Fraud, immigration, and Risk Scenarios Live! highlight claims track sessions
Risk Scenarios Live!, a special feature of Risk & Insurance® Magazine, is among the new offerings at this year's conference. Among the breakout sessions are:
Risk Scenarios Live! Back-to-Back Trouble: What Would You Do? Among the speakers are:
- Robert Goldberg, MD, FACOEM, chief medical officer, Healthesystems.
- Matthew Kahn, publisher and executive editor, Risk & Insurance® Magazine.
- Dan Reynolds, editor-in-chief, Risk & Insurance® Magazine.
- Tracey Davanport, RN, BSN, CCM, CLCP, director - National Managed Care, Argonaut Insurance Company.
What begins as a routine back injury suffered by a hotel housekeeper in Las Vegas, spirals into chronic pain, opioid addiction, permanent disability, and a $1 million claim. Risk & Insurance®, a product of LRP Publications, presents this hypothetical, yet realistic case study in an engaging, new format that creates a memorable learning experience.
The housekeeper's story will unfold through narration and video. Then the issues will be isolated and discussed by the expert panel who will make recommendations on best practices to address specific aspects of the claim as well as incorporate attendees' expertise via live, interactive polling.
Through the session, attendees will gain the perspectives of the physician, patient, and claims professional on key turning points in a claim and identify missed opportunities for early intervention.
The session takes place Nov. 20 from 11 a.m.-12:15 p.m.
Workers' Comp Fraud: Liars, Cheaters and Thieves. The panelists are:
- Christopher E. Mandel, senior vice president, Sedgwick.
- Dave Smith, divisional vice president, risk management, Family Dollar Stores.
- Pamela Webster, senior claims manager, Advanced Auto Parts.
Millions of dollars are lost each year from fraud in the workers' comp system. At a time when businesses are doing more with less, few can afford the strains posed by fraudulent actions. In addition, providers and employers who circumvent the rules can cause as much or more expense and are harder to detect. But organizations are fighting back with new tools such as social media and predictive modeling. Attendees will learn about the different types of fraud, the red flags to identify them, and strategies to stop fraud in its tracks.
The session takes place Nov. 20 from 2:30-3:45 p.m.
Unlocking Key Statistics and Trends to Improve Savings and Performance. The speakers are:
- Jose Tribuzio, CEO, Systema Software.
- Michele Schafer, director of support services, Shasta County.
Many workers' comp practitioners are overwhelmed by the idea of using their data to spur efficiencies and cut costs and don't see how it can be realistic. But understanding and embracing new technologies can change the way claims are processed. Attendees will find out how one organization leveraged readily available "smart" systems and saw a 50 percent reduction in workers' comp claims. They will also see a deep dive strategy to positively impact claims frequency, program costs, and operational efficiency.
At the end of the session, attendees will be able to identify cost leakage resulting from outdated reporting methods, understand the latest advancements in analytic capabilities, including predictive models, dashboards and data cubes, learn how to access and leverage big data through the cloud, mobile apps, and pre-built connectors for seamless data integration, and develop a data strategy to improve program performance.
The session will be held Nov. 21 from 10:45 a.m.-noon.
Immigration Reform: Strategies You Need to Reduce Risks. The speakers are:
- Maja Jurisic, M.D., regional medical director, Concentra.
- Peter Rousmaniere, columnist, Risk & Insurance® Magazine, consultant, author,www.workingimmmigrants.com.
- Leslie A. Wilchinsky RN, CCM, medical case manager II field care management-North East, Broadspire.
Immigrants comprise 13 percent of our population but incur upward of 25 percent of all work injuries that occur among low and moderate wage workers. Language and cultural differences add to the risk of work accidents and complicate recovery. Employers need to protect their employees and themselves through proven strategies to reduce the risks. Attendees will find out what they can do to keep immigrant workers safe on the job and prevent their claims from getting out of control when they do become injured. They will come to understand the nature and causes of high-injury risks and longer disability durations of some immigrant workers, learn best practices for injury prevention, develop strategies for medical treatment and return to work, and identify best strategies to recruit safety, claims, and managed care talent for this population.
The session will be held Nov. 21 from 1:30-2:45 p.m.
Front and Center: Bloggers Speak Out on the State of Workers' Compensation.
The blogger panelists are:
- David DePaolo, J.D., founder/president/CEO, WorkCompCentral.com.
- Joseph Paduda, principal, Health Strategy Associates; author, ManagedCareMatters blog.
- Rebecca Shafer, J.D., president, Amaxx Risk Solutions Inc.; author, ReduceYourWorkersComp.com blog.
- Robert Wilson, president and CEO, WorkersCompensation.com.
The moderator will be Mark Walls, senior vice president workers' compensation market research leader, Marsh.
They're back! Anyone who missed them last year will want to catch these high-profile workers' comp bloggers as they present their opinions on some of the most pressing issues of the day. Specific topics will be chosen by readers of our LinkedIn group. It's sure to be full of information, fun ? and surprises!
The session will be held Nov. 21 from 3:30-4:45 p.m.
The 22nd annual
National Workers' Compensation and Disability Conference®
& Expo takes place Nov. 20-22 at the Mandalay Bay Resort and Casino in Las Vegas. The conference is produced by LRP Publications. For more information, visit the conference website at www.wcconference.com.
By Nancy Grover
Read more at the WorkersComp Forum homepage.
July 22, 2013
Copyright 2013© LRP Publications