In a context where costs related to professional injury claims are constantly increasing, opinions on case files emerge as a strategic lever for mutual insurance companies, employers, lawyers, and insurers. This medico-legal approach allows you to obtain expert, rapid, neutral, and well-documented advice based exclusively on the analysis of file documents.
What is a file review?
An opinion on file is an in-depth medical analysis performed by an independent expert physician, without meeting the worker. It is ideal for evaluating:
This type of opinion can be requested at any time during a file's lifecycle to guide administrative, financial, or legal strategies.
Rigorous and multidisciplinary medical expertise
The success of this approach relies on a network of over 200 physicians specialized in medico-legal expertise across more than 20 disciplines: orthopedics, psychiatry, neurology, general medicine, etc.
Each opinion is:
Our consulting physicians receive continuous tutoring in medico-legal expertise and interpretation of ARIAOD laws from our medical management team, ensuring quality analysis supported by constant medical and legislative monitoring.
Concrete benefits for your files
Here's a real example of the cost reduction achieved through an opinion on case files under Article 329 of the ARIAOD.
An employee suffered a lumbar fracture. The independent physician concluded that a significant portion of functional limitations (95%) was related to pre-existing foraminal stenosis, already documented in previous examinations. The employer obtained cost sharing, leaving only 5% of costs to their responsibility.
Corex360 : Technological efficiency at your service
The recent launch of the integrated request form directly on the Corex360 platform marks the end of a laborious process that required multiple email exchanges between different stakeholders.
This new tool offers concrete advantages that transform the user experience:
24/7 accessibility to your secure client space completes this advanced technological offering, allowing you to submit requests according to your operational needs.
New upcoming service: Pre-analysis of your 329 requests
Before investing in a formal opinion, our clients will be able to opt for our pre-analysis service, conducted by our nurse specialized in cost-sharing files. This preliminary evaluation allows to:
This service is particularly appreciated by organizations wishing to validate a file's potential before proceeding further. Stay tuned!
Towards optimized claims management
Ducore Expertise offers organizations the medical expertise and technological efficiency necessary to make informed decisions. This solution transforms your approach to professional injury management by allowing you to more quickly identify cost-sharing opportunities.
File review is more than a medical analysis: it's a strategic tool for optimizing claims management.
Contact us today to discover how our opinions on files service can contribute to the efficiency and profitability of your operations.