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Contact us today to learn how we can take care of your risk and benefits needs. www.sedgwick.com | 800.625.6588
© 2018 Sedgwick Claims Management Services, Inc.
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Sedgwick is a leading global provider of technology-enabled risk, benefits
and integrated business solutions. Through the expertise of over 21,000
colleagues across 65 countries, we offer services designed to keep pace
with the evolving needs of our clients and consumers.
We are here to support people in their time of need. Every year, Sedgwick
takes care of the needs of more than 3.8 million people around the globe
when something unexpected happens. Whether they have a workplace
injury, suffer property or financial loss or damage from a natural or
manmade disaster, need time away for the birth of a child or another
medical situation, or are involved in an auto or other type of accident, we
are here to let them know that it’s going to be ok.
Sedgwick is here for you, your organization, your employees and your
customers. Taking care of people is at the heart of everything we do.
We are here for our clients
At Sedgwick, we make time to listen and develop tailored programs
to help our clients achieve their unique business goals. Our clients
depend on us to take care of their most valuable assets — their
employees, their customers and their physical assets. Our 98%
annual renewal rate reflects our strong partnership with our clients
and our commitment to delivering valuable business solutions.
We are here around the world
Thanks to our growing domestic and international reach, we are
here around the globe, able to respond quickly to clients’ needs
in property, marine, auto and other lines. With a full spectrum of
services, deep roots in multiple geographies and an approach
tailored to unique local customs and regulations, Sedgwick offers
cost-effective solutions that allow you to centralize and simplify your
global strategy. As catastrophes hit, or as other needs arise, we are
able to mobilize our resources around the world to quickly respond
and help our clients restore their infrastructure and livelihood.
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We are here for your employees
When employees take time away from work for an injury, an illness or
other life event, it can be an unsettling and stressful time. At Sedgwick,
your employees are the consumers of our care; we treat them with
respect and provide a helping hand during a time of need. They may
be feeling uncertain about their job, their ability to pay bills, their
health and their future. Doing the right thing in each case includes
making sure the employee has access to the medical resources they
need, listening to their concerns, showing compassion, and being
there to assist at every turn.
We are here for your customers
Whether a person slips in a store, a patient is injured in a medical
facility, a customer believes a product they purchased might be
defective, or a property owner is in need of damage restoration,
our team is here to take care of each of them. Our unique customer
service approach ensures brand protection and early resolution.
Regardless of the type of industry, Sedgwick brings creative solutions
to help our clients take better care of their customers.
to help
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Property and loss adjusting
Sedgwick’s property loss adjusting team offers global expertise in property insurance claims and solutions for
commercial and residential markets. We specialize in large/complex losses, large domestic and international
commercial risks, middle market commercial property losses, and real estate, residential and catastrophic losses.
Our forensic engineering team provides analyses and origin-and-cause investigations. In addition, our managed
repair network of credentialed contractors around the world helps clients and consumers get back on their feet in
times of catastrophe.
LiabilityWith one of the largest teams of liability experts in the world, Sedgwick is here to resolve the challenges you face
every day, from handling general, auto, product and professional liability claims, to maintaining brand protection
in times of crisis. Regardless of the type of industry, Sedgwick brings creative solutions to facilitate early resolution,
help our clients reduce litigation, and take excellent care of their customers.
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Workers’ compensation
For nearly 50 years, Sedgwick has helped employers answer virtually every question there is about workers’
compensation. As a result, our clients experience some of the best outcomes and lowest overall claims costs. We
have expertise in nearly every type of industry, in every region, providing the broadest range of programs and
services. Our integrated workers’ compensation approach helps employers improve the claims process.
Employers are seeking quality care centered on helping each employee recover, get back to their life, and return to
work. We are here to help our clients and consumers with managed care services tailored to meet their needs. We
offer an integrated, outcomes-focused approach that includes identifying top-performing providers, coordinating
the claims process, and using case management and healthcare specialists to help improve the employee’s overall
health and well-being.
