Language barriers are one of the leading causes of malpractice suits when certain steps are not taken to assure good communication. A study was undertaken by Kelvin Quan, JD MPH, Assistant Dean of the University of California, Berkeley School of Public Health. The report divides communication problems on several levels.
Outsourcing Claims to Innovative Independent Appraisal Companies
Since COVID-19 hit, it has had a major world impact and the insurance industry is no exception. During the first few months, the vast majority of Americans were spending most of their time at home. As time spent driving decreased, fewer auto insurance claims were filed, allowing insurance carriers the opportunity to evaluate their business model and create efficiencies through different methods of inspections.
Issue #1: Title VI of the Civil Rights Act of 1964
Does a Spanish-speaking patient need to provide their own interpreter for their workers’ compensation appointments? If a medical office provides a professional interpreter for a patient who speaks a language other than English within the USA, will the patient be responsible for paying the interpreter fees?
Despite social distancing precautions to “flatten the curve” during the COVID-19 pandemic, nature provides no respite from natural disasters and severe weather events. Property inspections for insurers and third-party administrators (TPAs) must continue unabated by the restrictions placed upon us by this new viral threat, especially as we move towards hail season, when property damage typically reaches its yearly apex.
COVID-19 is changing the dynamics of work; even if you are behind the curve, there is still time to pivot.
Working remotely is something every company should have been experimenting with for the purpose of attracting young talent, providing options to retain existing talent, and developing resiliency.
One of the best known litigation adages remains true today -- When the law is on your side, argue law. When the facts are on your side, argue facts. When neither facts or law are on your side, just argue. However, ‘just argue’ has grown into a cavalcade of techniques that allow valueless claims to acquire settlement value.
What do games like Fortnite teach us about working with Millennials and Gen Z?
The media, and many parents, believe that the game Fortnite defines these generations. If that is true, how can this interactive hobby better enlighten modern managers unlocking the secrets of working with these generations?
Misconceptions abound, so what do claims professionals need to know?
Today’s settlement negotiation landscape has changed dramatically from the 1980s and early 1990s. With Medicare compliance issues, the Affordable Care Act, and needs-based governmental benefits—to name but a few of the many variables at play—it is wise to look beyond the traditional cash settlement approach to resolving personal injury disputes.
Using technology tracking in claims investigations.
Thanks to today’s technology, “Waldo,” or any claimant, is easier to find or track than ever before. Tracking technology available now was unheard of a generation ago, and insurers are exploring this new technology as a vital tool to investigate claims and fight fraud.
Integrating succession planning into daily management is the key filling the leadership positions of tomorrow.
The term “succession planning” may send chills down a claims manager’s spine. There are enough claims to be handled without adding active succession planning to the to-do list.
How to dive into suspect claims and call out fraudsters without fear.
There is an old saying: “If you come at the King, you’d best not miss.” The unspoken addendum to the sentence is “or you undoubtedly will be killed yourself.” How often has this phrase inspired a claimant or insured to get away with fraud in the application for a policy or in the presentation of a claim?
Practical advice and good faith practices to apply from the beginning of a claim to its resolution.
Insurance bad faith continues to be an area of significant concern for the insurance industry. Over the past several years, many jurisdictions have expanded the scope of an insurer’s potential liability for bad faith damages.
SIUs should step into the light and unapologetically convey the importance of their duty and how it benefits all.
If we historically compare the world of special investigation units (SIUs) to Hollywood, the genre of “film noir” comes to mind as an analogy for our industry. For decades, claims investigations were conducted in the shadows.
Transforming industry perceptions and attracting millennial talent means taking a new name.
Revolutionary change-change that upends the norm and establishes a new way of thinking-often is made during crisis, and make no mistake about it, the claims industry is in a state of crisis.
The sweet aroma of cotton candy and the sounds of the carnival midway filled the air at the county fair. The insured and his wife were volunteering in a United Fund booth. The insured was a student body president at a local community college and his wife an elementary school teacher.
