Medical case management

InSpectre Solutions, Inc. has personnel located worldwide to provide claimant medical case management from case opening to maximum medical improvement. The case manager working with our local field agent on the ground will oversee the treatment plan, budget costs, schedule appointments and provide detailed, timely reporting.

Services within our Medical Case Management include:

• Attending medical appointments
• Collection and translation of records
• Delivering completed forms
• Communicating with local medical providers and physicians
• Cost projections
• Medical monitoring
• Medical referrals and appointments
• Medical translations
• PPD rating
• Pre-payment of expenses
• Prescription shipment and delivery
• Setting international medical examination
• Setting up and managing cashless medical networks

labor market surveys

We leverage experts in International and DomesticLabor Market Surveys to provide vocational evaluations. We consider local labor market conditions, employer expectations, medical restrictions and vocational factors in our evaluation and provide a comprehensive report.

Inspectre Solutions’ Labor Market Survey examines the following to determine an individual’s earning potential:

• Verification of available employments in worldwide locations
• Skill analysis
• Wage analysis
• Employment history analysis
• Medical history analysis
• Vocational interviews and assessment

death claims investigations

When a death claim is reported and assigned, InSpectre Solutions, Inc. is there to support the investigation. We collect witness statements and employers report of the incident, establishing proof of dependency and locate contact beneficiary as needed. We deliver stipulations to dependents and provide photographic evidence with signature to obtain a proof of medical treatment at associated cost or funeral cost.

translations

We provide translation services conducted by personnel fluent in multiple languages. Original documents and translated copies are provided side by side in a cohesive report and recorded statements are translated and transcribed.

war hazards

During all investigations the possibility of a war hazard investigation will be conducted. If determined a war hazard during the investigation, the investigator assigned will include the following:

• Scene Investigation
• Scene photos
• Witness statements
• Police reports
• Media reports
• Imagery of the location of occurrence
• Medical Reports

Upon completion of the investigation, a detailed War Hazard report is authored and provided which will clearly outline the relationship of the injury/death to the hazards of a wartime environment.

transportation services

Inspectre Solutions, Inc. manages transportation for injured workers to hospital visits, medical appointments, and physical therapy sessions for ambulatory and non-ambulatory personnel requiring assistance.

We also coordinate both non-emergency flights and assist in emergency medical evacuations , as needed. The agents on the ground have the ability to provide ground ambulance services to transport those in need to aircraft or vessels as needed to further the evacuation process

employment records investigations

Employment records are a critical aspect of worker's compensation. Our experienced field agents are well versed in finding the appropriate documents such as proof of wage (AWW), contractual agreements and terms of employment to help the client move forward in the case progression.

injury/disability investigations

General medical management services require a litany of small but incredibly important details that must be covered. Our field agents begin by determining facts of injury, recording and transcribing statements, obtain incident reports, witness statements, and all records pertinent to the claim and closely monitor the well-being of the injured worker. InSpectre Solutions agents set themselves apart from the rest by providing professional and personal comprehensive services to ensure the injured worker sees their way to maximum medical improvement.

Financial and Settlement

Inspectre Solutions is prepared to assist in providing the insurance companies a means to provide funds to the insured. This is completed in countries around the world. We have the ability to transfer funds in a timely and efficient manner as requested. With agents on the ground we have the ability to locate, contact, and obtain signed settlement information further assisting in completing the claim.

• Locating beneficiary
• Obtaining required documentation
• Discussion and explanation (in native language) of terms
• Notarized signature
• Hard copies delivered to the client upon completion
• Payments made timely (1-3) business days
• Payments in local currency
• Photographic evidence and signed receipt of funds

incident investigations

Inspectre Solutions conducts in-depth, complex investigations in order to provide insurance companies and policy holders the most accurate and detailed information related to a claim. Our investigators are highly experienced professionals with prior law enforcement and/or military special operations experience.

Unitizing local municipalities and investigative techniques these investigations include the following:

• In person interviews
• On scene investigations
• Scene diagrams
• Scene photos
• Witness statements
• Rapid and accurate reporting of the facts
• Collection of Police, Fire, and Medical Reports
• Agents are local and indigenous to the working environment with a clear understanding and respect of cultural, religious beliefs in the specific country assigned

Domestic/International Surveillance

Utilizing resources across the globe, Inspectre Solutions is able to provide surveillance of individuals and sites to collect and report information to the insurance companies and policy holders. Our investigators are local nationals whom have a deep background in law enforcement and surveillance operations. Our investigators are highly qualified in gaining access to background information in their assigned countries.

These investigations include the following:

• Social media searches
• Background checks
• Photo and video evidence
• Drone footage when able (in country laws)

Function Capacity Evaluation

With access to clinics and doctors on staff and locally, Inspectre Solutions has the ability to schedule and complete Function Capacity Evaluations worldwide.

Independent Medical Evaluation

Inspecre Solutions has the ability to coordinate and facilitate an array of Independent Medical Evaluations (IME) throughout the world. We have an established variety of doctors throughout the world whom are able to cover all medical disciplines in order to support all requests for IME’s in a timely and professional manner.

Peer Review

InSpectre Solutions is able to identify specialty doctors to provide timely and accurate peer reviews in support of medical claims. Using our resources these qualified doctors are able to review medical records and provide a qualified professional assessment of diagnosis and treatment plans.

Medical File Review

Claims are assigned to our Nurse Case Management Staff whom have over thirty years of experience in workers compensation arena reviewing files, participating in active medical case management and has worked closely with adjusters and employers in reference to their workers' compensation cases. At times a full medical file review is needed to determine the treatment which has occurred for the injury reported and more importantly has the treatment provided appropriate care, has there been care outside of the accepted injury, what barriers to recovery are noted and what is the next step to obtain claims resolution. In addition often times the claims get lengthy, are older injuries and the medical records cumbersome and are in need of clarity of treatment and glean out what is not appropriate for the reported injury. Then the adjuster can determine the next course of action with an up to date file and ideas to address.

Independent medical evaluations are often an outcome of a medical file review and the review in itself will assist not only the adjuster to direct the correct Independent Medical Examination providers but also prepare questions and obtain any missing information.