Who We Are
Welcome to Auto Injury Solutions!
At Auto Injury Solutions, we focus on providing customizable, end-to-end medical review solutions to clients in the property and casualty insurance industry through our integrated technology and outsourcing product suites.
Traditionally, the support of personal injury protection, medpay, and bodily injury claims handling has been highly fragmented. Overburdened adjusters are tasked with managing services individually, or relying on different vendors, to accomplish diverse functions. Auto Injury Solutions offers an integrated solution for "life of a claim" claims processing including:
- Mailroom – High-speed imaging and outbound document handling
- Document management – Web-based presentation layer to adjusters
- Bill review – State-of-the-art medical bill audit
- Medical records collection – Complete digital claim file presentation
- Utilization review – Statutory pre-certification requirements
- Nurse review – On-staff nurses
- Code review – Certified professional coders review bills
- Evaluative services – Medical professionals on staff and access to nationwide panel
- Dispute resolution – Support for litigation and arbitration
- 24/7 customer service – Call center located in Springfield, Massachusetts
Auto Injury Solutions' integrated approach eliminates the burden of using multiple vendors for these functions.
Moreover, the result of service fragmentation is a drain on insurance carrier resources attempting to synthesize the results of each of these functions into their final determination. This can result in inconsistent outcomes. Auto Injury Solutions' integrated product provides value to the automobile insurance carrier by producing consistent results and eliminating the time and cost associated with coordinating these many functions.
At Auto Injury Solutions, we have created a model that includes both technology solutions (ASP or Hosted) and outsourcing services that provide automobile insurance carriers access to jurisdictionally correct decision engines, claims processing automation, and professional services. Our singular focus is to assist automobile insurers in their endeavor to deliver to their customers a fair and correct payment in the fastest time possible.
We have invested heavily in becoming process experts and delivering strong medical/technical expertise for the management of medical claims, and in providing the synergy of an integrated and monitored approach guided by a strong understanding of each jurisdiction's underlying rules.
We deliver our services through a proprietary workflow management system that drives five objectives:
- Rules-based document management workflow allowing medical bills and documents that require professional review (certified professional coders, nurses, and physicians) to be automatically routed to the appropriate professional
- Automation of claims administration processes that allows the carrier to shed many of the reimbursement-related functions from the adjuster tasks to lower costs and increase consistency
- Measurement of compliance to best practice on every task
- Access by our 24/7 customer service group to real time information on the status of medical bills to better service the provider inquiries and remove that burden from the adjuster
- Web access for the adjuster to our electronic medical file (Bills, EORs, Notes, Police reports, requests for documentation), including multiple search functionality as well as real time communication between the adjuster and us
Auto Injury Solutions is a national company led by medical and automobile insurance claims professionals who bring significant experience to each client engagement. Please contact us so we can provide access to the tools appropriate for each state and jurisdiction to help maximize the first- and/or third-party benefits of the insured involved in an automobile accident. You will find that our service, technology, and ability to customize will result in consistent, accurate, and equitable outcomes for your insureds as well as increased productivity in the processing of your claims. We are committed to providing your organization with best-in-class solutions to your medical automobile claim needs.
Matthew K. Elges
President, Auto Injury Solutions