Atlanta, GA – Ventiv Technology recently announced that the Alabama Self-Insured Worker’s Compensation Fund (The FUND), an Alabama-based workers’ compensation provider has upgraded to Ventiv’s software. The FUND completes the implementation of Ventiv’s administration suite of Ventiv Policy, Ventiv Billing, and Ventiv Claims this month. “During a comprehensive review of the industry’s best RMIS providers,… [Read more]
Claims, Legal, & Compliance News
Guidewire Announces Launch of New ISG Accelerator App in Guidewire Marketplace
San Mateo, CA – Guidewire (NYSE: GWRE) and Insight Service Group (ISG) recently announced that ISG’s new Ready for Guidewire validated accelerator for ClaimCenter is now available to users in the Guidewire Marketplace. The COVID-19 pandemic has put great stress on insurers and their workforce. As a part of its 2022 US Property Claims Satisfaction… [Read more]
County of Los Angeles Selects Klear.ai for WC Fraud, Waste, and Abuse System
Los Angeles, CA – Klear.ai recently announced that the County of Los Angeles Risk Management (The County) has selected its software and solutions to provide AI-based claims analytics, to review all payment transaction data, coding, and other elements to detect anomalies and relationships that will focus on issues that may be increasing the cost of… [Read more]
TN Bureau of Workers’ Compensation Launches Physician Training Program
Nashville, TN – The Tennessee Bureau of Workers’ Compensation (BWC) recently announced that it has created a new Certified Physician Program (CPP) which provides specialized training needed to treat injured workers, noting that employees who suffer work-related injuries face unique challenges when seeking medical treatment and that traditional medical training does not always cover the… [Read more]
The Hartford Expands Medical Provider Training On Addiction, Pain Management And Stigma
Hartford, CT – The Hartford recently announced that it is extending its partnership with the Yale Program in Addiction Medicine (Yale-PAM) to provide a newly-developed training on addiction, pain management and stigma to more medical providers who treat injured workers. “Science and empathy are both critical to addressing the ongoing opioid crisis, and the unique… [Read more]
Philips Subsidiary to Pay Over $24 Million for Alleged False DME Claims Caused by Respironics
Washington, DC – Philips RS North America LLC, formerly known as Respironics Inc., a manufacturer of durable medical equipment (DME) based in Pittsburgh, Pennsylvania, has agreed to pay over $24 million to resolve False Claims Act allegations that it misled federal health care programs by paying kickbacks to DME suppliers. The affected programs were Medicare,… [Read more]
Gradient AI Touts Success Reducing Workers’ Comp Claims Costs for CCMSI Clients
Boston, MA – Gradient AI recently announced that Cannon Cochran Management Services, Inc. (CCMSI) has innovated its claims management process by implementing Gradient AI’s solution, reducing Workers’ Compensation claims costs by about 10%. The 10% decrease in claim costs translates to more than $300 million in savings for CCMSI’s clients since implementing the Gradient AI… [Read more]
NYSIF to Assist Licensed Cannabis Businesses with Workers’ Comp, Other Insurance Needs
Albany, NY – The Office of Cannabis Management (OCM) recently announced that New York State has begun accepting applications for the first adult-use cannabis retail dispensary licenses. The license, called the Conditional Adult-Use Retail Dispensary (CAURD) license, is a key pillar of the New York State Seeding Opportunity Initiative. Through the Initiative, New York’s first… [Read more]
Workers’ Compensation Benchmarking Study Releases Ninth Annual Report
Chicago, IL – As modern workplaces continue to evolve in light of the COVID-19 pandemic, so too must workers’ compensation claims organizations in order to achieve optimal outcomes. Yet, standing in the way are deeply entrenched challenges that more than 3,300 claims leaders and frontline professionals have brought to the forefront in previous Workers’ Compensation… [Read more]
Accident Fund Deploys CLARA Analytics Tech for Injured Worker Outcomes
Santa Clara, CA – AF Group and CLARA Analytics recently announced a new initiative to deploy AI technology to improve medical outcomes for injured workers, while also reducing claims losses for the company’s workers’ compensation policyholders and streamlining claims management. AF Group companies will use CLARA’s industry-leading technology platform to identify the health care providers… [Read more]