Casualty Solutions
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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
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
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.
Maintain full compliance and make better decisions
Improve claim outcomes through data, analytics, and advocacy
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
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
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
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
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
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
Waiting for CMS’s Section 111 penalties “final rule” – status, updates, and what’s next
Presently, the industry is waiting for CMS to release its Section 111 CMPs “final rule” to the public.
Read the article
CMS releases updated Medicare Secondary Payer Recovery Portal (MSPRP) User Guide (Version 5.6) – Updates to Open Debt Report, Compromise Requests, and Go Paperless notifications
The Centers for Medicare and Medicaid Services (CMS) has released an updated Medicare Secondary Payer Recovery Portal (MSPRP) User Guide Version 5.6 (January 9, 2023).
Read the article
CMS releases Section 111 NGHP User Guide (Version 7.0, January 9, 2023) – CMS announces several new updates to kick off 2023
The (CMS) has released an updated Section 111 NGHP User Guide (Version 7.0, January 9, 2023) regarding Section 111 reporting related to non-group health plans.
Read the article
Understanding Medicare Treasury claims – avoiding the pitfalls and steps for success
In this article, the author provides a general overview of Treasury collection actions in relation to CMS’s non-group health plan recovery process.
Read the articleExceptionally Accurate MSP Reporting
For Section 111 claims reported to CMS through MSP Navigator®,
99.9% contained ZERO errors.*
Learn more about casualty solutions
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.
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.
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.
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.
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.
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.
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.
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.
Discover High-Complexity Workers’ Comp Claims
Predictive analytics found high-severity claims 40 days faster
Complementary solutions
Complex claims and compliance costs insurers
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
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
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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*Based on 2019 data of 5,000+ RREs and over 200 million claimants queried.