This debate has been running for a while, so I won’t re-hash the basics other than to say that when STD and LTD is provided as a combined plan, the incidence of LTD claims increases. So carriers should increase the price of their combine plans to reflect the claims experience? Instead of a discount for […]
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August 2015 – Absence Management for earlier intervention
Many companies are now offering an absence management service. This has come about for reasons of competitive differentiation, and by virtue that everyone is now doing it, I’m not sure where the difference is any more! However, there is a benefit for the claims manager in absence management, but not many companies are able to […]
July 2015 – Measuring the confidence to return to work!
The concept of ‘Work Is Healthy’ is an excellent expression of the self-esteem boost that any individual will get when they return to gainful employment. However, not all individuals are created equal, surprisingly, and other factors may weigh against this motivation to return to work. The ‘disability mindset’ is often referred to as the opposite […]
June 2015 – Predictive model used by Florida’s DJJ
The Claim Lab uses predictive models to assess the outcomes of disability and workers compensation claims, but we are excited to see that this technology is starting to be picked up across a range of different sectors. I read this article on the Chronicle of Social Justice last week about Florida’s Department of Juvenile Justice(DJJ), […]
April 2015 – Bridging the Gap between Research and Practice in Claim Management
Recently there has been significant progress in understanding the reasons why people become disabled after an injury or illness, as well as the predictors of return to work from disability. Dr Marc Milot commented “Human behavior is now understood beyond the narrowly defined and deterministic biomedical model focused on the physical and pathophysiological aspects of […]
March 2015 – Predicting Fraud
Fraud seems to be a hot topic at the moment and is a great area to apply advanced analytics to assist in the process of identifying potentially fraudulent claimants. We use a number of techniques to spot these claims. We can analyze the profile of previously identified fraudulent claims, and look for new claims with […]
February 2015 – Big differences between the US and Canada
There seems to be a big difference in approach to managing disability claims between Canada and the US. Yes that’s obvious, I hear you say, and the social health care system in Canada plays a major part in this variation. However, dare I suggest, maybe US claims managers can learn a few tricks here! In […]
December 2014 – Running the same claim twice?
So how do you determine whether an intervention actually works? You cannot run the same claim twice! No two claims are the same, so you cannot apply rehab to one claim then not to another and measure the difference! However, data analytics can help… we can model how a claim behaves without an intervention and […]
June 2014 – Too much ‘medical guidelines’
The industry of providing medical guidelines has been around for many years, and it’s an important part of the claims management process to understand the depth of the medical issue that is diagnosed on a claim. However, there are a couple of reasons why this approach is flawed. Recovery rates are influenced by many other […]