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May 3, 2024
To Clarify What “File” Means With Workers’ Compensation Claims. The Connecticut Supreme Court Does It.

April 25, 2024
California Department of Industrial Relations and Cal/OSHA Will Honor Workers’ Memorial Day at Four Events in California on April 28th-29th 2024. Cal/OSHA Joining Partners in Arcadia, Richmond, San Diego and San Francisco.

April 23, 2024
California Division of Workers' Compensation Launches Online Portal for Submission of QME Medical-Legal Reports

April 22, 2024
California Division of Workers’ Compensation Posts Updated Time of Hire Notice

Since 2013, Rising Medical Solutions' annual Workers' Compensation Benchmarking Study has surveyed more than 3,600 claims leaders and frontline claims professionals on their top operational priorities, challenges, and opportunities, as well as their strategies for improving claim outcomes.

Now, with the release of its tenth Study Report, this national research program reveals the trajectory of how claims management has (or has not) progressed over the past decade––ultimately delivering a 10-year industry report card.

"Reflecting on the challenges and opportunities claims organizations have faced over the past 10 years, it may seem like 'everything and nothing has changed,'" says Rachel Fikes, chief experience officer and program study director at Rising Medical Solutions. "But, by reprising survey questions used since the study's inaugural publication, a clear picture emerges of the industry's claims management advancements as well as entrenched obstacles. Examining this rich, year-over-year data repository not only enables us to identify key trends, it also helps us forecast where the industry is headed."  

The latest study Report draws upon survey research conducted with claims leaders in the fall/winter of 2022.  In addition to quantifying industry progress, the 2022 Report identifies how high-performing claims organizations distinguish themselves across 30-plus data variables to surpass trendlines and less successful peers in navigating persistent industry challenges. Significant performance differentiators include:

• Identifying and addressing behavioral health/mental health issues
  
• Providing staff training on empathy and other soft skills
• Measuring injured worker satisfaction as a key metric of claims management effectiveness
• Harnessing performance-based strategies with staff and vendor partners
• Employing workflow automation and predictive and prescriptive analytics
• As in prior years, the 2022 Report will be available to all industry stakeholders without cost or obligation as a contribution to the workers' compensation industry. It may be requested here.

About the Workers' Compensation Benchmarking Study:

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 advance claims management in the industry by providing both quantitative and qualitative data. Through survey research with claims leaders and practitioners nationwide, the program generates actionable intelligence for claims organizations to evaluate priorities, challenges, and strategies amongst their peers. Conceived and directed by Rising Medical Solutions, the ongoing program is a collaboration of industry executives representing diverse organizational perspectives, including the Study's Principal Researcher and Advisory Council:

Denise Algire, Director of Health, Albertsons Companies
Melissa Burke, PharmD, VP, Head of Client Experience, AmTrust Financial Services
Tyrone Spears, Chief, Workers' Compensation Division, City of Los Angeles
Ben Tebo, JD, VP, Creative Risk Solutions
Thomas Stark, RVP, Commercial Lines, Encova Insurance
Sharon Scott, VP, Medical Programs, ESIS
Freddy Mistry, AVP, Gallagher Bassett
Helen Weber, AVP, Head of Medical Strategy, The Hanover Insurance Group, Inc.
Adam Seidner, MD, Chief Medical Officer, The Hartford
Victoria Kennedy, VP, Workers' Compensation, Linea Solutions
Jaclyn Tiger, Sr. Director, Claims, Workers' Compensation, Markel
Scott Emery, Executive Claims Analyst, Markel
Thomas Wiese, VP, Claims, The MEMIC Group
Michele Fairclough, Medical Services Director, Montana State Fund
Molly Flanagan, AVP, Workers' Compensation Claims, Nationwide Insurance
Marcos Iglesias, MD, VP, Chief Medical Director, Travelers
Linda Butler, Director, Claims Management, Walt Disney World Resort
Brian Trick, Sr. Director, Employee Health & Claims Services, Wegmans Food Markets, Inc.

About Rising Medical Solutions:
Rising Medical Solutions (www.risingms.com) is a national managed care firm that provides medical cost containment and medical care management services to the workers' compensation, auto, liability, and group health markets.  News release from Rising Medical Solutions LLC, contact Rachel Fikes, rachel.fikes@risingms.com; edited by Lonce Lamonte, editor, adjustercom