Claims

There are three, sometimes-overlooked reasons -- one of which defies common sense.

Industry research is invaluable. Leverage the work of serious researchers rather than engaging in pricy statistical modeling.

Why it's so easy to steal from insurers – and what to do about it. Insights from a fraud investigator and a fraud ring mastermind.

Myth #5: There is no need for mediation because our case is a sure winner -- then why is the other side hiring lawyers and spending money?

Very powerful information residing in claims data is, for now, virtually ignored: diagnostic codes in the form of ICD-9s.|Very powerful information residing in claims data is, for now, virtually ignored: diagnostic codes in the form of ICD-9s.

This guide helps employers to understand where costs are coming from -- and to decide that they need to make some changes.

It’s time for life waiver processes to utilize technology to manage claims in a more efficient, effective, and standardized manner.|