Article

Why Your Bodily Injury Adjusters Are Overloaded with Work, Hint: You Might Be Asking Them to Focus on the Wrong Things

… Overworked employees can lead to stress and burnout, which ultimately has a negative effect on an organization’s bottom line , since it can lead to a decrease in productivity, more potential … of work to manage, whether that’s due to the overwhelming number of claims assigned to them, an abundance of administrative tasks or other factors. Most insurance carriers are aware of this … to fully understand each claim and effectively negotiate an accurate settlement every time. On top of that, third party adjusters typically face many administrative tasks that can take them …
Article

The Power of Perspective: Seeing the Full Picture of a Claim

… Every decision matters when handling an auto casualty or workers’ compensation claim. A poor decision could cause a delay in helping an injured worker get back to work, while a well-informed choice could help an auto insurance claimant receive compensation for their injuries sooner rather than later. … ever. Beyond the ubiquity of mobile phones, virtually everything today can be connected with an embedded sensor that collects data about its surrounding environment—whether that’s in a car, …
Blog

Why do customers love live chat?

… surface is Live Chat. When discussing with our users, it seems that the opportunity to address an issue the moment it arises is what they like most. Even if the issue is not immediately … We live in a digital world and a live chat feature provides customers an alternative to a phone call or emailing. Chatting with someone directly is seen as fast and … numerous retail sites (think Amazon, airline sites and others). There’s rarely a wait time, an answer is provided instantly, and the transcription of the conversation can easily be saved. …
Conference

NORTHEAST 2022

… Northeast 2022 is an event tailored to fit the needs of today’s professionals representing all walks of the … presentations, product demos and a wide array of shopping and networking opportunities, all in an environment packed with activities and attractions! Be sure to check out Mitchell, an Enlyte Company, at booth #200 for the latest collision repair technology solutions designed to …
Article

Everyday Insurance Analytics: Using Data at Every Level

… simply because of the massive amount of data that is at our fingertips. I often liken it to an author working on a novel: the hardest step is usually just getting started. Being inundated with data from every angle makes it difficult for an everyday user to get started in gleaning insights from analytics. In order to overcome this … the source of data and the methodology used to produce them. Think of this as the research an author does to get started on a novel. When telling the story of the results, either within or …
Article

Augmented Reality & Artificial Intelligence in Insurance

… , smart glasses hit the market in 2013 and have shown that they’re here to stay. Delivering an augmented reality experience that takes computing to the next level, glasses such as the … to Robert Scoble and Shel Israel, authors of “ The Fourth Transformation ,” we’ve entered an exciting stage in technology transformation, one in which augmented reality and artificial … contact lenses and looking far into the future, perhaps ocular implants. We’ve entered an exciting stage in technology transformation, one in which augmented reality and artificial …
Article

PBMs: Integrated Solutions for Opioid Management in the Overall Claims Management Process

… The opioid crisis has been top of mind for workers’ compensation leaders and claims managers for many years. Last year, the … to heroin was that heroin is cheaper and easier to obtain than prescription opioids. As an industry, workers’ compensation has responded to the opioid prescription epidemic. State … many red flags including: There are two different prescribers of opioids The claimant received an excessive days supply of opioids (30 day’s worth) The combination of opioids and …
Article

Specialty Solutions Spotlight: Accessing Quality Workers' Compensation Diagnostic Imaging

… costs? Diagnostic imaging and radiology play a significant role in workers’ compensation. When an employee is injured on the job, obtaining accurate diagnostic imaging is crucial for assessing the severity of the injury and developing an effective treatment plan. Diagnostic imaging is often the first step in evaluating an injury. According to a California Workers’ Compensation Institute (CWCI) study, magnetic …
Article

Accelerating Recovery and Return to Work: The Case for Case Management

… Several scenarios can delay or derail an injured employee’s transition back to work. Case managers are uniquely equipped to intervene …  When an injured employee is placed on light duty but isn’t progressing toward regular duty, case …  Sometimes, the greatest barrier is psychological. If an employee does not believe they will ever return to work, case managers provide education, …  If there’s uncertainty about whether an employee can perform the essential functions of a job, a  …
Article

