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Page 1 Recording of this session via any media type is strictly prohibited. Page 1 Claims Leakage Risk How Technology Can Help Plug the Gaps.

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Presentation on theme: "Page 1 Recording of this session via any media type is strictly prohibited. Page 1 Claims Leakage Risk How Technology Can Help Plug the Gaps."— Presentation transcript:

1 Page 1 Recording of this session via any media type is strictly prohibited. Page 1 Claims Leakage Risk How Technology Can Help Plug the Gaps

2 Page 2 Recording of this session via any media type is strictly prohibited. Joan Vincenz - Managing Director – Corporate Safety, United Airlines Oversees 20 member staff that manages workers' compensation and managed care for 85,000 person organization. Responsible for > $100M in related annual expenses. Oversees onsite medical clinics in Guam, IAH, EWR, CLE and ORD for treating our United people. Gary R Markham – Chief Executive – LSG As a thought leader and educator in claims and litigation management, Gary has nearly 20 years of consulting, technology and BPO experience, based on supporting insurance, TPA and corporate legal clients in more than 70 countries. He has written and published many papers and articles on the subject. Our Speakers

3 Page 3 Recording of this session via any media type is strictly prohibited. What to Expect Determine where claims leakage may occur in your claims system and litigation management processes Review technological cost containment cures Consider the ways to enable stronger client/provider relationships.

4 Page 4 Recording of this session via any media type is strictly prohibited.  Senior management commitment  Financial accountability and vendor management  Post injury strategies and initiatives  Partnerships  Caring for people Creating a culture that enables sustainable workers’ compensation improvements

5 Page 5 Recording of this session via any media type is strictly prohibited. Determine where claims leakage may occur in your claims and litigation management processes Adapted from Source: ©Teacher & Educational Development, University of New Mexico School of Medicine, 2005 Settling late and insured waiting for compensation Early return to health and productive work Selection and assignment of appropriate defense counsel Provision to counsel of all available policy and claims data Budgeting for litigation Initial claims assessments and case planning Cost overruns Time in Litigation Extended Indemnity as relates to cost to defend reduced Step reserving negative bottom line impact to carrier

6 Page 6 Recording of this session via any media type is strictly prohibited. Review technological cost containment cures Vendor management database with Key Practice Areas and balanced scorecards to assist counsel selection process Electronic document management [EDM] tools to load policy and claims related information at assignment Live budgeting tracking Controlling reserves against budget, costs and indemnity Case planning linked to milestones and budgets E-Billing with validations to rates, etc Benchmarking total and average days in litigation, trending Predictive modelling and early case assessment

7 Page 7 Recording of this session via any media type is strictly prohibited. Prior to Claim Year 1 Current 7% 42% Start 21% 51%Claim Year 6-10 Claim Year 11 Claim Year 1-5 Claims Closures – Reserves are Improving 16% 12% 28% 22%

8 Page 8 Recording of this session via any media type is strictly prohibited. Cost, Indemnity and Litigation Days

9 Page 9 Recording of this session via any media type is strictly prohibited. Consider the ways to enable stronger client/provider relationships Sharing of objective comparative performance metrics Panel management across all types of providers Fair rates and/or alternative fee arrangements Transparent billing and budget tracking process Lessons-learned reviews Faster payments to providers Fair and consistent treatment any billing disputes Long term nature of relationship

10 Page 10 Recording of this session via any media type is strictly prohibited. Q&A and Contact Information Joan Vincenz - Managing Director – Corporate Safety, United Airlines - joan.vincenz@united.com Gary R Markham – Chief Executive – LSG grm@lsg.com THANK YOU Please complete the session survey on the RIMS14 mobile application.


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