Unbundled Early Intervention Program Leads to Greater Transparency
A large, self-insured employer contemplated unbundling their telephonic case management program from their third-party administrator. They were looking for greater transparency and control over their spend on case management services, demonstrated outcomes, and a clear reduction in their medical and indemnity costs.
Technology Meets Empathy in Modern Telephonic Case Management
5 MIN READ
Discover how early intervention telephonic case management (TCM) integrates clinical expertise, AI, and technology to enhance workers' compensation claims, promote faster recoveries, and build trust with injured employees.
Why Telephonic Case Management Is Not One-Size-Fits-All
Discover how partnering with a tailored telephonic case management (TCM) program can enhance return-to-work outcomes. Hear from Dawn Moore on assessing and customizing TCM programs to meet unique client needs in this insightful podcast episode.
Navigating the Complex Landscape of Utilization Review in Workers' Compensation
6 MIN READ
Learn about the crucial role of Utilization Review (UR) in the workers' compensation system, the importance of regulatory compliance, and the impact of state-by-state jurisdictional nuances.
Best Practices in Workers' Compensation Utilization Review
On-Demand
This course aims to help claims professionals and clinical staff navigate these jurisdictional complexities by focusing on developing a better understanding of preauthorization requirements, drug f
Combatting New Jersey Auto Casualty Challenges
When an auto injury occurs, insurers often face challenges in coordinating with multiple vendors to address the claim. This is especially true in New Jersey, which has strict requirements that every insurer needs to meet. To discuss this issue, and offer solutions for handling it, is Ben Roberts, vice president, utilization review of Genex.
Exploring Use of GenAI in P&C
Mainstream use of generative AI has prompted claims leaders to explore how the technology can be used to improve claims management. And while GenAI certainly offers tremendous opportunities for the P&C industry, tech leaders must be diligent in ensuring the intricate knowledge and experience in claims management is integrated into these programs.
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