Ask the Pharmacist: Generic Equivalent

… Research” phase where animal testing is applied. The drug manufacturer can then apply for an “Investigational New Drug” (IND) application. If approved, the IND would allow the drug … may begin making their versions of the brand name drug.  The generic manufacturer submits an “Abbreviated New Drug Application” (ANDA), which in essence allows them to request approval of … may cause a small fluctuation in blood concentration and result in lower effectiveness and an increase in clotting. Another possible scenario where a brand might be substituted for a …
News Release

Setting the Highest Standard: 2022 Heart of Case Management Awards

… these professionals are charged with ensuring thousands of American employees who sustain an injury on the job receive the care and resources they need to reach their highest level of improvement. Reaching this goal is not an easy task, especially when the severity of injury or illness may not only be mobility … employees they served. The national program recognizes case managers of Genex Services, an Enlyte Company, who are highly regarded for transcending beyond their traditional job duties …
Article

Specialty Solutions Spotlight: Top Work-Related Injury Causes & Costs

… Top injuries/exposures involving days away from work, job transfer or restriction (reported from … Encompasses non-impact injuries arising from excessive physical effort towards an external source, including activities like lifting, pushing, turning, holding, carrying, or … Involves various workplace injury scenarios, including incidents like a moving object hitting an individual, an individual colliding with an object or equipment, body parts getting squeezed, …
Article

Specialty Solutions Spotlight: Transportation Services in Workers’ Comp

… How are transportation services utilized in workers’ comp and why are they important to an injured employee’s recovery? Consider what might happen if an injured employee confined to a wheelchair was forced to arrange his/her own ride to the … needs of injured employees. Maybe someone needs a bit more time to get down to the street from an apartment. Or perhaps a person seemingly able-bodied requires a bit of assistance to lift a …
Article

Empowering Employees to Make Informed Decisions

… One way employers can demonstrate trust at the time of injury is providing employees access to an expert in managing health — a nurse. Year after year, nurses have topped Gallup's honesty and … ethics list for most-trusted professions. This makes nurses the ideal point of contact when an injury occurs. Without access to this trusted resource, injured employees often must rely on a … to determine how to proceed with treatment. Oftentimes, they’ll be instructed to go to an emergency room or an urgent care clinic. In some cases, the injured employee might see his or …
Blog

Networks Support Telemedicine for Continued Care

… evaluate, diagnose and treat. When a provider’s office is closed it can significantly impact an employee’s ability to return to work. As injured workers faced temporary office closures, … by a medical professional from the comfort of their home, office or practically anywhere with an internet connection. While telemedicine is not new, it is just recently gaining popularity in … beyond our nurse triage program. Our network team immediately started reaching out to our top providers across the country to confirm whether they had telemedicine accessibility.  The …
Article

Ask The Pharmacist: Cardiovascular Effects of NSAIDs, Opioids & Other Workers' Comp Medications

… comp? There can be. Here are some heart-related side effects or precautions for three of the top therapeutic classes in workers’ compensation. Opioids (a.k.a., Narcotics) All  opioids  can … usually symptoms associated more with withdrawal from opioids. Methadone is associated with an increased risk of QT prolongation and TdP. Buprenorphine can also be associated with a risk of … that can prolong QT interval). Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) All NSAIDs carry an increased risk of serious cardiovascular events including myocardial infarction (a.k.a., heart …
Case Study

ClinicalCare24 Demonstrated Results

… We Hear Countless Success Stories Every Day, So We Thought We’d Share When an on-the-job injury occurs, the initial response can be critical in aiding an employee in making the right decisions about what type of care they need. Employees need to … the situation and help determine the appropriate course of action. Whether it be self-care or an urgent care, having a Registered Nurse (RN) who is armed with clinical knowledge specific to …
CE Webinar

Look for a Broken Spirit, Not Just a Broken Bone: Evaluating Mental Health Needs in Workers' Comp

… someone gets hurt on the job, the workers’ compensation system is often adept at zeroing in on an injury and delivering timely care. But that well-intentioned focus on a patient’s physical … ones, which might be harder to spot. Today, a comprehensive approach that identifies and meets an injured worker’s needs is more important than ever because the coronavirus pandemic is … sound treatment plans Utilizing a network of proven mental health providers Constructing an effective communication strategy with the provider Engaging the injured worker in their …
Article

