Disability Claims

We’ve previously discussed Artificial Intelligence (AI) and the effect it may have on industries going forward. If you missed it, you can catch up here. This week we’re going to […]

Let’s do something a bit different here and start with the ugly, shall we? Every one in ten claims in the insurance industry is fraudulent. For insurance companies, fraud continues […]

Healthcare Exchanges are organizations which have been set up to facilitate the purchase of health insurance in the United States. Each state has it’s own health exchange to ensure all […]

The Affordable Care Act (ACA) is a federal law introduced by President Barack Obama, which aims to increase the quality and affordability of healthcare in the United States. Changes have […]

Insurance fraud is a costly business, with the FBI estimating that the total annual cost is $40million. Not only do insurers get scammed with costly payouts, but policy owners also […]

Employer provided wellness programs are becoming increasingly popular for a variety of reasons, including reduced absenteeism, improved employee benefits, and employee retention. These programs [...]

Back in the 70’s when insurers had no, or very limited, options of commercial off the shelf (COTS) claims processing software they began to develop in-house systems. Over time, these […]

As of October 1st, 2015 the ICD-9 codes have been replaced with ICD-10 codes. ICD-9 codes were deemed outdated and no longer considered usable in today’s world. ICD-10 codes were […]

It is common practice to manage disability and absence claims in isolation. In fact, two totally different teams of administrators can often manage these claims. This process can result in […]

Large databases and analysis of claims data is often discussed in isolation, but what are the meaningful benefits that employers can achieve by examining the details in this data? Costs […]