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Workers' Comp Case Study

How One Carrier Saved $2M by Automating Utilization Review Decisions

5 MIN READ

At a large insurance carrier, adjusters were manually tracking utilization review (UR) determinations and cross-referencing them with incoming medical bills, often across multiple claims. Their traditional manual approach to UR was time-consuming, prone to human error and made it difficult to catch when providers billed for services that had previously been denied or exceeded the authorized limits. As a result, they paid for non-authorized treatments and lost productivity as their adjusters had to spend valuable time on administrative tasks instead of higher-priority responsibilities.
Mitchell Article

A New Era of Performance Management

As McKinsey and Company stated in their 2017 study on performance management, “What gets measured, gets done.”1 Performance management is a critical aspect of success in any field of business, and this is especially true in the world of auto physical damage claims. Success comes in many forms in the claims industry, from managing costs to producing proper and safe repairs.
Mitchell Conference

Mitchell 2019 mPower Conference

Join us for Mitchell’s annual customer gathering, the Mi
Workers' Comp Article

Back to the Basics: Cost Control and the Role of Precertification and Utilization Review in Workers’ Compensation

3 MIN READ

Medical expenses, now averaging well over 60 percent of average claims costs,1 represent a significant impact on an employer’s workers’ compensation total cost of risk. This trend isn’t going away soon, as this average is expected to climb even higher in the coming years. Contributing to the climb are expenses incurred for treatment that are unrelated to an injured workers’ injury.
Mitchell Conference

Guidewire Connections 2018

Guidewire Connections is the conference for
Workers' Comp Article

California Senate Bill 1160: New Utilization Review Regulations Take Effect January 1, 2018

11 MIN READ

With an effective date of January 1, 2018 for California Senate Bill (SB) 1160 rapidly closing in, many stakeholders in our industry are continuing to analyze the kind of impact the bill may have for injured workers receiving quicker access to medical treatment, utilization review (UR) volumes, and controlled costs for those in our industry.

Mitchell Article

Top 10 Trends from the Mitchell 2016 P&C Conference

At the 2016 Mitchell Property and Casualty Conference, keynotes, breakouts and everything in between were focused on technology and social trends that are changing the way we interact with one another and do business. From augmented reality to information security, here are 10 of the many trends that were top of mind at the conference.
Workers' Comp Article

Understanding SB1160: The New California Utilization Review Process

5 MIN READ

In the scant months leading up to its signature by California Governor, Jerry Brown, SB1160 gained a tremendous amount of attention from those in the California workers’ compensation industry. This bill, which was signed into law on Sept. 30, 2016, speaks to persistent delays and denials of medical care for injured workers, contains reforms that could considerably impact workers’ compensation programs and influence utilization review requirements nationwide.