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What Is a Risk Management System?

Every industry has inherent risks, and proactive management is crucial for avoiding the consequences. Those consequences often involve monetary loss, but unmanaged risks can also hurt your organization in areas like agility, efficiency and reputation. Manual risk management usually involves outdated systems like spreadsheets and email attachments, but a risk management platform can streamline the […]

A Guide to MMSEA Section 111

If you make payments to Medicare beneficiaries, you are required to report them under Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA). MMSEA supports transparency between payers and Medicare to improve benefits administration, but reporting can be tricky business. You need to set up the right software, identify the right […]

CMS NGHP Section 111 Webinar 12/6/2022 Recap

On December 6, 2022, CMS hosted an online webinar addressing NGHP Section 111 reporting issues. The first half of the webinar covered concerns and points of interest from CMS’s point of view and the second half was a Q&A session fielding attendee concerns.  We heard a varied list of CMS’s concerns with the quality (and […]

That’s Spooky

Given the fact that it’s Halloween, we probably shouldn’t be surprised that we came across a blog the other day called, Insurance Nightmares. Nope. Not making that up. To be more specific, the purpose of Insurance Nightmares is to write about insurance claims. And to be even more specific than that, the purpose is to […]

Subrogation: Cutting Through the Weeds: Part Two

In the first post in this series, we discussed potential claims that might be subrogated in various lines of business. This time around, we’ll take a more general view of subrogation and the importance of managing the intricacies of subrogated claims. Recently, PropertyCasualty360 published an article entitled, “Why subrogation is more than a final box to […]

Clean Up on Aisle Five

Supermarkets are often hard to insure. There are at least three reasons for that: First, the number of coverages they need can be daunting. Second, the number of employees (workers compensation) and customers (general liability) that have to be covered can be even more daunting. Third and most important, the sheer number of claims they […]

Subrogation: Cutting Through the Weeds

You can tell you’re really deep in the claims weeds when you start thinking about subrogation. Since we are deep in the claims weeds, we have to think about it. To put it simply, just in case you’re not deep in the claims weeds, subrogation refers to an insurance company’s seeking reimbursement for the costs of […]

Curiouser and Curiouser

`Curiouser and curiouser!’ cried Alice (she was so much surprised, that for the moment she quite forgot how to speak good English). We thought of that line from Alice’s Adventures in Wonderland when we read a recent article in PropertyCasualty360. The article — “Mitigating risk & reducing employee claims for commercial clients” — said this, in […]

Call 1-800-CHAT-BOT

The current issue of Claims Magazine contains an article called, “How Chatbots are Revolutionizing the Insurance Industry”. The article said this, in part: Chatbots are available 24/7 /365 and don’t take vacations, sick days or personal time. Nor do they draw salaries or require matching benefit programs or resources dedicated to resolving interpersonal disputes, issues regarding advancement and promotions or office space. […]

A Tale of Two Trucks

We have a number of clients in the transportation industry. Given the number of claims to which trucks and truck drivers are susceptible, we’re always eager to help our clients manage, track, and settle their claims as quickly and efficiently as possible. Two of our client companies — Long Haul Cowboys, Inc. and Big Rigs […]