1. TPA EMPLOYER Risk Management Administration
START
The Workers’ Compensation Maze
EMPLOYER
LEGAL DEPARTMENT
HR DEPT
RISK / SAFETY MANAGER
Risk Management Administration
INSURANCE COMPANY
TPA
MCO(s)
EMPLOYER’S LOCAL LIASION PERSON
TPA
ACCOUNT MANAGER
ADJUSTER
TPA BRANCH OFFICE MANAGER
CASE MANAGEMENT BRANCH OFFICE MANAGER
CASE MANAGEMENT COMPANY(s)
PROVIDER NETWORK MANAGER
PROVIDER NETWORK(s)
CASE MANAGER
TELEPHONE TRIAGE CTR
OUTSOURCED CASE MANAGEMNET SPECIALIST
PROVIDER NETWORK REGIONAL REPRESENTATIVE
PROVIDER NETWORK COMPUTER LISTING
FINISH – Patient is Treated
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