When an employee suffers a workplace injury that prevents him from continuing work, worker's compensation insurance provides compensation and medical support. Worker's compensation insurance programs ...

Two very similar back injuries are covered by the same insurer, in similar companies, in the same state. In both cases, the companies worked hard to control costs. The final direct cost of one case ...

Within the insurance technology industry, where innovation is rapidly evolving, companies are actively exploring cutting-edge tools to improve their approach to claims management. The emphasis on ...

Claim denials can be a huge headache for healthcare providers. In fact, one survey found that private payers initially deny 15 percent of medical claims. Worse? Providers end up spending almost $20 ...

Mark Romano can remember the moment in October 2010 that his life changed. He was in his North Aurora home, on the Internet, Starbucks coffee in hand, when he saw the news about the outcome of a ...

Within a claim environment, several key goals of analysis will emerge from a client’s claim fact find: The client’s contractual position; The likely claim requirements; and How should the claim be ...

Healthcare claims processing is rife with inefficiencies and financial strains marked by operational bottlenecks, rising denial rates and increasing administrative burdens faced by providers, ...

A cap on the fees claims management companies charge customers has been introduced by the financial services regulator today, which it says will leave some people £1,000s better off. Under the ...