White Paper

How to Overcome Psychosocial Roadblocks: Claims Advocacy’s Biggest Opportunity

Claims leaders rank psychosocial issues as the top barrier to successful outcomes. See how payer organizations are using claims advocacy principles to tame these adverse effects and coach workers to recovery.

White Paper Summary

We know the single greatest roadblock to timely work injury recovery and controlling claim costs. And it’s not overpriced care, or doubtful medical provider quality, or even litigation. It is the negative impact of personal expectations, behaviors, and predicaments that can come with the injured worker or can grow out of work injury.

This suite of roadblocks is classified as “psychosocial” issues – issues which claims leaders now rank as the number one barrier to successful claim outcomes according to our Workers’ Compensation Benchmarking Study’s 2016 survey – and they drive up claim costs far more than catastrophic injuries, mostly due to delayed recovery.

In this short report, we show how claims advocacy principles at The Hartford, CNA, Nationwide, and Albertsons are taming the adverse effects of psychosocial issues and coaching this distressed population to claim resolution.

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To learn more about Rising Medical Solutions, please visit their website.

Rising Medical Solutions provides medical cost containment, care management and financial management services to the workers’ compensation, auto, liability and group health markets.

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