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Casualty Solutions

We help insurers take control of claims, compliance, and costs

We provide a wide range of claims compliance solutions—from extensive MSP services to efficient EDI reporting—as well as proven predictive analytics that improve workers’ compensation and liability claims management.

Discover Verisk’s Robust Claim Insights & Compliance Support

 

For a superior compliance program and data-driven claims insights, talk to Verisk today.

Slash time and spend on record review

Discovery Navigator Calculator

Slash time and spend on record review

Discover how much time and money your claims organization can save by trying our virtual Savings Calculator Now.

Automate the retrieval of medical information with Discovery Navigator

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A cutting-edge that tool utilizes natural language processing (NLP) and offers options for identifying and extracting certain terms within unstructured medical records resulting in expedited file review at a far lower cost than manual review.

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Maintain full compliance and make better decisions

Improve claim outcomes through data, analytics, and advocacy

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Improve claim outcomes through data, analytics, and advocacy

With our support and insight, customers are achieving greater efficiencies, maintaining full compliance, and making better decisions. Check out the results for yourself!

Medicaid Recovery: Five things you need to know

Medicare Advantage

Medicaid Recovery: Five things you need to know

Insurers have been meeting the challenges of Medicare Secondary Payer (MSP) compliance for a while, but increasingly the demands of the other M—Medicaid—also need attention. Read this detailed article to learn the full scope of advancements in Medicaid recovery, and learn what this means for your organization.

Put a Leash on Old Dog Claims

Olddogpiece

Put a Leash on Old Dog Claims

Are your old claims lying around the office or floating in the cloud, waiting to be closed? The longer these files stay open, the more involved they become, potentially leading to higher costs and putting a strain on resources. What can you do to resolve them?

Lighting the path to better workers’ comp outcomes

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Lighting the path to better workers’ comp outcomes

Discover how workers’ compensation data can provide valuable insights through advanced automation technology for improved results.

Improve data accuracy to optimize claims outcomes

Automation And File

Improve data accuracy to optimize claims outcomes

A predictive analytics model is only as good as the data it analyzes. And if that data is inaccurate, it can lead to inconsistent settlements, claim leakage, and higher costs. Learn about the most common barriers to effective data analytics and how to overcome them.

Millions of Dollars Saved
Clients saved nearly $150 million in Medicare conditional payments in 2020.

Manage claims compliance and reporting better

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The complexities of claims compliance are daunting—and expensive. That’s why we offer a full range of holistic Medicare Secondary Payer (MSP) reporting and cost-containment solutions that save time and reduce spend. We also offer streamlined FROI/SROI and EDI reporting to empower insurers to meet the requirements of every state.

Empowering insurers to comply fully with Medicare

Cms Medicare Teaser

CMS releases updated Workers’ Compensation Medicare Set-Aside Reference Guide (Version 3.8) – changes impact CMS’s WCMSA re-review process

The Centers for Medicare and Medicaid Services (CMS) has released an updated Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.8)

Read the article
Nghp Section 111 Teaser

CMS to hold NGHP Section 111 Webinar on December 6th at 1:00 p.m. ET

The Centers for Medicare and Medicaid Services (CMS) has announced that it will be holding a non-group health plan (NGHP) Section 111 webinar.

Read the article
Cms Future Medicals Teaser

Back to the drawing board: CMS’s future medicals proposals are withdrawn – where does this leave LMSAs?

As reported in our October update, the Centers for Medicare and Medicaid Services’ (CMS’s) future medicals proposals have been withdrawn.

Read the article
Crc Recoveries Teaser

CMS releases data and statistics regarding CRC recoveries and WCMSAs

The Centers for Medicare and Medicaid Services (CMS) has released two new reports providing data regarding CRC recoveries and WCMSAs.

Read the article

Exceptionally Accurate MSP Reporting
For Section 111 claims reported to CMS through MSP Navigator®,
99.9% contained ZERO errors.*

Learn more about casualty solutions

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Automate the retrieval of medical information

A cutting-edge that tool utilizes natural language processing (NLP) and offers options for identifying and extracting certain terms within unstructured medical records resulting in expedited file review at a far lower cost than manual review.

