Workers' Compensation

California becomes fifth state to require closed drug formulary for workers' compensation claims

California Governor Jerry Brown has signed Assembly Bill No. 1124 , which mandates that the Division of Workers’ Compensation (DWC) implement a prescription drug formulary by July 1, 2017. The bill, sponsored by Henry...

ISO Claims Partners Launches Version 2.0 of wcNavigator®

ISO Claims Partners is excited to share the newest updates on wcNavigator ® —the solution that enables a company to identify potentially volatile workers' compensation claims earlier in the claim-handling cycle. We’ve...

A Recipe for Confusion: Medicare Conditional Payment Compliance in Asbestos-Related Workers' Compensation Claims

Medicare conditional payment compliance is difficult enough. When you add complex asbestos-related workers' compensation claims to the mix, it can create a recipe for confusion for insurance carriers, self-insureds, a...

California’s Independent Medical Review: Pursuing Necessary and Appropriate Care

California uses Independent Medical Reviews (IMRs) to resolve disputes regarding medical treatment for injured employees. This process was enacted by way of a landmark workers' compensation reform, Senate Bill 863. Th...

Workers' Compensation Leaders Research Colloquium

I recently participated in a workers' compensation (WC) leaders research colloquium at the National Institute for Occupational Safety and Health (NIOSH) .  The meeting brought together a small group of external worker...

A new year, a new ISO ClaimSearch

Back in December, ISO ClaimSearch began its exciting transformation. The system will ultimately offer a more intuitive design supported by a robust system to facilitate faster claim handling and deliver superior claim...

Personal and commercial insurance agents can’t ignore data and analytics forever

As an agent handling personal and small commercial lines, perhaps you’re reluctant to invest in advanced data and analytics. More than likely, you’ve done well without those tools. But you could be doing a lot better....

The Effect of Saving Seconds at FNOL

Last year, ISO ClaimSearch members submitted 69,000,000 claims ― more than 264,000 claims a day. If you could use data from ISO ClaimSearch and other sources to cut first notice of loss (FNOL) processing by a mere 30...

ISO ClaimSearch – A New Vision

We’re excited to announce a major initiative to transform ISO ClaimSearch ® . Today we’re looking to the future with a new vision to improve the system’s functionality, interface, graphics, and more. The new ISO...

Is Cost-Shifting to P&C Payers on the Horizon?

There are numerous provisions of the Affordable Care Act (ACA), aimed at reducing the cost of America’s healthcare. According to Healthcare Finance News , the cost-saving strategies include specific reductions in...