wci conference 2015
TRANSCRIPT
Fix the Problem, Not the BlameData, Accountability & Fraud in Workers’ Compensation
Ed BeecherRisk Manager
City of Pompano, FL
Today’s Panel
Susan LangleyDirector of Human Resources
Florida Natural Growers
Kimberly SimmonsProperty& Casualty Claims Manager
Fidelity National Financial
Diane Blaha, CorVel Corporation Gary Jennings, Strategic Claims Direction, LLC
Facilitators
©2015 CorVel Corporation.
Fixing the Problem
Placing the Blame
©2015 CorVel Corporation.
Measuring Results
©2015 CorVel Corporation.
Data Elements v. Analysis Paralysis
©2015 CorVel Corporation.
Claims Scorecard
REPORTING
©2015 CorVel Corporation.
Claim Details
REPORTING
©2015 CorVel Corporation.
Bill Review Savings
REPORTING
©2015 CorVel Corporation.
Pharmacy Savings
REPORTING
©2015 CorVel Corporation.
Closed Claims
REPORTING
©2015 CorVel Corporation.
2012 2013 20140%
10%
20%
30%
40%
50%
60%
70%
80%
Workers' Compensation Closed Claimsby Percentage of Indemnity Total Claims
Close Ratio
REPORTING
©2015 CorVel Corporation.
Idemnity Medical Only Combined0%
20%
40%
60%
80%
100%
120%
140%
Workers' Compensation Closed ClaimsClosing Ratio by Year Closed and Claim Type
2012 2013 2014
The Right Partnership
©2015 CorVel Corporation.
Service Instructions
■Setting expectations■Roadmap for success
■ Identifying redflags■Updating and evolving
©2015 CorVel Corporation.
■Lag time■Adjuster turnover■Closing ratio
■Costs■Employee satisfaction■LT to MO ratio
Key Performance IndicatorsANALYTICS
©2015 CorVel Corporation.
Program Enhancements
©2015 CorVel Corporation.
A Healthy Partnership
©2015 CorVel Corporation.
Ed BeecherRisk Manager
City of Pompano, FL
Thank You.
Susan LangleyDirector of Human Resources
Florida Natural Growers
Kimberly SimmonsProperty& Casualty Claims Manager
Fidelity National Financial
©2015 CorVel Corporation.