Solutions for Workers' Compensation and Auto Claims
your path to success
Introducing a curated resource hub where insights and strategies await to conquer your toughest claims challenges.
Throughout this year, we will dive deep into key themes designed to ignite recovery, conquer claims chaos, and tackle costs with precision and purpose.
- Ignite Recovery. Get ready to activate powerful strategies that prevent delayed recovery and accelerate successful outcomes.
- Conquer Claims Chaos. As you strive to balance stretched resources against growing demands, we will explore how advancements in automation and AI can modernize your adjusters’ desktops and unlock new opportunities for efficiencies throughout your program.
- Tackle Costs and Awaken Results (Coming in Q4). Get an inside look at how a holistic approach across the claims continuum unleashes new opportunities to realize better outcomes while capturing every savings opportunity.
recovery
Delayed recovery not only impacts your organization's financial stability, but also greatly affects people's well-being and productivity. As such, it is imperative for payers to take a proactive and innovative claims management approach. Together, we can achieve a future where every injured individual receives the support he or she needs to recover and thrive. Continue reading to discover the key strategies that can ignite recovery and transform the claims journey.
Practical Application of Behavioral Coaching Techniques
An injured employee navigating complex medical and psychological challenges received crucial support from a telephonic case manager. By using behavioral coaching—active listening, cognitive strategies, and tailored education—the case manager built trust and overcame challenges like negative thoughts and missed appointments. This personalized approach empowered the employee to take an active role in his recovery, ensuring successful return to work and significant cost savings.
From Setback to Comeback: Effective Solutions for Delayed Recovery
Learn how to effectively ignite workers' compensation recovery by addressing some of the biggest return-to-work obstacles, including mental health comorbidities, social factors, and delayed intervention. See how data-driven strategies lead to successful claims management and faster employee recovery.
Resilience Redefines Results
Presented by Tammy Bradly and Dr. Michael Lacroix (The Hartford)
Resilience is a powerful factor in improving workers' compensation outcomes, from aiding recovery to enhancing return-to-work success. This webinar examines how resilience influences the mental and physical well-being of injured employees, enabling faster and more effective recoveries. Gain practical insights into strategies that empower employees, reduce the duration of claims, and foster workplace engagement after recovery. Learn how to integrate resilience into claims processes to build a supportive foundation for long-term results.
Expert Interview series How Top Claims Teams Catch Risk Before Costs Escalate
In this podcast, Rebecca Morgan and Jim Harris share how leading organizations are transforming raw claim data into actionable intelligence that prevents delays and controls spend.
Additional Resources to Ignite Recovery
The key to preventing delayed recovery lies in using holistic information to identify risk factors throughout the claim's lifecycle. The following insights demonstrate how resource integration addresses claims risk and promotes swift recovery.
Why Discharge Planning Matters for Getting Back to Work
Discover how solid discharge plans help injured employees recover and return to work faster and with better results.
Lower Claim Costs with Smarter Discharge Decisions
See how clinical insights helped reduce unnecessary therapy and boosted return-to-work success by over 20%.
Don’t Overlook the Mental Health Side of Workplace Injuries
A physical injury may be just the beginning—understand why mental health screening should be part of every recovery plan.
How Health Coaching Keeps Injured Workers Motivated
Learn how one-on-one coaching drives better outcomes by helping employees stay engaged in their recovery.
Early Intervention Leads to Greater Clarity
See how a large self-insured employer created a customized early intervention program and achieved 91% return-to-work.
Making the Most of Managed Care Plans
Take advantage of state-certified programs with expert oversight and a trusted provider network to support faster recovery.
Getting Better Results with Outcomes-Based Networks
Find out how choosing providers based on data can lead to faster recovery, fewer delays, and lower costs.
Smarter Approaches to Managing Opioid Use
Uncover ways to reduce high-risk opioid use in complex claims while keeping patient care front and center.
Best Practices for treating PTSD in Workers' Comp Claims
Get up to speed on clinical and medication guidelines that support better outcomes for workers facing psychological injuries.
How to Bill Accurately for Functional Restoration Programs
Avoid billing issues and ensure proper reimbursement by understanding how these programs should be reported.
