Turn Complexity into Progress: Four Steps to Mastering Specialty Services
1 MIN READ
In this quick-read guide, you’ll discover how top-performing teams are simplifying fragmented processes to deliver faster, more cost-effective care.
Automate the Chaos: AI, Dashboards, and the Future of Claims
9 MIN READ
See how data, connected systems, and analytics can help you close claims faster, cut errors, and prevent costly delays.
How One Carrier Saved $2M by Automating Utilization Review Decisions
9 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.
Tame the Chaos: How to Use Data to Bring Structure to Claims
8 MIN READ
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.
Reclaiming Control: How a Commercial Auto Payer Cut Settlements by 63%
8 MIN READ
Is increasing claim complexity and volatility driving up your settlement costs and eroding your margins? Every excessive settlement isn’t just a line item, it’s a signal that your teams are under-resourced, and you are exposed to unnecessary risk.
As Extreme Heat Scorches US, Employee Protections Stalled by Politics
In a recent Claims Journal “Expert Viewpoint” article, Michele Hibbert provides an update on state regulatory and legislative issues and the fate of proposed OSHA safety rules.
Specialty Solutions Spotlight: When to Use Functional Capacity Evaluations (FCE) in Workers’ Compensation Claims
2 MIN READ
Complex claims often come with uncertainty. A well-timed Functional Capacity Evaluation (FCE) can bring clarity, but only if used with purpose. Done right, an FCE helps move claims forward. Used too early or without clear direction, it can stall progress or increase costs.