Settlement

4/6/2020 - 1 min read

COVID-19 – ISO Claims Partners keeping you updated

As the industry (and nation) continue to deal with the challenges of the current health crisis,we want to provide you with some resources which you may find helpful.

3/31/2020 - 4 min read

How to get a handle on claims costs and complications with automated arbitration

The impact of the UK personal injury reforms, now set to take effect in August, is uncertain. The small claims track limit is expected to increase from £1,000 to £5,000; and it’s highly likely this will cause shifts in the costs of settling personal injury claims, claims volumes, and types of claims filed.

3/30/2020 - 9 min read

Settling claims in unsettling times

In a time of social distancing and uncertainty, many are left wondering how our current working and social paradigm will impact workers’ compensation claims handling – especially being able to close claims.

Glenn Carstens Peters Npxxwgq33zq Unsplash 1

3/30/2020 - 4 min read

Social Security Administration suspends processing of third-party requests to determine SSDI status

As of 3/17/20, all the Social Security Administration field offices have been closed to the public in response to the growing COVID-19 pandemic according to its website. Despite the closures, the SSA remains functional.

Sharon Mccutcheon Tn57ji3cewi Unsplash 1

2/27/2020 - 14 min read

The Eleventh Circuit rules that the MSP’s three-year “claims-filing” statute is not a prerequisite for filing a private cause of action recovery claim

In reversing a lower court decision, the U.S. Circuit Court of Appeals (Eleventh Circuit) in MSPA Claims 1, LLC v. Kingsway Amigo Insurance ruled compliance with the Medicare Secondary Payer’s “claims-filing” statute was not a prerequisite for filing a private cause of action recovery claim.

2/27/2020 - 4 min read

Five data-driven strategies for fighting insurance claims fraud

As we enter 2020, the insurance industry looks much different than it did ten years ago.

2/12/2020 - 1 min read

CMS releases new NGHP Section 111 User Guide (Version 5.8)

CMS has released an updated Section 111 User Guide (Version 5.8, January 31, 2020) regarding non-group health plans (liability, no-fault and workers’ compensation).

2/12/2020 - 21 min read

California spotlight: Medicare Advantage recovery rights

The issue of Medicare Advantage Plans recovery rights has catapulted to the compliance forefront over the past few years following a series of court rulings finding that MAPs can sue claims payers for “double damages” under the Medicare Secondary Payer private cause of action provision.

2/10/2020 - 4 min read

How to optimise insurance claims and improve your customer’s experience

Customer expectations are continually evolving, no more so than in the world of insurance. Customers are increasingly digital-first and choosing services based on convenience. They’re seeking easier methods to both purchase an insurance policy and make a claim when they experience a loss.

Ca20014 Gettyimages 971586008 500x333 011520 1

1/15/2020 - 3 min read

Getting ahead of the claims game: Reducing the cost of personal injury claims, with or without delay to reforms

The 2018 Civil Liability Act is expected to take effect in April this year and is set to transform the handling of low-value personal injury claims in England and Wales. The Act seeks to control the growth of motor insurance premiums for “ordinary” motorists by reducing the cost of whiplash injury claims.

1/10/2020 - 6 min read

Philadelphia law firm reaches settlement with U.S. Department of Justice regarding alleged failure to resolve Medicare conditional payments

The United States Department of Justice (DOJ), United States Attorney’s Office for the Eastern District of Pennsylvania has issued a news release reporting that a Philadelphia personal injury law firm has entered into a settlement for $6,604.59 with the United States to resolve allegations that it failed to reimburse certain Medicare payments made to medical providers on behalf of the firm’s clients.

National Cancer Institute Nfvdkihxylu Unsplash

12/17/2019 - 16 min read

Ohio court rules that Medicare Advantage Plans can sue insurers for “double damages” under the MSP

The U.S. District Court in Ohio ruled MAPs can sue insurers for “double damages” under the MSP.

12/9/2019 - 1 min read

CMS to host town hall meeting to discuss CRC ORM recovery issues related to NGHP claims

CMS announced it will host a town hall meeting on recovery issues related to the CRC and on-going responsibility for medicals for non-group health claims.

12/2/2019 - 4 min read

CMS retains its $750 “Low Dollar” threshold for 2020

CMS announced it is retaining its current $750 low dollar threshold in 2020.

11/15/2019 - 4 min read

Litigation insights offer the key to rising claim costs

Legal analytics make it possible for insurers to derive actionable insights from legal data to improve claims handling and litigation outcomes.