10/26/2017

Tech in Comp

"Which area of advancement in workers compensation technology has been the most valuable?"

By Phil Gusman

“Social media investigations now provide the ability to obtain information that is placed on the internet by the claimants themselves that may contradict their complaints/testimonies. This is extremely useful in leveraging a favorable outcome to a claim.”

Stephen Stubley, Partner, Speed, Seta, Martin, Trivett & Stubley LLC. CLM Member since 2013.

“At the active level of individual claims management, the most valuable impact comes from technologies allowing us to mine and monitor social media to find out what claimants are up to. The internet is a gift that keeps on giving when it comes to claims investigations.”

Stacey Walsted, Workers Compensation Supervisor, Veritas Claims LLC. CLM Fellow since 2013.

“Surveillance technology has proven to be valuable, if used properly, in claims investigations. With cutting edge surveillance technology, a good surveillance video will likely expedite case disposition. That said, there is much opportunity for development in workers compensation claims technology.”

Shuaib Ahmed, Owner, Managing Attorney, ASA Law Group. CLM Member since 2017.

“Technology in claims has been disruptive to our industry in a positive way. Analytics and improved data systems have increased productivity by automating many tasks. Claims examiners are able to take deeper dives via medical and fraud investigations, ultimately affecting costs, customer experience, and litigation strategy/resolution.”

Tracy Daniels-Armstrong, Senior Claim Representative, United Heartland. CLM Fellow since 2012.

34

Number of P&C InsurTech deals in Q2 2017, an 89 percent year-over-year increase.

Source: Willis Towers Watson/CB Insights

$40 billion

Estimated total cost of non-health
insurance fraud per year.

Source: FBI

68%

Percent of U.S. adults who use Facebook.
Of that number, 76 percent use it daily.

Source: Pew Research Center

10%

Percent of small business owners concerned that an employee will fake an injury or illness to steal workers compensation benefits.

Source: Coalition Against Insurance Fraud

94

Expected workers compensation combined
ratio for 2016, unchanged from 2015.

Source: NCCI

 



Phil Gusman is managing editor of CLM magazine, a publication of the CLM. He can be reached at phil.gusman@theclm.org.

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