Claim triage is hardly a new concept. Every insurer looks to achieve early identification of those workers' comp claims that run the risk of high medical costs and a long payout period. Early intervention into those cases could give insurers more control over the handling of the claim, the medical treatment, and the overall costs with an earlier return-to-work.
Serious injuries that result in the loss of a limb or severe burns are obvious candidates for claim triaging, but, what about those developmental claims that are not as obvious? On the surface, developmental claims may appear trivial, and may not raise any red flags. As time goes on, however, these claims start to show their true colors in the form of exorbitant managed care costs and out of control medical expenses.
While insurers may have the processes in place to identify the 'usual suspects', how can they identify those that are not as obvious to take advantage of early intervention while controlling costs and getting workers back to work sooner rather than later?
Want to continue reading?
Become a Free PropertyCasualty360 Digital Reader
Your access to unlimited PropertyCasualty360 content isn’t changing.
Once you are an ALM digital member, you’ll receive:
- Breaking insurance news and analysis, on-site and via our newsletters and custom alerts
- Weekly Insurance Speak podcast featuring exclusive interviews with industry leaders
- Educational webcasts, white papers, and ebooks from industry thought leaders
- Critical converage of the employee benefits and financial advisory markets on our other ALM sites, BenefitsPRO and ThinkAdvisor
Already have an account? Sign In Now
© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.
