Nurse case management for injury claims
Field & catastrophic case management that moves claims forward.
When an injury claim stays open, we put an experienced clinical case manager at the injured person's side — at every appointment — so you get clear answers, appropriate care, and a safe, timely return to work.
- Workers' compensation
- Auto & motor vehicle accidents
- General liability
- Catastrophic loss
Visit summary
Orthopedic follow-up
- Progress
- Improving with physical therapy
- Work status
- Modified duty
- Restrictions
- No lifting over 20 lbs
- Next appointment
- Re-evaluation in 4 weeks
Path to resolution
Step 3 of 4
- Referral
- Assessment
- Treatment
- Return to work
Working on behalf of
- Insurance carriers
- Third-party administrators
- Self-insured employers
- Claims adjusters & managers
What we do
A clinical partner in the exam room — working for clarity on every claim.
After a workplace injury or auto accident, a claim can stay open for months while the injured person is treated and out of work. During that time, the questions that matter most — What's the diagnosis? Is treatment working? When can they return to work? — are answered in a doctor's office the claims team never sees.
Insight Catastrophic Consulting closes that gap. On behalf of insurance carriers, TPAs, and self-insured employers, our case managers attend medical appointments, communicate with treating providers, coordinate care, and report back with clear findings and recommendations — keeping each claim moving toward recovery, return to work, and resolution.
For claims teams
Objective, timely clinical information to guide decisions, reserves, and closure.
For injured people
A knowledgeable guide through treatment, with a clear plan back to work and daily life.
For employers
Defined restrictions and modified-duty coordination to bring valued employees back.
For providers
A single, responsive point of contact who keeps everyone working from the same plan.
Services
Case management built around how claims really work.
From a single lost-time injury to the most complex catastrophic claim, we tailor our involvement to what the file needs.
Field Case Management
A clinical professional attends medical appointments in person, clarifies treatment and work status, and reports back to your claims team.
- In-person attendance at physician, specialist, and therapy appointments
- Direct communication with treating providers to clarify diagnosis and treatment plans
- Documentation of work status, restrictions, and anticipated maximum medical improvement
Catastrophic Case Management
Specialized management of severe, life-altering injuries — coordinating complex care from the hospital through rehabilitation and home.
- Early involvement at the acute-care stage and bedside evaluation
- Discharge planning and transition to inpatient or outpatient rehabilitation
- Coordination of specialists, therapies, equipment, and home health services
Return-to-Work Coordination
Clear restrictions, realistic goals, and employer coordination for a safe and timely return to work.
- Clarification of specific work restrictions and their expected duration
- Review of job demands and essential job functions with the employer
- Coordination of transitional, light, or modified duty
Clinical Claim Consulting
Clinical review of records and treatment plans, with practical recommendations to move stalled claims toward resolution.
- Medical records review and treatment timeline summaries
- Assessment of treatment against the documented injury and accepted guidelines
- Identification of gaps, duplications, or inconsistencies in care
How it works
From referral to resolution, step by step.
A clear, consistent process — so you always know where a claim stands and what happens next.
Step 1: Referral
Send us the claim details. We confirm receipt promptly and assign a case manager matched to the injury and location.
Step 2: Initial assessment
We review the records, meet the injured person, and contact treating providers to understand the injury, treatment, and goals.
Step 3: Appointments & coordination
We attend medical appointments, clarify treatment and work status, and coordinate the care needed to keep recovery on track.
Step 4: Reporting & resolution
You receive clear, timely reports with recommendations — through return to work, maximum medical improvement, and case closure.
Why Insight
Clinical insight you can act on.
We work for clarity, accountability, and outcomes — for the claims team and the person at the center of the claim.
Objective clinical oversight
An experienced clinical perspective on every file — focused on facts, appropriate care, and measurable progress.
Clear, timely reporting
Concise reports after each significant contact, written for claims professionals — not buried in jargon.
Return-to-work focus
Every plan is built around a safe, sustainable return to work and a defined path to closure.
Respect for the injured person
We build trust with the people we serve. Engaged, informed patients recover better — and claims resolve faster.
Cost-conscious coordination
Care aligned with the injury and accepted guidelines, helping you avoid unnecessary delays, duplication, and expense.
Responsive communication
A dedicated case manager you can reach — so you're never left waiting on what happened at the last appointment.
Experienced with routine and catastrophic injuries alike.
Our case managers support recovery across a wide range of injuries — from soft-tissue strains to life-altering trauma.
- Traumatic brain injury
- Spinal cord injury
- Amputation
- Severe burns
- Polytrauma & multiple fractures
- Orthopedic & post-surgical recovery
- Back & neck injuries
- Soft-tissue injuries
- Chronic pain
- Crush & industrial injuries
What does Insight Catastrophic Consulting do?
We provide medical case management for injury claims. When someone is injured — on the job or in an auto accident — and the claim remains open, we assign a clinical case manager who attends medical appointments, communicates with treating providers, coordinates care, and reports to the insurance carrier, TPA, or employer. Our goal is appropriate care, a safe return to work, and a timely, well-documented resolution of the claim.
Who do you work with?
We work on behalf of insurance carriers, third-party administrators (TPAs), self-insured employers, and the claims professionals who manage workers' compensation, auto, and liability claims.
What types of claims do you handle?
We handle workers' compensation, auto and motor vehicle accident, and general liability claims — from straightforward lost-time injuries to catastrophic cases such as traumatic brain injury, spinal cord injury, amputation, and severe burns.
What is nurse case management in workers' compensation?
Nurse case management in workers' compensation is the coordination of an injured worker's medical care by a clinical case manager. The case manager works with the injured worker, physicians, employer, and claims adjuster to make sure treatment is appropriate and timely, restrictions are clearly defined, and the worker returns to employment safely.
What do your case management reports include?
Reports typically cover the current diagnosis, treatment plan and progress, work status and restrictions, upcoming appointments, any barriers to recovery, and our recommendations for next steps — written clearly so adjusters can act on them.
How do I make a referral?
Use the referral form on this page or email us directly with the claim number, injured person's name, date of injury, and the service you're requesting. Please don't include medical records or other protected health information in the website form — we'll follow up with a secure way to share documents.
Contact
Make a referral or ask a question
Tell us about the claim and we'll respond promptly to discuss next steps and assign the right case manager.
For a new referral, it helps to include:
- Claim number and line of coverage
- Injured person's name and date of injury
- Service requested and claim location
- Adjuster contact information