The highest percentage of claims leaders (46 percent) surveyed in Rising’s 2017 Workers’ Compensation Benchmarking Study believe adjusters become expert at claims management within four to six years on the job. This begs the question, what makes a claims expert and how do adjusters become one? In this short report – Do “10,000 Hours” Make a Great Claims Professional? How Claims Teams Can Achieve Peak Performance – we feature expert interviews from Albertsons, Sedgwick, Daimler Trucks North America, and industry consultants to investigate strategies for mastery development and to provide claims leaders with a practical guide for improving workplace performance. >> Five minutes to read.
Payers Turn to Physician Reviews to Resolve Complex Claims featuring Anne Kirby, Chief Compliance Officer & VP of Care Management | Work Comp Central | Jul 2017
As many as a quarter of serious workers’ comp claims — those with more than 30 days of lost time — involve a misdiagnosis or inappropriate treatment, according to a report by Best Doctors. Anne Kirby, Rising’s Chief Compliance Officer & VP of Care Management, comments on the report’s findings and the use of physician reviews as an effective tool for addressing misguided care.
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ACA’s Solution – Treat Health Insurance like Other Insurance by Rising CEO Jason Beans | Risk & Insurance | Mar 2017
Making health insurance viable for everyone means treating it like other forms of personal insurance. In his Risk & Insurance Risk Insider column, Rising CEO Jason Beans outlines strategies for restructuring the Affordable Care Act (ACA).
Work Comp Benchmark Study Releases White Paper for Overcoming Psychosocial Roadblocks with Claims Advocacy Strategies | Mar 2017
Claims leaders rank psychosocial issues as the number one barrier to successful claim outcomes according to Rising’s 2016 Workers’ Compensation Benchmarking Study survey. In this short report, co-authored by study program director Rachel Fikes and industry journalist Peter Rousmaniere, we show how claims advocacy principles at The Hartford, CNA, Nationwide, and Albertsons are taming the adverse effects of psychosocial issues and coaching injured workers to recovery and claim resolution. >> Five minutes to read.
No Consensus on Treatment featuring Anne Kirby, Chief Compliance Officer & VP of Care Management | Risk & Insurance | Mar 2017
Even as the nation’s 50 states inch towards consistency in medical treatment guidelines for workers’ compensation injuries, the role of risk managers in enforcing them is still unclear. Rising CCO and VP of Care Management Anne Kirby shares her thoughts, along with other industry experts from Marsh, ODG, Optum and more.
Study Compiles Claims Best Practices featuring Rising’s Work Comp Benchmark Study | Insurance Business America | Feb 2017
This feature article reports on how the 2016 Workers’ Compensation Benchmarking Study pinpoints the best ways to handle claims. Also included are thoughts from Rachel Fikes, Vice President and Study Program Director at Rising, and Denise Algire, Study Principal Researcher and Director of Risk Initiatives and National Medical Director at Albertsons Companies.
Survey Tracks Claims Success featuring Rising’s Work Comp Benchmark Study | Risk & Insurance | Nov 2016
With expert insights from Albertsons Companies, Daimler Trucks and The Hartford, Risk & Insurance reports on what makes claims organizations successful according to Rising’s 2016 Workers’ Compensation Benchmarking Study results.