Insurers are getting a larger share of suspicious claim referrals from fraud-detection technology and are increasingly using artificial intelligence to sift through data, according to a new study by the Coalition Against Insurance Fraud and SAS. The Insurance Fraud Technology …
Helmsman Completes Acquisition of Eberle Vivian Liberty Mutual’s wholly-owned third-party administrator, Helmsman Management Services, announced that it has closed on a deal to acquire Eberle Vivian Inc., a workers’ compensation claims administrator that serves the Pacific Northwest. Eberle Vivian, based …
Is this claimant supposed to be off work? Did I get enough discount on the services? Were those services even necessary? I would argue that the question everyone should be asking instead is: Who is your doctor? After all, the …
You may have heard some buzz about machine learning (ML), but what exactly is it? And, more importantly, how does it relate to you? ML essentially refers to the phenomenon of computers and other devices that appear to be intelligent …
A new study released by Colorado-based Valen Analytics, an Insurity company and provider of proprietary data, analytics and predictive modeling for P/C insurers, revealed that its workers’ compensation customers reported an average of 25 percent loss ratio improvement, nearly double …
Declining cost barriers, the availability of cloud storage and telematics will likely increase predictive analytic adoption rates, according to Dan Donovan, assistant vice president of Claims Solutions at Verisk Insurance Solutions. Though predictive modeling has been used for some time …
To remain competitive in the marketplace, all workers’ compensation carriers will need to adopt some form of analytics, according to Rob Lewis, president of ISO Claims Partners. Lewis outlined the benefits of using predictive analytics in all stages of a …
Better performing workers’ comp claims organizations utilize key performance indicators, data analytics and an advocacy-based model to successfully manage claims, according to Rising Medical Solution’s most recent Workers’ Compensation Benchmarking Study. Better performing workers’ comp claims organizations utilize key performance …
In the famous comedy by William Shakespeare, “The Taming of the Shrew,” the main plot depicts the courtship of Petruchio and Katherina, the headstrong, uncooperative shrew. Initially, Katherina is an unwilling participant in the relationship, but Petruchio breaks down her …
Insurance fraud is rising and more insurers are responding forcefully by automating investigations with skilled technology, according to a study of insurer technology usage by the Coalition Against Insurance Fraud. More than 60 percent of insurers say fraud has climbed …