Let’s start with a story. There once was a young lady who slipped and fell in a retail store. She alleged multiple injuries, including permanently disabling back issues. Her lawsuit claimed that her life would never be the same, and...
You don’t need lots of resources to have better Workers’ Compensation program. I am regularly privileged to experience WC improvements with various employers. I have facilitated and witnessed episodes of fantastic turn-around success...
Determining which insurance policy applies when dealing with a claim can sometimes be straightforward. For example, a claimant falls and breaks a leg. The policy at the time of the fall will cover the claim. Sometimes it’s not that...
Picture a serious auto accident with severe injuries. There is fear, pain, trauma, worry and many unknowns. If it were you, how would you want to be treated? During the claim handling process, one of the best measures for a claims...
In workers’ compensation, the “Repeat Offender” is considered an employee who has a history of filing numerous claims. During the claim handling process, identifying and conducting an extensive investigation with this individual...
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 move...
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 during...
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...
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...
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...
