3 Approaches for Moving Your Claim Data from TPA to TPA

by Barry Thompson on Dec 15, 2017 1:39:28 PM

One of the key decisions organizations face when changing TPAs is how they are going to move their claim data. The time and cost involved in moving claim data can make it difficult and even cost prohibitive for an organization to...

Best Practices for Diminished Value Claim Handling

by Erika Cordova-Cabrera on Dec 8, 2017 2:10:42 PM

 

As the frequency of Diminished Value claims rises each year, insurers are facing new and significant challenges. It’s not just the cost of a diminished claim to be considered here. There is valuable resource time that is spent...

Workers Compensation Metrics can be Misleading

by Stephen Pratt CPCU, SCLA, ARM, AU CMSP on Nov 21, 2017 12:58:30 PM

Claim metrics in workers’ compensation come in many forms including process metrics, vendor metrics, outcome metrics and “our” metrics. Any of these views of our metrics can lead to leakage in our analysis of results.

How do you...

Investigating Texting and Driving Accidents with the Textalyzer

by Karen Swafford on Nov 9, 2017 1:33:57 PM

The number of distracted drivers is on the rise. Not only is it annoying for other drivers on the road, but it can also be deadly. The increasing number of accidents related to texting and driving is alarming.

During the claim...

Why an Assessment of Your Claim Handling Process is a Must Have

by Barry Thompson on Nov 2, 2017 3:09:59 PM

Many employers have a false sense of security when it comes to their Workers’ Compensation claim handling process. This despite following their claims provider’s “best practice” guidance to immediately report incidents in the...

6 Areas of Concern When Handling Green Building Claims

by Tondria Hendrix on Oct 26, 2017 2:38:48 PM

Dealing with claims related to green buildings adds a bit of complexity to the claim handling process. Claims for repairs to conventional buildings will usually be priced per square foot. It's not that simple with green buildings.

4 Common Mistakes When Setting Workers’ Compensation Claim Reserves

by Stacey Walsted on Oct 19, 2017 2:38:33 PM

Show me a case with a proper reserve and I will show you an adjuster who knows their claim. There is a blend of intuition and science required in setting reserves for workers' compensation claims. During the entire workers'...

Dram Shop Claims – 4 Alerts to Deny Liability that are Often Missed

by Karen Swafford on Oct 12, 2017 10:15:26 AM

Current “dram shop” laws allow an establishment or individuals to be held responsible if a person is served liquor, and subsequently causes an accident that results in death, injury or damage. The term “dram shop” dates back to the...

2 Strategies to Help Plan for the Insurance Talent Gap

by Stacey Walsted on Oct 5, 2017 4:31:39 PM

One of the key challenges in 2017 related to Workers’ Compensation is how the insurance industry is going to deal with the insurance talent gap. Within the next 10 years, a large percentage of insurance industry professionals are...

Understanding the 4 Tort Thresholds During the Claim Handling Process

by Jennifer Obecunas on Sep 28, 2017 2:25:53 PM

When handling bodily injury claims due to an automobile accident, it’s important to understand the different kinds of tort thresholds and how they vary depending upon where the accident occurred. Auto insurance rules are not the...