Medical Subrogation Experts

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Maximizing Recoveries Through Automation with a Human Touch!

Medical subrogation expert shaking doctor's hand

Why SecondLook Medical Subrogation?

$0 Cost Implementation
Direct cash recoveries back to the employer or Plan
Plan language & program design consultancy
Subrogation Proprietary ID Algorithm with ICD10 Data Mining
1-1 Attorney Case Management and Reporting with No Additional Cost

Medical subrogation experts shaking hands

Administrator Agnostic =

$1B dollars recovered for our clients

$1 Billion

With over $1 billion dollars recovered for clients, SLMS drives results by protecting the health plan assets and giving the employer Plan control of all subrogation claims.

SLMS is “Administrator Agnostic” which eliminates the risk of disconnection by providing one point of contact for all the Plan’s subrogation needs. SLMS coordinates with the corporation medical plan administrator, the disability carriers, and the pharmacy benefits provider to consolidate medical, self-funded disability, and prescription drug expenses into one claim!

Introducing CHAMELEON

Our Subrogation Technology – Industry-Leading Data Mining

SLMS is powered by Chameleon, a unique, proprietary methodology that blends claims automation, and algorithms. Our proprietary ID algorithm implements industry-leading ICD10 data mining and identifies the broadest range of claims possible. By using the most sophisticated sort routines in the industry to identify potential subrogation claims, our system identifies potential claims while minimizing unnecessary communications. Chameleon can accept all forms of data from administrators’ systems, and currently receives data feeds from the largest nationwide carriers.

THE SECONDLOOK DIFFERENCE!

Subrogation SecondLook, Inc. subrogation differentiator chart

CHAMELEON Maximizes Automation

Hard to find, overlooked subrogation

Easy to identify subrogation is the limit of many administrators and health plan subrogation service providers, which helps to explain why at least 15% of all subrogation is missed at a cost to the industry of over $15 billion dollars annually.

But what about the hard-to-find, often overlooked subrogation that requires a unique blend of automation, human touch, and domain expertise?

Traditional Methods like phone and mailing, Modeling, Machine Learning, and AI will get you 80% of the way there. What about the other 20% your Plan is missing? SL/MS uses Chameleon to bridge the gap.

Traditional Methods: 65%

Predictive Analytics: 70%

Machine Learning: 75%

Artificial Intelligence: 80%

Chameleon Technology: 100%

Results may vary

The SL/MS Process

Medical subrogation is challenging, even to the savviest of self-insureds. At SecondLook Medical Subrogation we have developed proprietary algorithms that can be used to ID missed subrogation. We then work with our attorneys and paralegals to recover money and deliver it to your Plan!

$0 COST IMPLEMENTATION

SLMS services are provided with no upfront implementation or programming fees, or any incurred costs beyond the net contingency fee rate on recoveries.

Subrogation Purchasing

SLMS services are provided with no upfront implementation or programming fees, or any incurred costs beyond the net contingency fee rate on recoveries.

100% Onshore Solution

We are here to assist with highly trained attorneys and claims investigation experts that can provide much-needed expertise to ensure the right outcomes are delivered to our clients by a dedicated, secure onshore team.

No Cost Reporting

SLMS services are provided with no upfront implementation or programming fees, or any incurred costs beyond the net contingency fee rate on recoveries.

Seamless Integration

SLMS is so confident in our ability to identify missed subrogation that we have built out models that allow us to buy subrogation claims, creating immediate cash flow.

DISCOVER – RECOVER

Health Plan Recovery Experts – and a FREE SecondLook!

Medical subrogation is one of the overlooked aspects of the healthcare recovery industry. Billions of dollars are paid out to plan members by self-insured companies each year. As much as 15% of what is paid out can qualify for subrogation. Plan members who have slipped, tripped, been in a car crash, or had a work-related loss, all have subrogation potential.

Traditional administrators utilize antiquated or inefficient processes to try and ID subrogation liability. Members often ignore these requests. While we maximize the human touch with our investigators, SLMS utilizes a proprietary methodology to identify potential claims and validate where there may be an eligible tortfeasor or third party to pursue.

SLMS will audit claims data for FREE because we are so confident that we will find money. To date, we have recovered over $1 billion dollars for our clients!

+ BILLION

Recovered For Clients!

+ YEARS

Collective Claims Experience

We always find our clients money,

guaranteed!

Our clients include multiple Fortune 500 companies, mid-tier companies, and smaller enterprises.

With a collective 600 years of claims experience, it should come as no surprise that our results are at the top of the industry.

Whether we are your primary subrogation provider, closed file review auditor, or a second or third-look provider our team can help and we have the results to prove it.

Finding you LOST revenue!

Let us conduct a missed recovery review!

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