Webinar: WC Benchmarking Study – 3 Obstacles to Providing Superior Claims Performance and What Organizations Must Do to Overcome Them
Although we have identified three different obstacles to claims management mastery – lack of adequate return to work options, the impact of litigation on claims outcomes, and psychosocial factors and other co-morbidities that delay and impair recovery – there is a common theme that connects them all. That theme is that their respective solutions all require operational transformation.
Participants in the 2021 Workers’ Compensation Benchmarking Study note that when an injured worker doesn’t understand the claims process, or fears it, they are more likely to hire an attorney. Higher performing organizations seeking to limit the impact of litigation on workers’ comp claims are transforming the way they interact with injured workers, including the degree to which they engage to help them understand and navigate the claims process.
The same premise applies to return to work options. While some high performing payers have a firm grip on best-in-class return to work options, including light duty, or work with a community nonprofit as an interim step, others, according to our data, still have a ways to go in finding the organizational will and intent to provide adequate options.
Finally, addressing biopsychosocial factors and other co-morbidities in the claims process includes helping frontline claims staff better understand and know the injured worker. This may include the worker’s home life, their mental state, even their diet and exercise habits. There is a range of competency in this area according to the Workers’ Compensation Benchmarking Study results. While some high performing groups live and breathe injured worker advocacy, another segment of the payer landscape still needs to retool legacy processes and legacy semantics to create a professional culture that owns and acts on worker-centric best practices.
In this webinar, a seasoned risk manager, clinical expert, claims expert and managed care CEO will leverage study data to detail what high performing organizations are doing to overcome these challenges, offering unique perspectives based on their segment and role in the industry. Your attendance and participation is strongly encouraged! Attendees will also receive a complimentary copy of the 2021 Workers’ Compensation Benchmarking Study.
Who should attend this webinar?
- Claims Executives
- Medical Management Executives
- Risk Managers
- Carrier Executives