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Auto Casualty Claims Processing

Stemming the epidemic of rising BI severities

By Christopher Tidball | December 12, 2014

There is no dispute that average BI severities continue to rise at a rate far faster than inflation. There are a number of reasons why, but the bigger question is what can be done to curb this phenomenon?

The best solution is a multi-pronged approach that addresses liability, investigation, damages and negotiations.

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Posted in: Articles, Auto Casualty Claims Processing

10 steps to take with every auto claim

It’s no secret that average BI severities are rising. While some of this is driven by medical inflation, there are other components that can be controlled.

Let’s take a look at 10 things that can drive results on auto BI claims.

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Posted in: Articles, Auto Casualty Claims Processing

Who wins when negotiating a claims settlement?  Here’s how to make sure it’s you

What truly defines a win when negotiating a claim settlement? One could argue that it is accurate outcomes. We win our negotiations by paying exactly what we owe; no more and no less.

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Posted in: Auto Casualty Claims Processing

6 Strategies to Manage Claims Litigation

By Melissa Hillebrand (interview with Christopher Tidball) | September 1, 2014

A recent report from the Ward Group identified that while claims litigation frequency has declined, the cost and expense per case has increased. A successful litigation program has to balance how best to spend defense costs while minimizing settlement payouts.

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Posted in: Articles, Auto Casualty Claims Processing

Improving Claims Management With Advanced Integration

Advanced integration is a large, complex process that involves core claims management systems and expert point solutions. Core claim systems and expert point solutions historically have been loosely integrated…

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Posted in: Auto Casualty Claims Processing, Workers' Compensation Management

Reducing fraud in low-impact claims

Christopher Tidball | August 12, 2014

Low-impact claims always require a thorough and detailed investigation.

Those who have spent time reviewing claims have most likely had many head-scratching moments. How did the adjuster come up with that liability assessment? How could the insurer possibly have paid so much on this claim? How could we have ever let this one go to litigation? It’s often a game of Monday morning quarterbacking, second guessing the “he said, she said” of who struck John scenarios.

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Posted in: Articles, Auto Casualty Claims Processing

Q&A: On ICD-10 prep for non-covered entities

Carl Natale, Editor, ICD10Watch | July 28, 2014

Interview with Michele Hibbert-Iacobacci

Not every healthcare organization is required to comply with the federal mandate for ICD-10 implementation. Insurers such as workers' compensation and auto insurers are not covered.

But it looks like they're going to adopt ICD-10 coding anyway, at least according to Michele Hibbert, vice president of information management support at Mitchell International. She has 25 years of experience working with major casualty insurers in implementing rules committees, quality assurance, risk management, compliance programs and review processes necessary in delivering objective bill review systems.

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Posted in: Articles, Auto Casualty Claims Processing

Insurance for the ages

Christopher Tidball | July 14, 2014

An in-depth look at the types of insurance coverage recommended at different stages of life

People generally have a love/hate relationship with insurance companies. We don’t like the bills and rising premiums, especially those of us with teenage drivers. But we certainly don’t mind when they pay us promptly for a claim.

When it comes to expenses, insurance can be one of the biggest monthly outlays of cash. But, can you do without it? That depends on your individual situation. Here’s a look at the various types of insurance to determine what is best for your needs.

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Posted in: Articles, Auto Casualty Claims Processing

Dissecting a BI Evaluation

Christopher Tidball | June 23, 2014

Determining liability is a critical element of the investigation

One of the most complex aspects of claims adjusting is that of bodily injury investigation. In this article, we are going to simplify the process and share key elements of the investigation that will ultimately drive outcomes.

Provided that coverage is in line, the immediate task at hand for new claims is to determine liability. It is important to remember that a claimant must prove both liability and damages in order for him to be legally entitled to compensation.

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Posted in: Articles, Auto Casualty Claims Processing

ICD-10 Delays Lead to Higher Costs

Ed Rabinowitz | April 14, 2014

The cost to implement the mandated ICD-10 code set will be “dramatically more expensive for most physician practices” than previously anticipated, according to a recent study initiated by the American Medical Association and conducted by Nachimson Advisors. Why? “The main reason is because of the initial delay,” says Michele Hibbert-Iacobacci, a certified clinical coding specialist with Mitchell International. “Carriers have almost had to do their gap analysis twice. They’ve had to do requirements twice, because systems build upon systems. And we’re still hearing reverb of [additional] potential delays. I don’t believe that’s going to happen, but if it did, it would be another expense.”

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Posted in: Articles, Auto Casualty Claims Processing

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