Learn about Discovery Navigator
Future Allocation Services

Achieve full compliance for future medical allocations while managing expenses

Complying with Medicare’s demands for future medical allocations requires deep knowledge of both medical and legal aspects of injury claims. We have a range of services to help you comply and expertly manage expenses.

Learn about Future Allocations
Section 111 Reporting

Accurate Medicare reporting lets insurers comply with ease

Section 111 reporting requirements don’t have to weigh down your claims-handling staff. Our robust CMS reporting solution and review services enable insurers to easily fulfill their obligations to identify and report Medicare recipients in claims.

Learn about Section 111 Reporting
Lien Services

Mitigate compliance costs of Medicare and Medicaid liens

Our team of legal and medical experts has developed a broad range of conditional payment services regarding the U.S. Department of Treasury, Medicare Advantage, and Medicaid to facilitate seamless, worry-free compliance while reducing costs.

Learn about Lien Services
Liability Navigator

Improve general damages assessments, settlements, and liability

Evaluating general damages for injury claims, pinpointing liability, determining fair settlements, and finding subrogation are all vital to effectively managing claims and preserving insurers’ bottom lines. But carriers have been challenged to accomplish these goals while resolving claims as quickly as possible.

Learn about Liability Navigator®
Wcnavigator

Detect and manage high-severity workers’ comp claims through predictive analytics

Accurately determining workers’ compensation claim severity early is key to controlling claim costs. wcNavigator® uses predictive analytics to help adjusters and claims managers accurately identify claim severity as early as day one.

Learn about wcNavigator
Wcprism

Mastering data compliance reporting requirements for workers’ compensation

Workers’ compensation data compliance reporting is challenging; insurers must carefully format and submit detailed claim and policy data to state jurisdictions and data collection organizations. Verisk has solutions for all workers’ compensation compliance reporting needs that will help save time and improve reporting accuracy.

Learn about wcPrism®
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Capturing workers’ compensation claims information with EDI

Workers’ compensation data compliance reporting is challenging. Insurers must carefully format and submit detailed claim and policy data to state jurisdictions and data collection organizations. Verisk has solutions for all workers’ compensation compliance reporting needs that will save time and improve reporting accuracy.

Learn about wcCapture™

Discover High-Complexity Workers’ Comp Claims
Predictive analytics found high-severity claims 40 days faster

Complementary solutions

Complex claims and compliance costs insurers

Workers Comp Claims

Complex claims and compliance costs insurers

Workers’ compensation insurers are challenged with managing complex claims, rising claim severity, and stringent reporting obligations. And with many experienced claims handlers nearing retirement, the challenges become even more daunting.

Empowering insurers to comply fully with Medicare

Medicare Compliance And Reporting

Empowering insurers to comply fully with Medicare

Navigating the complex and ever-changing Medicare compliance landscape can be challenging. That’s why our team of legal and medical experts has developed a range of efficient and accurate Medicare compliance services supported by industry data and claims analysis.

Fast-track meritorious claims while improving fraud detection

Iso Claimsearch

Fast-track meritorious claims while improving fraud detection

ClaimSearch® is more than the world’s largest database of property/casualty claims—it’s also a robust claims intelligence platform. Its claims-matching technology is an essential first step in fraud detection, and the results can help facilitate fast-tracking. The platform also provides seamless access to integrated claims fraud-detection and investigative analysis tools.

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Other Ways to Connect

We are available Monday through Friday, 7 a.m. — 9 p.m. US Eastern Time:

  • Chat Now

    Note that password resets and user information are not available through Live Chat or Email. Instead, please call the main toll-free number below.

  • Main Toll-Free: 1-800-888-4476

  • Global Toll-Free: International Access code, then 800 48977489
    When calling from the UK, please dial 00 800 4897 7489

*Based on 2019 data of 5,000+ RREs and over 200 million claimants queried.

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