Casentric Articles

Casualty 2.0 is a claims management blueprint for bringing together technology, data, skill development and process to control loss costs in measurable, strategic ways. It is also a path to building strategies for operating expert casualty organizations. The property and casualty industry pays out more than an estimated $100B per year to resolve personal injury claims. Numerous factors affecting the investigation, evaluation and resolution of these claims have been changing... ...

Building the Casualty 2.0 Organization

August 17th, 2016// By: CaseXpert

Casualty 2.0 is a claims management blueprint for bringing together technology, data, skill development and process to control loss costs in measurable, strategic ways. It is also a path to building strategies for operating expert casualty organizations. The property and casualty industry pays out more than an estimated $100B per year to resolve personal injury claims. Numerous factors affecting the investigation, evaluation and resolution of these claims have been changing...

Five Tips for Injury Evaluation

August 17th, 2016// By: CaseXpert

There is such a diversity in claim types and the way that medical documentation is put together that one can easily get the impression that a set of fundamentals for evaluating a case is impossible. However, the assessment of injuries and the practices used to manage recovery from them is remarkably similar across all injury types. Understanding the basics of injury assessment and treatment management as well as the basics...

Evaluation by the Numbers

April 7th, 2016// By: CaseXpert

Understanding pain and suffering and medical costs depends heavily on understanding patient assessments. Too often, adjusters and managers make the mistake of looking at the medical records only at the level of what they include. There is often a large difference between what is captured and what should be captured. What is missing and its importance for understanding the nature and extent of the injury as well as the justification for...

Soft Tissue by the Numbers

February 25th, 2016// By: CaseXpert

The opportunity in soft tissue claims is frequently buried underneath the more exceptional cases. Let's face it, a strain and sprain to the neck is not as exciting as a recommendation for neck surgery. And this is precisely why soft tissue injuries are one of the largest opportunities for loss cost containment. We explore the large and growing opportunity in soft tissue injuries in a four-part, "By The Numbers" series....

5 Steps to Profitable Risk Taking

February 21st, 2016// By: CaseXpert

The really bad thing about risks is that they almost never happen. So why would that be bad? Because risk aversion is responsible for so much lost opportunity. Risk aversion allows us to shoot down ideas faster than we build them up. It is easier to cite a risk that a project or change effort will fail than to undertake it. But getting ahead means change and change means risk. Those...

Controlling Medical Costs

February 9th, 2016// By: CaseXpert

If food prices rose as fast as healthcare over the past 70 years, you'd be paying $55 for a dozen eggs. Medical cost inflation has had a significant impact on the cost of settling personal injury claims. Understanding how to contain them is critical to managing your average cost of settlement. We recently recorded highlights from a webinar we delivered on medical cost containment. This webinar covers the dramatic impact of healthcare costs on bodily...

[caption id="attachment_621" align="alignleft" width="200"] Sometimes treatment doesn't get anywhere...should you pay?[/caption] Individuals making claims for personal injuries regularly support their claims with medical records which show significant levels of treatment that produce little to no improvement. How many times would you go to a doctor if you said your pain was 7-8 on a scale of 10 and you weren't getting any better? Put another way, how many times would you take...