Services Provided by ISG
ISG is a nationally recognized company that offers a comprehensive array of services tailored to support claim and litigation processes for insurance and legal professionals. Our extensive range of solutions spans from thorough investigations to robust medical and clinical support, as well as efficient record management. With a focus on enhancing claim outcomes and facilitating informed decision-making, we strive to provide unmatched support across the board.
Our solutions are carefully designed to support our simple and straightforward mission: to help our clients achieve optimal claims outcomes. Our services work together through integrated technology that provides a seamless experience for customers using us for multiple services.
ISG is driven by technology integrations to help increase efficiencies and support a faster claim mitigation program for our clients. When you partner with ISG you receive:
- Support throughout the entire claims process
- Flexible and scalable partnership models
- Dedicated account management team
- Industry-leading best practices
- Quality-driven SLAs
- Actionable reporting
- Performance metrics
- Reduced spend
Investigation Management: Our investigation solutions provide the highest level of quality, service, and anti-fraud cost containment programs within the industry. ISG’s national footprint includes field investigators and case managers across the United States, providing ample coverage anywhere in the country with our own in-house employees.
In addition to General Surveillance and Investigation, we also offer Legal Investigation services uniquely designed to support the legal defense community. Our Social Intelligence service is enabled by proprietary technology and expert desktop researchers who provide an invaluable resource for gathering critical information. By conducting thorough pre-field investigation web research, we consistently uncover actionable insights that contribute to the success of our clients’ endeavors.
Medical Management: ISG provides a premier national medical management program. As a URAC accredited company, we collaborate with over 16,000 reputable, board-certified, practicing medical providers ensuring that our clients receive the most defensible, accurate decision. ISG’s national network of providers performs Independent Medical Examinations (IME’s), Medical Record and Peer Reviews, Disability Reviews and Functional Capacity Exams.
To ensure the utmost quality, our team of reviewers implement a multi-level quality assurance process for every report, driving the highest quality reports to our clients.
Clinical Management: ISG Clinical Services encompass nurse case management, nurse review, bill audit, physician review, code review and utilization review. In cases that require review, files are electronically routed to the appropriate medical professional, to help our clients better understand their claims.
We offer a systematic process to promote medically appropriate care in a timely, efficient manner to improve claim outcomes.
Record Management: ISG provides a national records management program that encompasses the entire record life cycle, enabling clients to focus on resolving claims faster. Our programs include Record Retrieval, Record IQ, Direct Films and Medical Record Canvassing.
Our technology-driven process incorporates integration and automation to streamline the order process from order creation through records delivery. We leverage customization and process excellence to deliver concierge-level service and quality outcomes.
The material on our sites is provided as is. This means that ISG disclaims all express and implied warranties about the material in the sites. This includes, but is not limited to warranties that the material is of any particular level of quality or is fit for a particular purpose; That the functional elements contained in the materials will be uninterrupted or error-free; That the defects will be corrected; that our sites, or the servers that make them available are free of computer viruses or other harmful components or conditions; or that the information contained in the sites is accurate as of any particular date.
Monitoring and Improving our Products
We are always striving to improve our Products. To do so, we need to measure, analyze, and aggregate how users interact with our Products, such as usage patterns and characteristics of our user base.
You acknowledge and agree that ISG has a right to monitor activity to its websites and, in its sole discretion, may terminate your website access if your conduct is found to be unlawful, inconsistent with, or in violation of, the letter or spirit of these terms, or for any other reason, ISG shall not be liable to you or any third party for termination of website access. Should you object to any terms and conditions of these terms, or to any subsequent modifications thereto, your only recourse is to immediately discontinue use of the website.
Limitations of Liability
Neither party (nor its suppliers) shall be liable for any loss of use, lost or inaccurate data, failure of security mechanisms, interruptions of business, costs of delay pr any indirect, special, incidental, reliance, or consequential damages of any kind, including lost profits, regardless of the form of action, whether in contract, tort, including negligence, strict liability or otherwise, even if informed of the possibility of such damages in advanced. Neither party will be liable to the other party for direct damages in excess of the fees paid by you to us for products and services applicable to a SOW regardless of the form of the action or theory of recovery, even if that party has been advised of the possibility of those damages.