Safeguarding Medicare's Interests: Strategies and Updates

… An MSA is a fund designated to cover future medical expenses related to the claim. By setting … made by Medicare when they cover medical costs that should be paid by another entity, such as an insurer. For example, in a workers’ compensation case, if Medicare has paid for treatment … that Medicare is not responsible for medical expenses after a settlement. While preparing an MSA is not mandated by law, doing so is considered best practice in cases involving Medicare …
News Release

Collision Claims Increased by More Than 30% While Average Severity Plateaued for Battery Electric Vehicles Last Year

… —Mitchell, an Enlyte company and leading technology and information provider for the  Property & Casualty … the latest release of its Plugged-In: EV Collision Insights report. This edition features an overview of the most notable annual trends in battery electric vehicle (BEV), mild hybrid … grew by approximately 7% in the U.S. and 24% in Canada over the same period. “In addition to an uptick in the number of claims for repairable, collision-damaged BEVs, we also saw an uptick …
Article

Specialty Solutions Spotlight: The Importance of Specialty Solutions for Workers' Compensation

… on what really matters—driving better outcomes for injured employees. Partnering with Apricus, an experienced specialty solutions provider, gives you a one-stop-shop experience for all the equipment and services that an injured employee may need to help facilitate their recovery. We can help increase case … to ask yourself: Are your specialty service orders being fulfilled in a timely manner? Is an initial plan being outlined, providing ongoing communication and cost transparency along the …
News Release

Enlyte Sweeps Muse Awards With Four Wins

… announcement marks consecutive years Enlyte has been named a winner of the Muse Creative Award—an international competition for creative professionals “who inspire others to greater heights.” … Awards are a series of competitions hosted by the International Awards Associate (IAA), an organization that has continuously strived to honor creatives and designers for their … Solutions Drug Trends Report , a four-part annual update offering leaders in the P&C industry an accurate view of continued movements in pharmacy management. This marks the first year Enlyte …
Article

U.S. Supreme Court Refuses to Hear Minnesota Workers’ Comp Cannabis Cases

… On June 21, 2022, the U.S. Supreme Court released an order list for a host of cases before the Court. As part of the list, the Court noted the … Act (CSA) preempted any Minnesota state law or order requiring employers to reimburse an injured worker for medical marijuana. In an effort to resolve the preemption question, both Minnesota cases filed appeals with the U.S. …
Article

Michigan Auto No-Fault Reform: What You Need to Know About the Fee Schedule

… 1, 2019 The average amount the person charged for the treatment on January 1, 2019   When an insurance carrier receives a charge for medical treatment, they will first need to check if … for the Michigan Catastrophic Claims Association in 2018. The new regulations state that an insurer will be required to pay a family member who acts as an attendant to an injured claimant for 56 hours per week at most. In the current Michigan …
Article

The State of Third Party Auto: Claim Costs, Consistency and a New Generation of Adjusters

… and problems lead to unnecessary spending. In a competitive auto casualty market, an insurance company can’t afford to leave these costly problems unaddressed. A partner that offers an integrated solution set is a great choice, since the integration ensures that no parts of the … only are all of these different factors driving third party claim costs on their own, but on top of that, providers are charging auto carriers at a higher rate than they are charging other …
Article

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

… With an effective date of January 1, 2018 for California Senate Bill (SB) 1160 rapidly closing in, … decision to seek treatment outside of their network, or employer-chosen physician. If an injured worker is being denied treatment, or is having their treatment delayed when following … it may drive them to seek treatment from a source outside their network; typically hiring an attorney who then directs them outside of the employer-chosen physician, i which can lead to …
CE Webinar

Pain Management: Pharmacologic Alternatives to Opioids

… prior to considering the device. So, the short answer is that there is a place for these as an option, but it depends largely on the patient, confounding factors, and the type of pain that … U.S. and coming up with viable treatment options is critical. Sometimes the best treatment is an opioid, especially as you've identified in the management of severe acute pain conditions, … lot of different things that we can do to help patients address pain, so whether or not to use an opioid becomes a careful balancing act.   …
News Release

Restoring Lives: 2021 Heart of Case Management Awards

… Winners of top case management award help injured employees move beyond tragedy and return to meaningful … to work. The officer and Gillespie were also heralded at the Comp Laude Awards and Gala, an annual event that honors the outstanding contributions of individuals and case managers in the … A boom truck slid off the road, rolling over several times before landing in an embankment and catching fire. The unconscious driver was pulled from the flaming wreckage by a …