Proper Claim Management Procedures (Part 1)

Posted by Richard Spiers on May 19, 2020 at 12:42 PM

If you are a public entity or school district that initially handles all your claims in-house because you are totally self-insured or have a self-insured retention of over $100,000, this blog is going to discuss procedures that should be put together and the areas of a claim that you need to analyze before determining the level of exposure you may be facing.  There are many aspects of a case that you need to investigate, even if they initially appear to be somewhat insignificant. 

A Recipe for Success: Integrating Predictive Models Into Your Claim Handling Process

Posted by Brian Billings on February 19, 2020 at 8:27 AM

What are the most important things to consider when implementing predictive models into your claim handling process?

OwnRx: The Hidden Pharmacy

Posted by Mark Morgan on March 20, 2019 at 11:03 AM

Once in a blue moon, the U.S. government allows the implementation of a program that affords employers the opportunity to save money without inconveniencing employees. While you process that statement, think of what your current spend is on pharmacy. What just a few years ago was a small percentage of your medical cost may now occupy a higher percentage of the total spend without a cost control method in sight… until now.

Understanding Actuarial Methods

Posted by Cheryl White on January 30, 2019 at 11:35 AM

The purpose of most actuarial methods is to estimate ultimate losses, or total losses, for a particular accident period. Once an estimate of the ultimate losses is determined, outstanding losses or required reserves are easily calculated by subtracting the paid losses from these total losses.

Behavior-Based Fleet Safety and Risk Management

Posted by Robert Donahue on September 18, 2018 at 8:52 PM

Addressing Unemployment Claim Exposures: The Risk Management Perspective

Posted by Sheldon Altschuler on September 12, 2018 at 9:31 AM

I’m possibly facing an uphill battle here – how in the world will I convince public entity risk managers that their internally driven unemployment activity is a part and parcel component of the larger risk management function?

Managing Comorbid Conditions

Posted by Eric Patten on May 17, 2018 at 9:53 AM

How Disruptive Technology Can Change Claims Management

Posted by J.J. Schmidt on February 19, 2018 at 2:55 PM

Next Level Claims Strategies

Posted by Chris Mandel on January 24, 2018 at 10:15 AM

Preparing Your Fleet: An Important Element of Your Safety Program

Posted by Matt McDonough on October 18, 2017 at 10:16 AM

According to a recent report by the Bureau of Labor Statistics, roadway incidents accounted for 1264 work-related fatalities in 2015. That is about one out of every four fatal work injuries in the United States, which easily makes it the top cause of work-related fatalities followed by falls (800), contact with objects and equipment (722) and violence and other injuries by persons or animals (703).   

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