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On our travels visiting clients, we are lucky enough to meet many leaders of claim management operations and smart data analytics teams. We are seeing a certain level of disappointment with the results from the claim predictive models that insurers are building; the models are not delivering the accuracy that was hoped for. One of […]

Invisible Analytics The concept of ‘invisible analytics’ is about understanding the claim management process and providing direction in a simple and concise way, so it’s transparent to the claim manager. Rather than use the predictive model to provide a claim score, that a claim manager is supposed to interpret, we should drive the action. For […]

Even at the distance of a century, no war seems more terrible than World War I. In the four years between 1914 and 1918, it killed or wounded more than 25 million people–peculiarly horribly, and (in popular opinion, at least) for less apparent purpose than did any other war before or since. Yet there were […]

Last month we focused on the importance of getting quality data (Click Here) as a pre-requisite for starting any data analytics project. For this month, we would like to move the conversation forward to how we should structure the data to provide direction in the claim management process. We speak to many claim analytics teams […]

Work-Focused Psychotherapy Helps Employees Return To Work Sooner Research published online in APA’s Journal of Occupational Health Psychology has found that employees who received work-focused therapy, returned to work sooner, did not suffer adverse effects and showed significant improvement in mental health over the course of one year. It turns out that maintaining a strong […]

Just over a year ago we highlighted the National Public Radio article by David Broncacio about “Robot Proof Jobs” (click here).  Our conclusion was that claim managers are safe, and that their cases will get more interesting as the easy low risk claims will take a different route. Now we are starting to see growing […]

May is Disability Insurance Awareness Month and as we enter the last week of the campaign, we have seen some excellent press coverage, including an hour-long radio show on an affiliate station of National Public Radio. I just wanted to share a few of the highlights with you to show what an outstanding job the Council for […]

Here is to a blog by Fred Schott of the Council for Disability Awareness. This gives us a better understanding of the level of Disability Insurance coverage in the US workforce. Click Here  

“Work gives you meaning and purpose, and life is empty without it” A quote from Stephen Hawking. Please read this great article from the BBC. BBC – Stephen Hawking – Advice for a Full Career He should have been on Long Term Disability for decades. He defied all predictive models… He was an outlier… What […]

By Jonathan Polon The application of predictive modeling to segment disability claims has come to be considered best practice since the approach was first introduced in the early 2000s. This presents an opportunity to improve current claims management practices for Short-Term Disability claims by developing an auto-segmentation model. As Short-Term Disability claims are very transactional […]