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Keys To Finding And Nurturing Talent

There’s keen focus in the insurance industry about overhauling obsolete IT infrastructure to support innovation, along with the resulting costs and benefits. Yet few people talk about the benefits of top industry talent in the same quantified manner.
November 14, 2019 Education & Training


Scientists Frustrated With Media: People Responsible For California Wildfires, Not Climate Change

In 2018, a fire ripped through the town of Paradise, California, killing 85 people. It was the deadliest and most destructive wildfire in the state’s history. <br />Liabilities from wildfires started by its powerlines bankrupted Pacific Gas & Electric, which cut off power to nearly one million homes and businesses last month to prevent wind from triggering and fanning fires.
November 5, 2019 Education & Training California


Knocking Down The Door Of Fraud: How To Pursue Affirmative Litigation, And Knowing When To Change Course

Investigating and litigating singular fraud cases for first- and third-party claims used to be the mainstay of special investigation units. While these tactics can be relatively successful, there is still a whole world of abuse and misrepresentation stemming from medical providers, durable medical equipment suppliers, diagnostics entities, premium fraudsters, auto body shops, copy service providers, and more.


Erasing Uncertainty: How To Determine When To Deny And Fight A Workers Compensation Claim

Chasing perfect claims results can seem like chasing the wind, especially when it comes to making denial decisions. As Isaac Newton presented in his third law of motion, every action has an equal and opposite reaction, and deciding when to deny a claim is no exception.<br /><br />When initially evaluating claims, there are three general claims types encountered: the likely valid, the possibly valid, and the likely invalid. There is an art to analyzing and balancing these three types of claims and deciding which should be denied and fought. An initial analysis requires a grasp of the applicable legal standards and associated potential risks and exposure. Knowing up front how to navigate between types of claims, the applicable law, how much time to devote to a claim, when to hit a decision point, and when to deny and fight is essential to any claims-handling st