About the Study

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Focus Areas

Prioritizing Core Competencies

Talent Development & Retention

Impact of Technology & Data

Medical Performance Management

The Workers’ Compensation Benchmarking Study is a national study examining the complex forces impacting claims management in workers’ compensation today.

About the Study Program:

The Workers’ Compensation Benchmarking Study is a national research program examining the complex forces impacting claims management in workers’ compensation today. The study’s mission is to advocate for the advancement of claims management by providing both quantitative and qualitative research that allows organizations to evaluate priorities, hurdles, and strategies amongst their peers. Conceived and directed by Rising Medical Solutions, the Study addresses the gap in available research focusing on how claims organizations deal with industry-wide operational challenges.

Today, the ongoing study program is a collaboration of workers’ compensation leaders who represent diverse perspectives and share a commitment to providing meaningful information about claims management trends and best opportunities for advancement. Recognizing the need for an unbiased approach, the study is guided by an independent Principal Researcher and an Advisory Council of industry experts whose involvement is critical to maintaining a framework that produces impartial and compelling research.

About the Principal Researcher & Study Report Author:

Denise Zoe Algire, MBA, RN, COHN-S/CM, FAAOHN,
Director of Risk Initiatives & National Medical Director |
Albertsons Companies

Denise Zoe Algire serves as the principal researcher and report author for the studies. She is a nationally recognized expert in enterprise risk management, managed care, and integrated disability management. She is board certified in occupational and environmental health and is a fellow of the American Association of Occupational & Environmental Health Nurses. Bringing more than 20 years of industry experience, her expertise includes claim operations, medical management, risk management, and healthcare practice management.

About the Study Director & Publisher,
Rising Medical Solutions:

Rising Medical Solutions (Rising) is a national medical care and cost optimization company that serves payers of medical claims in the workers’ compensation, auto, liability, and group health markets. Rising conceived the study idea and leads the logistical, project management, industry outreach, and publication aspects of the effort. For study inquiries, please contact Chief Experience Officer and Study Program Director, Rachel Fikes.

About the Advisory Council:

Providing the critical expertise needed to deliver useful information to claims organizations, the Council is comprised of executive leadership from across the industry, including:

Denise Zoe Algire, Director of Risk Initiatives &
National Medical Director | Albertsons Companies

Rich Cangiolosi, VP, Western Region |
CCMSI

Dr. Tyrone Spears, Chief, Workers’ Comp Division |
City of Los Angeles

Helen Weber, AVP, Head of Medical Strategy |
The Hanover Insurance Group, Inc.

Dr. Adam Seidner MD, MPH, Chief Medical Officer |
The Hartford

Scott Emery, Senior Director, Claims |
Markel

Thomas Wiese, VP, Claims |
The MEMIC Group

Michele Fairclough, Medical Services Director | Montana State Fund

Molly Flanagan | AVP, Workers’ Comp Claims |
Nationwide

Jonathan Gerdes, SVP, Casualty Claims Solutions | SmartCasualtyClaims

Dr. Marcos Iglesias MD, VP, Chief Medical Director |
Travelers

Linda Butler, Director, Claims Management |
Walt Disney World Resort

Victoria Kennedy, Asst. Director for Insurance Services |
Washington State Dept of Labor & Industries

Brian Trick, Director of Claim Services |
Wegmans Food Markets, Inc.

Kyle Cato, Assoc. Risk Manager, Workers’ Comp & General Liability Claims | Williams-Sonoma, Inc.

Thomas Stark, VP, Underwriting |
Zenith Insurance Company