COLUMBIA, S.C., July 7, 2004 — ISO has bolstered its ISO Claims Outcome Advisor® (COA™) with a workers' compensation claims-handling solution.
ISO's new workers' compensation COA solution addresses the rising costs of payments for lost wages and medical treatments by streamlining claims-handling practices and calculating more accurate loss reserves. The COA workers' compensation product is based on scientific methodology that adheres to medically recognized standards.
COA understands the treatment protocols and the severity and recovery implications of more than 18,000 medical conditions, including injuries, treatments, complications and preexisting conditions. It also incorporates an industry-standard job data bank of nearly 14,000 occupations.
COA's "Task Wizard" function allows users to create job and task-related activities,store and customize them for more effective case-specific injury management.
COA combines job activities with medically recognized recovery times for specific injuries to produce a customized return-to-work plan. The COA workers' compensation solution has information on task assessments, work restrictions, modified tasks and patient tracking. COA is also able to coordinate activities among care providers, patients and employers so injured employees can get back to work as soon as medically possible.
"The workers' compensation claims business needs better automation and benchmarking to manage return-to-work plans and ensure more accurate loss reserving," said Lee Fogle, ISO vice president of Claims Services. "ISO's COA solution incorporates a medical encyclopedia, audit trails and a medical analysis system that insurers can use to compare information quickly, establish benchmarks and comply with standards. As a result, claims handlers can manage claims more efficiently and negotiate settlements with claimants more confidently."
About ISO Claims Outcome AdvisorTM (COATM)
ISO Claims Outcome AdvisorTM (COATM),supplied by its wholly owned subsidiary, ISO Claims Services, Inc., is the industry's first personal injury claims management solution that manages the multiple dimensions of insurance companies' personal injury claims portfolios. COA understands the severity and recovery implications of over 18,000 medical conditions — including injuries, treatments, complications and preexisting conditions — and14,000 occupations. COA helps claims handlers, managers and actuaries manage the unique and complex medical, legal and occupational issues presented by personal injury claims and helps ensure appropriate financial arrangements are agreed on and implemented. Claims handlers can manage all aspects of a case from first notice of loss to return-to-work plans, rehabilitation and damages.
ISO is a leading provider of products and services that help measure, manage and reduce risk. ISO provides data, analytics and decision-support solutions to professionals in many fields, including insurance, finance, real estate, health services, government and human resources. Professionals use ISO's databases and services to classify and evaluate a variety of risks and detect potential fraud. In the U.S. and around the world, ISO's services help customers protect people, property and financial assets.