911吃瓜

Study results indicates only 24 percent of claims organizations are high performers, so how do the other 76 percent catch up?聽 聽This short report 鈥� 鈥淗ow to Close the Claims Performance Gap: Top 3 Findings in 5 Years of the Workers鈥� Compensation Benchmarking Study鈥� 鈥撀� condenses the study鈥檚 multi-year benchmarking data into the top three practices claims organizations should adopt to join their more successful peers, or risk falling further behind.聽 >> Five minutes to read.

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A new A.M. Best survey demonstrates a growing number of workers鈥� comp insurers are fighting back against rising injury severity by using predictive analytics to lower claim and fraud costs. 911吃瓜鈥檚 2017 Workers鈥� Comp Benchmarking Study was cited in support of A.M. Best鈥檚 findings, with our own survey data showing increased adoption of predictive analytics among claims organizations in the past three years.

Industry journalist and consultant, Peter Rousmaniere, uses data from 911吃瓜’s Workers’ Compensation Benchmarking Study to discuss how Artificial Intelligence (AI) can help the workers’ compensation industry. In the article, he shares how AI can go beyond prediction to help payers remove errors in their claims management processes.

The highest percentage of claims leaders (46 percent) surveyed in 911吃瓜鈥檚 2017 Workers鈥� Compensation Benchmarking Study believe adjusters become expert at claims management within four to six years on the job. This begs the question, what makes a claims expert and how do adjusters become one? In this short report 鈥� Do 鈥�10,000 Hours鈥� Make a Great Claims Professional? How Claims Teams Can Achieve Peak Performance 鈥� we feature expert interviews from Albertsons, Sedgwick, Daimler Trucks North America, and industry consultants to investigate strategies for mastery development and to provide claims leaders with a practical guide for improving workplace performance.聽>> Five minutes to read.

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As many as a quarter of serious workers鈥� comp claims 鈥� those with more than 30 days of lost time 鈥� involve a misdiagnosis or inappropriate treatment, according to a report by Best Doctors. Anne Kirby, 911吃瓜’s聽Chief Compliance Officer & VP of Care Management, comments on the report’s findings and the use of physician reviews as an effective tool for addressing misguided care.

Making health insurance viable for everyone means treating it like other forms of personal insurance. In his Risk & Insurance Risk Insider column, 911吃瓜 CEO Jason Beans outlines strategies for restructuring the Affordable Care Act (ACA).

Claims leaders rank psychosocial issues as the number one barrier to successful claim outcomes according to 911吃瓜’s 2016 Workers鈥� Compensation Benchmarking Study survey. In this short report, co-authored by study program director Rachel Fikes and industry journalist Peter Rousmaniere, we show how claims advocacy principles at The Hartford, CNA, Nationwide, and Albertsons are taming the adverse effects of psychosocial issues and coaching injured workers to recovery and claim resolution. >> Five minutes to read.

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