Capturing Third-Party Recovery in Workplace Injury Claims
Workers’ compensation claims often focus on medical treatment and benefit administration, leaving adjusters little time to investigate third-party liability.
However, many workplace injuries involve external parties such as contractors, equipment manufacturers, property owners, or negligent drivers who may be responsible for the loss.
NSS analyzes workers’ compensation claims to identify these recovery opportunities and pursue lien recovery where applicable. This approach allows carriers to capture recoveries without diverting adjuster resources away from benefit management.
A workers’ compensation insurer managing a large portfolio of workplace injury claims focused primarily on medical and indemnity benefit administration.
Third-party liability investigations were conducted only in limited cases.
Many injuries involved potential third-party responsibility, including contractor negligence and equipment failures.
Without a structured review process, potential recoveries were frequently overlooked.
NSS conducted a systematic review of injury claims to identify opportunities for third-party liability.
By coordinating recovery investigations and pursuing responsible parties, NSS helped the insurer recover funds, thereby reducing overall claim costs.
Workers’ comp carriers that:
