Claims

Colleagues Conversing Around Conference Table 3

3/13/2025 - 18 min read

Section 111 reporting: CMS’s road map to conditional payment recovery

Insurers must understand CMS's use of Section 111 data in the conditional payment recovery process to avoid consequences and liability.

3/11/2025 - 3 min read

Uncovering profitability strategies for commercial auto insurers

Learn how underwriters can leverage strategic soluitions from Verisk designed to help battle challenges to profitability in commercial auto.

2/26/2025 - 3 min read

U.S. Construction Material Imports: Vulnerability to Potential Tariffs on Canada, China, and Mexico

U.S. construction industry's vulnerability to tariffs: analysis of import dependencies for key materials and impacts on costs and supply chains

2/21/2025 - 3 min read

Changes On the Horizon in 2025 for Workers’ Comp Reporting

Discover key 2025 changes in workers' comp reporting, including new data elements, expanded participation, and updates on FROI SROI and loss costs.

2/18/2025 - 5 min read

Effective AI Governance for Insurance Claims Solutions

Learn how insurers can responsibly use AI for claims processes, mitigating risks and ensuring compliance.

2/11/2025 - 2 min read

Quarterly reconstruction cost growth rate flattens

Read the latest 360Value Quarterly Reconstruction Cost Analysis for more information on this quarter’s performance.

1/23/2025 - 5 min read

CMS will end one-year waiting period to file WCMSA Amended Review requests

CMS has a released an Alert advising that effective 4/7/2025, Amended Review requests “will be allowed at any time a WCMSA case is approved.”

1/22/2025 - 11 min read

CMS releases WCMSA Reference Guide 4.2-CMS to end review of $0 WCMSAs

CMS releases an updated WCMSA Reference Guide (Version 4.2, January 17, 2025).

1/10/2025 - 4 min read

CMS releases updated MSPRP User Guide (Version 6.4)

CMS released an updated MSPRP User Guide with changes to the security protocols for the Multi-Factor Authentication process.

1/8/2025 - 3 min read

CMS releases Section 111 NGHP User Guide (Version 7.9)

CMS has released an updated Section 111 NGHP User Guide regarding reporting related to NGHPs (liability, no-fault and workers’ compensation).

Colleagues Conversing Around Conference Table

12/19/2024 - 5 min read

CMS retains its $750 “Low Dollar” threshold for 2025

CMS has announced its low-dollar reporting and recovery thresholds for 2025, retaining the current $750 low-dollar threshold for certain cases.

Office Working Concentrating On Laptop Screen

12/11/2024 - 8 min read

New Section 111 NGHP User Guide (Version 7.8) – CMS adds new section regarding WCMSAs

CMS released an updated Section 111 NGHP User Guide (Version 7.8) regarding S.111 reporting related to non-group health plans.

12/10/2024 - 3 min read

Effective Fraud Detection with Scalable Data Management

Explore how insurers leverage data at scale to combat fraud, manage challenges, and enhance anti-fraud strategies with emerging technologies.

11/11/2024 - 4 min read

Stay Ahead of Digital Media Fraudsters with Smarter Claims Tools

To combat these emerging threats, insurers will need technologies as robust and adaptable as the fraudsters’ tactics.

10/28/2024 - 31 min read

CMS Unveils New Webpage Resource for NGHP Section 111 CMPs

CMS introduces two new resources related to NGHP Section 111 civil money penalties (CMPs): the NGHP Civil Money Penalties webpage and the CMPs workflow.