group are taking a breakthrough step toward a truly comprehensive solution."
The goals of the new service will be to improve the overall health and productivity of workers and manage benefit costs more effectively by streamlining program utilization for claimants, establishing systems for information sharing and collaboration among program support specialists, and organizing services and support around comprehensive recovery strategies for individuals.
The system will utilize a triage approach and deep level of integration to expedite the identification of needs and the timely referral of cases. Employees of participating Sedgwick CMS/UnitedHealth Group clients will have a single telephone number and Web site for access to all medical and absence program administrative support. Intake representatives will work with callers to set in motion the coordinated delivery of the appropriate combinations of claims processing and care management services for their needs. Sedgwick CMS and UnitedHealth Group specialists will be co-located in client-dedicated teams to facilitate the identification and integrated delivery of services and resources.
Subject to applicable privacy regulations, the service process will operate from a unified data record for each claimant. This information will be used to minimize duplications of effort; create processing efficiencies; and eliminate gaps, redundancies and opportunities for abuse in the provision of medical care and leave entitlements. Employers will have access to the data through online tools and outcome-oriented reports that will enable them to manage employee health and productivity more effectively.
Sedgwick CMS will provide administration of workers' compensation and disability claims as well as FMLA and other absence management services. UnitedHealth Group will provide health insurance, vision, dental, life, wellness, employee assistance program (EAP) and related customer services through its Uniprise affiliate. Additionally, on-site rehabilitation and vocational specialists will be available to assist the clinical team with return-to-work issues.
"When individuals are absent from work for any reason, they may often experience related medical and behavioral health care issues," said UnitedHealth Group Executive Vice President of Clinical Strategy Miles Snowden, M.D. "We are learning more every day about the roles of prevention, co-morbidities and early intervention in determining worker health and productivity. The collaboration we are announcing today will enable UnitedHealth Group and Sedgwick CMS, drawing on their extensive resources and complementary areas of expertise, to respond quickly to the real points of need as they emerge."
"Employers and employees alike will share in the advantages of improved worker health, reduced lost time and lower overall costs," concluded Sedgwick CMS's North.
About Sedgwick Claims Management Services, Inc.
Sedgwick CMS is the leading North American provider of innovative claims and productivity management solutions. Sedgwick CMS and its affiliated companies deliver cost-effective claims administration, managed care, program management, risk consulting and related services to clients through the expertise of 6,200 colleagues in a hundred and fifty offices in the U.S. and Canada. The company specializes in workers' compensation; disability, FMLA and other employee absence; and general, automobile and professional liability claims services. For more see http://www.sedgwickcms.com .
Sedgwick CMS is a minority-owned subsidiary of Fidelity National Financial, Inc., (NYSE: FNF), number 264 on the Fortune 500 and a leading provider of title insurance, specialty insurance and claims management services. More information about FNF can be found at http://www.fnf.com . The other principal investors in Sedgwick CMS are Thomas H. Lee Partners, L.P. and Evercore Partners (NYSE: EVR).
About UnitedHealth Group
UnitedHealth Group is a diversified health and well-being company dedicated to making health care work better. Headquartered in Minneapolis, Minn., UnitedHealth Group offers a broad spectrum of products and services through six operating businesses: UnitedHealthcare, Ovations, AmeriChoice, Uniprise, Specialized Care Services and Ingenix. Through its family of businesses, UnitedHealth Group serves approximately 70 million individuals nationwide.
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|SOURCE Sedgwick Claims Management Services, Inc.|
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