One of the nice information about Using Data and Analytics in Workers’ Compensation.I found something what I want about the Early Identification and Intervention.
John is correct in pointing out the resposibilities of a claims adjuster- He didn’t mentionthe improtance of Nurse Case Managers! They are a signific factor in reducing claims cost. In fact the Nurse Case Manager follows the claim from first notice of injury until the claim is closed. NCM monitoring closely the direct of the treatment plan process, employee treatment compliance and communition with all the 4 key players, employer employee, provider and claims adjuster.Perhaps if more claims were nurse cased managed their would be less claim costs!
Analytics are poor substitute for proper WC claims staffing and training. I would argue that the primary need for this type of technological solution is the industry’s abandonment of an outside workforce, i.e., claims adjusters that actually meet face-to-face with injured workers, and increasing workload guidelines. This type of technology is great and I support its use, however, there will never be a substitute for prompt intervention by trained claims professionals with the time to work their respective case loads.
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One of the nice information about Using Data and Analytics in Workers’ Compensation.I found something what I want about the Early Identification and Intervention.
John is correct in pointing out the resposibilities of a claims adjuster- He didn’t mentionthe improtance of Nurse Case Managers! They are a signific factor in reducing claims cost. In fact the Nurse Case Manager follows the claim from first notice of injury until the claim is closed. NCM monitoring closely the direct of the treatment plan process, employee treatment compliance and communition with all the 4 key players, employer employee, provider and claims adjuster.Perhaps if more claims were nurse cased managed their would be less claim costs!
Analytics are poor substitute for proper WC claims staffing and training. I would argue that the primary need for this type of technological solution is the industry’s abandonment of an outside workforce, i.e., claims adjusters that actually meet face-to-face with injured workers, and increasing workload guidelines. This type of technology is great and I support its use, however, there will never be a substitute for prompt intervention by trained claims professionals with the time to work their respective case loads.