It’s Groundhog Day For WC Claims Handling

  Wednesday, March 20th, 2019 Source: Insurance Thought Leadership

Why have attempted fixes via legislation and technology failed to fulfill promises for decades, for almost a generation of workers? The popularity of the 1993 Bill Murray movie rendered the phrase “Groundhog Day” with a common reference to a continually occurring unpleasant situation, according to Wikipedia. Workers’ compensation claims handling seems to be stuck in a time warp with the same unpleasantries year after year no matter how many attempts have been made to address these issues through various avenues, including legislation and technology. 2019 began with the same challenges reverberating: provider fraud; medical disputes arising from applying evidence-based medicine together with a pharmacy formulary; inefficient and ineffective reactive claims management practices; through to the methods used for outgoing payments.

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