Disability and absence
As the largest provider of integrated disability and absence management solutions, Sedgwick offers a combination
of services that covers every possible time away from work scenario. Our clients depend on us to support and
improve the health and productivity of their workforce in a way that is cost-effective, efficient and compliant. We
work closely with employers to help them gain better visibility into who is away from work and for how long. Our
team of experts ensures compliance with complex laws governing disability, FMLA and ADA. They treat each
employee with compassion and respect, focusing on their overall health and wellness.
Leveraging our proven experience working with the world’s leading organizations, we continue to evolve our offerings to help manage the wide array of issues facing today’s employers. Our approach to providing quality services goes far beyond just managing claims — we strive to remove complexity from the process, making it easy and effective for everyone involved.
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with the right solutions
Our scope of integrated services makes us unique in the market; most
third party administrators and insurers can’t provide integrated workers’
compensation, managed care, disability and absence services. Sedgwick
offers clients the convenience of a single source of service for every
kind of absence, which often results in lower costs through greater
efficiencies. Our integrated approach allows clients to focus on the
bigger picture when it comes to absences, and our technology, expertise
and capabilities set us apart.
Our team provides a carefully crafted strategy designed to ensure clients
receive the most value for their dollars at the claim level, and the best
care for their employees, customers and physical assets. By viewing the
“claimant” as a consumer of care rather than a claim number, we treat
them with respect and help them get the care or solution they need.
From the first call to our consumer care team to the moment the claim
is closed, we are able to enhance outcomes for clients and consumers
through the broadest array of integrated services available in the industry.
What’s more, we are finding new ways to integrate health and productivity
management tools along the spectrum. Because healthcare can be
complex, it’s often difficult for employees to know how to navigate all of
the programs and health-related benefits their employer offers — and
who to call for what. An employee’s own health issues, as well as the
medical needs of their family, can impact productivity. Sedgwick was
the first to integrate and simplify the administration of health, workers’
compensation, disability and leave benefits, linking data and resources
through a single point of contact to help promote physical, emotional
and financial well-being in the workforce.
73%lower average total incurred loss costs
opioid prescriptions avoided through pharmacy utilization review
overall decrease in prescribed medications
decrease in morphine equivalent dose
reduction in prescription drug cost through complex pharmacy management
72%average reduction in lost time
46%drop in litigation rates
35%shorter overall claim duration
When injured workers are initially treated by our 4- and 5-star providers, we see:
Our pharmacy program results
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with a unique, integrated approach
net savings
network penetration
financial audit accuracy
day average bill turnaround time
overall reduction in provider charges
return on investment
Our bill review program maximizes savings
$2.9 billion
26:1
2.4
99%
77%
60%
47%
49%
29%
21,000
Technology
Sedgwick is here to help you get more from your claims data. We offer a fully integrated, multiline, proprietary claims
system and effective interfaces for virtually any kind of claims program, human resources or payroll system. Linking it
all, our viaOne® claims management suite provides clients with real-time access to claims and absence information
and the ability to run reports, receive alerts, and explore advanced analytics on different facets of their data.
With mySedgwick, our self-service tool, consumers have the ability to view details about their claim or case,
personalizing their experience with customized dashboards, alerts and push communications based on their
preferences. They can easily update information and keep the process moving forward, using web or mobile access
to confirm return to work dates, securely interact with their claims professional, report new claims or intermittent
absences, sign up for direct deposit, search for a medical provider specializing in occupational injuries in select states,
securely upload claim or medical documents, information or images, view and complete medical authorization and
medical history release forms, and much more.
Decision optimization
Sedgwick is blending our advocacy approach with prescriptive
analytics. We go beyond immediate medical needs, look at specific
characteristics of the claim, and then address concerns early to
help guide claims toward the best possible outcome. Analytics
continue to influence next-generation methods for predicting
care, complex claims, pharmacy needs, return to work and more.
Our decision optimization platform uses proprietary algorithms,
machine learning and sophisticated data analysis to automate
decisions and appropriately direct the care path. By continuously
analyzing every claim in real time throughout processing, we are
able to take preventative measures more quickly to avoid incidents
that might escalate a claim or impede recovery.