Bringing Mental Health Into the Workers’ Comp Conversation
See why mental health is essential to full recovery and how it fits into a comprehensive care strategy.
claims chaos
Casualty payers continue to face mounting pressures, with rising costs that strain resources and threaten profitability. But beyond the battle against escalating expenses lies the pressing need to confront inefficiencies and inconsistencies that often create chaos in auto and workers’ comp processes. To stay competitive and meet evolving stakeholder expectations, payers must go beyond incremental fixes. Read on to discover how you can unlock new opportunities to reduce complexity in claims management.
How One Referral Can Simplify the Entire Coordination Process
Learn how Apricus transformed fragmented care coordination into a streamlined, clinically guided solution. This case study shows how one referral can reduce adjuster workload by 100+ hours, cut claim costs by thousands, shorten recovery timelines, and deliver a better experience for injured employees.
Three Ways to Eliminate Chaos in the Auto Claims Process
Learn how to eliminate complexity in the auto claims process by addressing key drivers of chaos: escalating social inflation, surging claim severity, and increasingly sophisticated plaintiff attorney tactics. This white paper outlines three proven solutions that reduce friction across platforms, boost adjusters’ negotiation leverage, enhance settlement accuracy, and enable adjusters to review complex medical records in minutes.
COMING SOON
Expert Interview Series with Rebecca Morgan and Jim Harris
Tame the Chaos: How to Use Data to Bring Structure to Claims
Data visualization, real-time analytics, AI, and system integrations transform overwhelming claims data into clear, actionable insights. Discover how having the right data at the right time can help you strengthen decision-making, reduce errors, simplify processes, and streamline claims workflows for greater efficiency.
Automate the Chaos: AI, Dashboards, and the Future of Claims
Get a deep dive into how automation, AI, and dynamic dashboards are shaping the future of claims management. Learn how these advanced technologies are accelerating insights, enhancing productivity, uncovering key trends, and empowering teams to deliver stronger outcomes.
Additional Resources to Conquer Claims Chaos
To stay competitive in a high-pressure environment, casualty payers must move beyond incremental fixes and tackle inefficiencies head-on. These resources will unlock strategies you can implement to reduce complexity and tame claim chaos.
Bringing Data and Clinical Expertise Together for Better Outcomes
Discover how aligning clinical insights with data analytics can eliminate inefficiencies and enhance return-to-work results.
Focusing On a Physical Work Injury Could Mean Missing a Mental Health Challenge
Understand why addressing mental health challenges is essential for a comprehensive recovery strategy.
Using Predictive Modeling with Genex Engage to Improve Claims Outcomes
Learn how predictive analytics can help identify key data signals and deploy clinical resources more effectively.
Taking Control of Medical Expenses with Real-Time Insights
Explore how the Medical Spend Dashboard transforms complex billing data into actionable visuals for better decision-making.
Managing Michigan Auto No-Fault Claims with Confidence
Learn how an integrated approach—combining utilization review, bill review, and field case management—helps Michigan auto insurers manage no-fault claims more effectively.
Combatting New Jersey Auto Casualty Challenges
Learn how NJ DPR+ streamlines clinical and administrative processes to enhance efficiency and compliance in New Jersey's complex auto casualty claims environment.
ePay: A Simple Solution to Improve Claims Efficiency
Discover how transitioning from outdated paper-based processes to modern electronic payment solutions can significantly enhance claims efficiency.
The Coventry VIP Program
Learn how the Coventry VIP Program drives efficiencies and reduces administrative burden through proactive provider support.
How Can You Find the Right Provider for the Best Care?
Learn how channeling tools simplify provider selection, reduce administrative burden, boost operational efficiency, and keep claims on track.
Drive Decreases in Topical Utilization and Spend
Learn how identifying high-cost, low-volume topical medications and applying smart adjudication functionality decreased both utilization and spend in workers' compensation claims.
Pharmacy Experts Speak on Turning Challenges Into Opportunities
Dig deeper into proactive opportunities to address pharmacy utilization and cost challenges through identification, regulation, analytics, and continuous outcome evaluation.
Managing Workers' Compensation Costs with Direction of Care
Understand how direction of care can help payers negotiate better network rates, eliminate bad actors, and implement clinical controls to manage pharmacy costs.
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Fueling the Mission to Protect Dreams and Restore Lives
Check out the newest product innovations and insights that help optimize each step of the claims journey to unleash your path to success.
Subscribe NowTake action. Move forward.
The path to claims transformation is not one-size-fits-all—it requires tailored insights and actionable tools that respond to your unique challenges. That’s why this resource hub is built to grow alongside you, with timely updates, data-driven best practices, and proven methods for success. Subscribe to the series today!