MEMPHIS, Tenn., Dec. 31, 2015 /PRNewswire/ -- Sedgwick Claims Management Services, Inc., the leader in technology-enabled claims and productivity management solutions working in partnership with the California Division of Workers' Compensation has reached a compromise settlement. The settlement is the conclusion of a 2013 audit of medical treatment requests received from 2007 to 2012 for claims handled primarily by one former Sedgwick examiner.
Under the agreement Sedgwick will pay a fine and work cooperatively with the California Audit Unit to monitor compliance going forward.
"Sedgwick took the issue very seriously and undertook significant measures, including extensive auditing and training, among other action, to correct the issue and ensure it would never happen again," Sedgwick Chief Claims Officer Darrell Brown said. "We have fully cooperated with the state of California during the audit process and have significantly strengthened our quality program with a focus on compliance. We have negotiated an agreement that is in the best interest of all stakeholders, but, most importantly, injured workers. We appreciate and respect the partnership approach taken by the California Division of Workers Compensation and look forward to many years of helping our customers and injured workers in the state of California."
Sedgwick Claims Management Services, Inc., is the leading global provider of technology-enabled claims and productivity management solutions. Sedgwick and its affiliated companies deliver cost-effective claims, productivity, managed care, risk consulting and other services to clients through the expertise of more than 12,000 colleagues in some 275 offices located in the U.S., Canada and the U.K. The company specializes in workers' compensation; disability, FMLA and other employee absence; managed care; general, automobile and professional liability; property loss adjusting; warranty and credit card claims services; fraud and investigation; structured settlements; Medicare compliance solutions; and forensic investigations. Sedgwick and its affiliates design and implement customized programs based on proven practices and advanced technology that exceed client expectations. Sedgwick's majority shareholder is KKR; Stone Point Capital LLC and other management investors are minority shareholders. For more, see www.sedgwick.com.
SOURCE Sedgwick Claims Management Services, Inc.