As California officials are calling for a review of workers’ comp fraud fighting practices in the state, some cost containment providers are saying that bill review can be an effective tool for detecting fraud. Jason Beans, Rising’s Chief Executive Officer, shares some of the company’s bill review practices for detecting fraud.
Polling Claims Leaders to Deliver Collective Intelligence, Practical Research/
June 7, 2016 — Chicago, IL — The Workers’ Compensation Benchmarking Study’s 2016 claims leader survey is now underway, advancing its collaborative investigation of issues most impacting claims organizations today.
“Claims Advocacy” is fast getting the attention of workers’ comp claims leaders as a powerful approach to better claims outcomes. The on-demand economy has created cultural and multi-generational expectations around service, speed and simplicity – expectations that raise the bar for engaging injured workers. We found some claims leaders – from Starbucks, Albertsons Safeway, Nationwide Insurance, and Sedgwick – who have already figured out what to do. This article, co-authored by Rising’s Work Comp Benchmarking Study Program Director Rachel Fikes and industry journalist/consultant Peter Rousmaniere, uses interviews and study insights to describe the advocacy concept and how to walk the walk. Four minutes to read.
Study Evolution Focuses on Practical Claims Management Research/
May 2, 2016 — Chicago, IL — Distilling the many challenges confronting claims organizations today to a critical few is a challenge unto itself. In its fourth annual study, the Workers’ Compensation Benchmarking Study program will do just that.
Federal health care regulators are paving the way for a value-based purchasing approach in workers’ compensation. Rising CEO Jason Beans outlines Medicare’s assertive advances to replace the fee-for-service model, their impressive outcomes, and takeaways for workers’ comp in his Risk & Insurance Risk Insider column.
Fraud analytics can help detect suspicious injury claims, fraudulent providers, and premium avoidance scams. In this article, Rising’s Work Comp Benchmark Study results shed light on the adoption of analytics by payers.
March 1, 2016 – Uncasville, CT – In early March, Rising CEO Jason Beans conducted a session on results from the 2015 Workers’ Compensation Benchmarking Study at the 13th Annual National Workers’ Compensation Insurance ExecuSummit.