8.1%faster return to work
8.1%decrease in attorney involvement
38.4%reduction in high-severity claims, despite a 27% increase in overall claims volume
Over the past year, we expanded our decision optimization models and we are integrating feedback and insights daily to help our examiners fine-tune the response for each claim.
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Sedgwick delivers superior technology solutions to
employers and carriers — and our capabilities and
expertise are unparalleled in the industry. We continuously
upgrade our systems to meet our clients’ needs; many
of their recommendations result in key enhancements
for everyone. Leveraging our expertise built from nearly
50 years of working with the world’s leading employers,
the insights gained from handling millions of claims,
and a depth and diversity of claims data unrivaled in
our industry, Sedgwick is focused on pushing claims
technology to the next level.
Others can offer predictive analytics to provide insight
into risk patterns that can be addressed early in the
claims process. We can go beyond, not only revealing
meaningful trends, but also prescribing and automating
the next steps to be taken, all while putting exceptional
care and service at the forefront of the process. We
use our data to drive decisions that ultimately lead to
smarter outcomes and a more personalized experience
for clients, their employees, customers, policyholders
and other stakeholders.
We are using technology to make the consumer the focus.
Through this approach, we have seen dramatic results —
high return on investment, more timely reserving, earlier
and increased touch points with the consumer, better
understanding of their concerns, decreased litigation,
and better overall satisfaction for all involved.
1,350dedicated IT experts
$15.8 billionin claims payments annually
1.89 billionpaperless images
2.6 millioninterfaces exchanged annually
102 millionclaims housed in our system
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with next-level technology
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Sedgwick is growing our workforce and resources around the world; we are here in the right places, with the right people, at the right time. Through progressive product development, organic expansion and strategic acquisitions, our offerings continue to evolve to meet the current and future needs of clients. Sedgwick’s comprehensive business solutions focus on mitigating and reducing risks and losses, keeping employees and organizations healthy and productive, protecting brand reputations, and containing costs that can impact the bottom line.
Our global team of colleagues drives the success of our business. In order to deliver innovative, industry-leading solutions to clients and take care of consumers the way they want to be treated, we must recruit, retain and engage the best and brightest people.
At Sedgwick, caring counts.® Our company is a place where creative and caring people of all backgrounds can be challenged, grow as individuals and feel a higher purpose in the unique value they bring and the difference they make in the lives of others. We celebrate our differences; cultivating uniqueness and belonging allows us to connect with our consumers on a personal level, understand our clients’ needs, support the communities in which we operate and perform at our best.
21,000colleagues
900offices
65countries
65+languages spoken
3.8 millionclaims managed
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Compounding global risks• Reacting to catastrophes • Preparing for the threat of emerging risks• Protecting first responders
Shifting tide of policy• Asserting control over the drug crisis • Collaborating for compliance• Expanding leave programs
Bridging the gaps• Racing toward self-service innovation • Supporting diversity and inclusion within claims management• Broadening the knowledge and capabilities of today’s claims professional
Leveraging interdisciplinary care• Putting whole health into practice• Capitalizing on the power of integrated resources• Exploring alternatives for pain management
Improving experience through technology• Engaging workers throughout their recovery• Coding care• Moving beyond the predictive model• Expanding autonomous claims processing• Automating healthcare through artificial intelligence (AI) and robotic processes
Navigating 2018
We help our clients navigate the risk and
benefits management world by providing
expert resources and clear, outcomes-
focused solutions. Sedgwick’s experienced
colleagues take care of clients by listening
to their needs and drawing a roadmap
to reach their goals — helping to control
costs, improve outcomes and ensure the
best possible service for employees and
customers along the way.
In addition to assisting clients throughout
the claims process, we also keep them
informed on key topics in our industry that
may impact their businesses. We continue
to monitor the key trends our thought
leaders believe will have an impact on
employers in 2018 and beyond.
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leading the industry
Contact us today to learn how we can take care of your risk and benefits needs. www.sedgwick.com | 800.625.6588
© 2018 Sedgwick Claims Management Services, Inc.