For policyholders
How we handle claims
When an employee is injured, MEMIC works with you and the injured worker to navigate the claim, coordinate resources and support recovery.
A thoughtful approach to every claim
An injury can affect an employee’s health, their livelihood and your business. MEMIC brings workers’ compensation expertise and personal support to the claims process.
Our claims team works with employers, injured workers, medical providers and other specialists to understand the claim, address issues as they arise and help move it toward the best possible outcome.
Our goal is to help injured workers get the care and support they need to recover and, when possible, return to work safely.
Focused on the whole claim
Every claim is different. Our claims professionals review the medical, disability, legal and financial factors that can affect a claim. They identify next steps and develop an action plan to help move the claim toward resolution.
Depending on the claim, they may also work with specialized resources, including:
- Certified nurse case managers
- Special investigators
- Legal professionals
For injuries involving complex medical needs or extended time away from work, nurse case managers can help coordinate care and support recovery.
Policyholder services
Care for your employees when they need it most
MEMIC provides services designed to help injured employees get the care and support they need throughout recovery. Explore the resources available to help you respond to an injury, connect employees with appropriate care and support their return to work.
First Call 24/7 Injury Triage and telehealth
Through MEMIC’s partnership with CorVel, injured workers can connect with a registered nurse within minutes of a workplace injury. The nurse evaluates the employee’s symptoms and recommends the appropriate next step, which may include self-care, telehealth or in-person treatment.
Explore 24/7 injury triageAccess to experienced workplace injury care
MEMIC partners with CorVel to connect injured workers with medical providers experienced in workplace injuries. Identifying a provider before an injury happens can help employees get appropriate care quickly and support a smoother recovery.
Connect with a medical providerPrescription drug program
The MEMIC prescription drug program helps injured workers access medications for their work-related injury without out-of-pocket costs at the pharmacy. The program also helps manage prescription costs and monitors medication use so potential concerns can be identified and addressed early.
Convenient benefit payment options
Eligible injured workers have flexible options for receiving benefit payments electronically, including direct deposit, Direct to Card, PayPal and Venmo. Through ClaimsPay®, payments can often be received the same day they are authorized, helping injured workers get their benefits quickly and conveniently.
Medical bill and utilization review
MEMIC reviews medical bills for appropriate pricing and evaluates recommended treatment using recognized standards and protocols. This review helps support appropriate care for injured workers while managing medical costs throughout the claim.
Support a safe return to work
Help an injured employee return to meaningful work safely and successfully. MEMIC provides practical guidance to help employers plan transitional duties, support recovery and develop an effective return-to-work program.
Plan a safe return to work
Policy Portal
Claims information when you need it
Securely access your workers' comp claims information online, 24 hours a day.
- Review claim details
- Access loss runs
- View policy information anytime