Ride Sharing for Workers’ Compensation Transportation

At the 2017 California Workers’ Compensation and Risk Conference, a panel discussed how ride sharing services can assist in providing transportation on worker’s compensation claims. The speakers included: Joseph McCullough – Senior VP of Transportation and Translation, One Call Care Management Nadir Vissanjy – Strategy Manager for Healthcare, Government & Education Partnerships, Lyft, Inc. America’s […]

Claims Strategies Using Social Media

At the 2017 California Workers’ Compensation and Risk Conference, a panel discussed using social media as a claims investigation tool and also the importance of performance metrics in evaluating your program. The speakers included: Steve Cassell – President & CEO, Command Investigations LLC Andy Olwert – President, Next Level Administrators Beth Savelli – Risk Manager, […]

Implications of Marijuana Legalization and Opioid Use to the Workplace and the Workers’ Compensation System 

Most do not know that the opioid epidemic, the parallel heroin epidemic and the momentum towards marijuana legalization are all interrelated. In this session at WCI’s 2017 Workers’ Compensation Educational Conference, Mark Pew, Senior Vice President at PRIUM, discussed the impact of these drugs on the workers’ compensation system and what the future holds. The […]

Understanding the Agent’s Role in Claims

Does an agent have a role in the workers’ compensation claim process? Can agents bring value to the table in resolving a benefit dispute? This session at WCI’s 2017 Workers’ Compensation Educational Conference illustrated how important it is for agents to be engaged before and after a compensable accident. The panel included: Steve Coonrod, Attorney, […]

Advocacy-Based Claims Handling

At the 2017 Business Insurance/CLM Workers’ Compensation Conference, a panel discussed the importance of having an advocacy-based claims model. The speakers included: Natalie Bailey – Attorney, Hennessy Roach PC Andy Condrey – Claims Operations Manager, Gray Insurance Company Jim Saccone – AVP, Sedgwick Everyone has a role in advocacy. The employer, TPA, carrier, attorney and […]

Strategies to Manage the Pandora’s Box of Comorbid Conditions

“Sitting is as bad as smoking.” 10,000 Americans a day turn 65, increasing the possibility of comorbid conditions on claims. Claims with a comorbidity diagnosis are increasing. A comorbid diagnosis can give the provider, injured worker and payer more realistic expectations for return to work and recovery. Eric Patten, Director of Clinical Management and Complex […]

Catastrophic Casualty Claim Trends

At the 2017 Advisen Casualty Insights Conference, a panel discussed trends in large claims. The panel included: David Bradford – Co Founder and Chief Strategy Officer, Advisen (moderator) John Denton – Managing Director, Marsh Andy Barberis – Global Head of Excess Casualty Claims, AIG Marissa Beyers – Senior Vice President, Trial Behavior Consulting, Inc. When […]

Investigations in the Age of Geosocial Data

At the 2016 Illinois Self Insurers’ Association 38th Annual Educational Seminar and Membership Meeting, Michael Teri and Garrett McGinn from DigiStream Investigation discussed investigations focused on social media research. Geo-Tagged Posts When investigating an auto accident, they search for social media posts that were geo-tagged in the area at the time of the accident to […]

The New Frontier: Outcomes-Based Claim Audits

This session at RIMS 2016 illustrated how to methodically examine and review the right activities in claims audits to improve the bottom line. Speakers in this session were: Jenny Novoa, Senior Director of Risk Management, Gap Inc. Joe Picone, Claim Consulting Practice Leader, Willis Towers Watson An audit is a “methodical examination and review.” In […]

Medical Management Strategies for Improved Claims Results

At the 2015 National Workers’ Compensation & Disability Conference, Adam L. Seidner, M.D., Global Medical Director, Travelers Insurance Co. and Silvia Sacalis, PharmD, VP Clinical Services, Healthesystems presented how a comprehensive view of an injured worker’s medical history and treatment course ensures appropriate claims decisions, resulting in optimal care and functional restoration. Silvia started the […]

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