Federal black lung claims are different from other workers’ compensation claims because they involve multiple potential payers, undergo a complex adjudication process, and exhibit considerably longer reporting and payment lags. The Government Accountability Office (GAO) has estimated the deficit of the federal government’s Black Lung Disability Trust Fund (Trust Fund).1 To our … [Read more...] about Milliman estimates $9.3 billion in federal black lung liabilities
Just about every workers’ compensation (WC) payer has them -- claims that remain unsettled due to high Medicare set-aside (MSA) allocation projections or an MSA counter-higher determination by the Centers for Medicare and Medicaid Services (CMS). In either instance, the result is the same: the workers’ comp payer is left holding the bag for continuing medical, indemnity, and … [Read more...] about MSAs Stalling Settlement? Proactive Strategies to Reduce MSA
Greg Gitter and Connie O’Mara provide us with a second installment of short stories that illustrate some real world techniques on how to deal with difficult claims. In our first episode (March 18, 2020), we depicted the resolution of a workers’ comp claim that hinged on “reading the room” and adding king-sized sheets to the negotiation to sweeten the settlement … [Read more...] about Negotiation Scene, Episode 2
Locke Lord provides a quick study of the key issues discussed during the recent NAIC Special Session on COVID-19. Read full article here - https://www.lockelord.com/newsandevents/publications/2020/03/take-aways-from-the-naic … [Read more...] about Take Aways From The NAIC Special Session on COVID-19 (Public Portion)
This will be the first in a series of brief articles by Greg Gitter with Legacy Claims Solutions; roughly based on the presentations he has given at AIRROC events, the articles portray the stories he uses to illustrate techniques he has developed to assist companies in resolving “old dog” workers' compensation exposures. The claimant’s wife is clearly not happy. … [Read more...] about Tips on How to Settle a Workers’ Compensation Claim
As the Coronavirus threat increases, so do the questions associated with workers compensation claims. Broadspire, Crawford's global TPA, has produced a white paper which examines the background of COVID-19, how state statutes may see related claims and the potential impact on workers compensation claims. The worker's compensation impacts of 2019 coronavirus - … [Read more...] about The Workers Compensation Impacts of 2019 Coronavirus (COVID-19)
Our Panel of national experts explored the current marketplace for transferring WC liabilities and the competitive pressures that are driving an interest in loss portfolio transfers. Swiss Re’s Ethan Vaughan moderated the opening educational session, “Why Should an Entity Cede WC Retentions?”, which explored the current marketplace for transferring WC liabilities and … [Read more...] about Why Should an Entity Cede WC Retentions?
It’s talked about on the radio, it’s covered in the news, it’s referenced in popular TV shows, and now the President of the United States is addressing it: America has an opioid problem. According to the U.S. Department of Health and Human Services, as of September 2018 more than 130 people die every day from opioid related drug overdoses. Of the 72,000 drug overdose deaths … [Read more...] about America Has An Opioid Problem: Who’s Going To Pay To Fix It?
It was a record breaking attendance at the AIRROC Spring Membership Meeting on March 5 & 6. Hosted at the offices of Norton Rose Fulbright in New York City, members held meetings and also heard from great education panels. Read on for highlights for this particular session. Tyler Scott and Scott Davis, Partners at Husch Blackwell, along with Lisa Simon, Vice President at … [Read more...] about Emerging Risks and the Legalization of Marijuana
Regan Shulman (Vice-President and Deputy General Counsel of Arch Insurance Company) and Michele Jacobson and Robert Lewin (both Partners at Stroock) discussed the historical issues that insurance companies have faced in relationships with program managers and offered practical solutions on how to manage those relationships productively. The panel began by reminding attendees … [Read more...] about Lessons from the Front: Managing the Program Manager
Jake Acosta of EY presented insights on the future of claims. Acosta explained that, in early 2016, EY conducted research to understand where claims operations are headed. EY’s research included interviews with executives at commercial insurers, industry analysts, and FinTech leaders. EY’s research revealed six key drivers of change in the industry. Decreasing Claims … [Read more...] about The Future of Claims
The panel consisted of: Richard Lawson, Global Head of Client Engagement at Pro Insurance Solutions Ltd; Ian Harvey, Head of Claims Strategy at Pro Insurance; and Joe Froehlich, Partner at Locke Lord, LLP. Richard Lawson provided an overview of the U.K. Employers Liability market, which he noted was similar to but not the same as workers' compensation in the U.S. This coverage … [Read more...] about Legacy U.K. Employers Liability
Years ago a large global insurer, working to grow its book and establish a presence in a new market, underwrote a large deductible workers compensation account that, under normal circumstances, might have either been rejected or set at a very high premium with substantial collateral to reduce the insurer’s risk. However, neither occurred because the carrier was anxious to … [Read more...] about Your Deal: Large Deductible Programs