During our time at RIMS 2015, we had Workers’ Comp industry stakeholders participate in WorkCompWire’s “RIMS Review” series, focused on what to look for this year and in the future! Here’s what Jose Tribuzio, CEO of Systema Software had to say:
1. What do you believe will be the most significant development in the Workers’ Comp industry in 2015?
There’s a wealth of workers’ comp information trapped in claim systems and other databases. This information can provide vital insights to reduce costs, prevent claims, and optimize outcomes. However, the problem is organizations are still using outdated data analysis tools, which makes it costly and cumbersome to really leverage this information.
The good news is Business Intelligence (BI) has advanced. Modern BI leverages data cubes to pre-aggregate information, so organizations can generate reports with amazing speed and agility. New developments like Power BI will work with Excel to give organizations even more ways to slice and dice information. They can launch a website to share reports, and use the new Q&A feature to enter everyday language into a query field, like they might run a Google search, but the answer is rendered as an interactive chart or graph, which can then be dynamically modified by typing in additional parameters. As a result, organizations are empowered to make more informed and strategic decisions regarding their programs.
2. What is the top challenge you and your organization are currently working on this year?
A typical claims department has more work and more data to manage than in years past. The sheer volume of transactions and lack of automation have prevented claims staff from being able to focus on the tasks that can truly impact costs, outcomes, and service.
Our challenge has been to enable these organizations to move from a legacy to a modern platform. As such, we strive to include the latest claims-handling capabilities into our system, such as EDI compliance with workers’ comp legislation, document imaging and workflow management to support a paperless environment, and sophisticated Power BI tools.
This strategy requires a team with specialized expertise, which is difficult to find and recruit. We need technology professionals with in-depth insurance experience, so they can observe a claims operation; see how an organization has handled claims for the past 10 years, and say, here’s what you can do to automate; here’s how you can improve workflow; and here’s how you can booth staff productivity.
3. Looking out 5 years, beyond obvious trends, what do you think one big change in the Workers’ Comp industry will be?
An exciting development we’re seeing is the emergence of wearable devices. These gadgets and various applications are just beginning to be realized, but by all estimates, they could have far-reaching implications. For example, my family and I enjoy Crossfit. Wearables first emerged as a tool to track fitness performance, but they’re quickly advancing to monitor vital statistics, such as blood pressure and heart rate. In the future, consumers could make this health and fitness data available to doctors as well as Crossfit trainers for overall health and wellness consulting. Technology giants with a wearable strategy, such as Apple and Microsoft, have already begun to develop data hubs to compile, analyze, and share wearable data. Software companies will want to automate insights—beyond just motivating a user to take more steps to reach a daily goal—and cloud-based software will strive to enable deeper and broader analysis. As such, organizations should keep an eye on this area of technology, monitoring how these devices can potentially change the way we investigate accidents, prevent claims, and minimize risk in the future.
4. What is one thing you’d like to promote?
Our goal has always been two-fold: to provide the best claims system to the market, accompanied by an outstanding level of service. One thing we’re really excited about is that we’ve now leveraged a technology portal to broaden the technical support options we offer our customers. As a fast growing company, we continue to expand and we want to provide clients with various methods to reach us when they have an issue. They may choose to call our technical support line or they can log onto our 24/7 technical support portal enabled by Desk.com. In this way, we offer multiple channels to ensure all technical support issues are entered in a queue, addressed in a timely fashion, and tracked until we’ve reached satisfactory resolution with the client.
About Jose Tribuzio
Jose Tribuzio is the founder and CEO of Systema Software. He is a CLM fellow with more than 20 years of experience in the software industry. He began his career at Andersen Consulting (now Accenture) working on diverse projects for the financial, telecom, and transportation industries with clients including Delta Airlines, Pacific Bell, and Banco Frances. Prior to founding Systema Software, he started a multi-national consulting company helping organizations such as Prudential California. Since 2001, Jose has focused solely on developing insurance software solutions, which provide a unique combination of value, flexibility, and functionality.