Analytical assessment of data continues to expand in the workers' compensation claims-management process. It is generally accepted that 15% to 20% of all claims make up 80% of overall total costs. Recent trends are focusing on identifying those "15% to 20%" claims early in the process by going beyond traditional benchmarking.
The claims identified through the analytical process are projected to get worse based on historical results on similar claims and factors unique to the specific claim. Often, these claims become more complicated because of injury migration and causation disputes, complex medical diagnoses and treatment, and increases in temporary and permanent disabilities. Because of the complexity and developmental attributes, these claims generally require more litigation.
Consequently, applying predictive analytics to the litigation process and engaging the right attorney in the claim before litigation gets out of control can effectively impact litigation costs and the overall claim outcomes by helping modify predicted outcomes.
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