When we reviewed our client’s population of open indemnity claims, we clearly identified a growing trend for future medical claims. Because that trend had begun to escalate, we determined it was important to discuss the issue with the client, and to jointly develop a strategy to address the growth of these claims. The objective: to identity the drivers behind the trend, and to curb the growth of future medical claims within their overall claim population.
We determined this challenge could best be addressed by focusing our efforts in two areas:
By gathering additional information on each of the claimants, we were immediately able to accelerate claim closures in several instances. An additional benefit of the information-gathering process was the development of an in-depth understanding of these claims, and the challenges this population of claims might present in the future.
But the greatest benefit came from the organizational reengineering process. We were able to build a dedicated future medical claim-handling unit with unique caseload requirements and administrative support structures in place. We provided rigorous training for the individuals within the unit, and provided them with very specific claim-handling guidelines. The ultimate outcome is a highly focused, specialized staff that has delivered very favorable trends for the client.
For more information about this project, please see our white paper:
Future Medical – A Claim on the Rise (pdf file)