Bridezilla and Workers' Comp Fraud
What is it about reality-TV stars and insurance fraud? Another one pleads guilty, to lying to receive workers' comp benefits.
What is it about reality-TV stars and insurance fraud? Another one pleads guilty, to lying to receive workers' comp benefits.
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Dalene Bartholomew is an insurance fraud specialist, investigative training expert, recognized speaker and author. Bartholomew is vice president with VRC Investigations, a certified fraud examiner, certified insurance fraud investigator, expert witness and workers' compensation fraud authority.
First responders get lots of training, but what about second responders? Here are four hazards that claims pros must watch out for.
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Judith Vaughan, CPCU, AIC, AIM, earned her B.A. from the University of Pennsylvania. She has more than twenty years' experience in claims and risk management for international organizations, and is currently Director of Content Development at The Institutes.
Connected cars may implicitly trust anything that communicates with them and fall victim to transmissions with no authentication.
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Byron Acohido is a business journalist who has been writing about cybersecurity and privacy since 2004, and currently blogs at LastWatchdog.com.
While digital has created huge efficiencies for agents, three underutilized approaches provide opportunities for even bigger gains.
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Thad Bauer, vice president and general manager of IVANS Insurance Solutions, has had 25 years of property and casualty experience and has played a key role in furthering the adoption of ACORD standards to exchange data within the industry to improve efficiencies.
The C. Everett Koop Award just went to a company that HURT employees' health. It's time for a code of conduct for wellness programs.
In addition to the objective failure of the program, consider employee self-reported health. The single most important question to ask to gauge the state of someone’s health is: “How is your health?” Wellsteps buried the answer to that question at the end of a long list, but squint hard enough and you can see that Boise employee self-reported health status declined, by a small but statistically significant (p=0.0007) amount:
There are many other problems with this program, too. Wellsteps is shaming even the lightest drinkers, attributing massive savings to improved health despite the deterioration in health, suppressing data showing increased health spending and flouting clinical guidelines. All that is covered in this Linkedin Pulse.
In all fairness, here is the response from Wellsteps’ Troy Adams (best known in the wellness industry for posting that ”It’s fun to get fat, and it’s fun to be lazy”) to my initial observations that Wellsteps is harming employees and fabricating savings. Surprisingly, I agree with both points:
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Al Lewis, widely credited with having invented disease management, is co-founder and CEO of Quizzify, the leading employee health literacy vendor. He was founding president of the Care Continuum Alliance and is president of the Disease Management Purchasing Consortium.
The good news is that cyber criminals can get lazy and consistently use addresses like Superman, 111 Anywhere Lane, Anytown USA 11111.
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Byron Acohido is a business journalist who has been writing about cybersecurity and privacy since 2004, and currently blogs at LastWatchdog.com.
Hanging onto this outdated notion has caused the industry to lose focus on the end consumer and shift the focus to the agent as customer.
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Maria Ferrante-Schepis is the managing principal of insurance and financial services innovation at Maddock Douglas.
Cost is a sticking point for almost all customers and a common reason why deals of all kinds fail. But don't get discouraged.
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Doug Froggatt, CPCU, is Senior Director and Manager of Content Development at The Institutes.
If major cities are hit by shortages in key areas, the world could be plunged into one of the worst recessions it has ever seen.
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Kevin White is Chief Executive Officer of Aon’s Global Construction & Infrastructure Practice, where he is responsible for its growth and operational excellence. Kevin is also responsible for Aon’s U.S. Power and Environmental Practices.
Allstate's new telematics company, Arity, shows both where the company is heading and how others must approach innovation.
“We are also investing in telematics and broadening the value proposition for the connected consumer. If we are not effective in anticipating the impact on our business of changing technology, including automotive technology, our ability to successfully operate may be impaired. Also, telematics devices used have been identified as a potential means for an unauthorized person to connect with a vehicle’s computer system resulting in theft or damage, which could affect our ability to successfully use these technologies. Other potential technological changes, such as driverless cars or technologies that facilitate ride or home sharing, could disrupt the demand for our products from current customers, create coverage issues or [affect] the frequency or severity of losses, and we may not be able to respond effectively.”Allstate identified the new risk it faced. In response, the company has been aggressively researching, developing and testing new ideas for how to use the data collected to create new types of insurance policy coverages and rating models. See also: 6 Key Ways to Drive Innovation Innovation Encouraged The company was granted 28 patents in 2015. So far in 2016, it has been awarded 15 patents. The company has also submitted 16 patent applications. Following is a small sampling of the patents: Insurance System Related to a Vehicle to Vehicle Communication System(#9,390,451) - System and methods are disclosed for determining, through vehicle-to-vehicle communication, whether vehicles are involved in autonomous droning. Vehicle driving data and other information may be used to calculate a autonomous droning reward amount. In addition, vehicle involved in a drafting relationship in addition to, or apart from, an autonomous droning relationship may be financially rewarded. Moreover, aspects of the disclosure related to determining ruminative rewards and/or aspects of vehicle insurance procurement/underwriting. Motor Vehicle Operating Data Collection and Analysis (#9,189,895) -- A method and apparatus for collecting and evaluating powered vehicle operation utilizing on-board diagnostic components and location determining components or systems. The invention creates one or more databases whereby identifiable behavior or evaluative characteristics can be analyzed or categorized. The evaluation can include predicting likely future events. The database can be correlated or evaluated with other databases for a wide variety of uses. Route Risk Mitigation (Utility Patent Application (A1)) - A method is disclosed for mitigating the risks associated with driving by assigning risk values to road segments and using those risk values to select less risky travel routes. Various approaches to helping users mitigate risk are presented. A computing device is configured to generate a database of risk values. That device may receive accident information, geographic information, vehicle information, and other information from one or more data sources and calculate a risk value for the associated road segment. Subsequently, the computing device may provide the associated risk value to other devices. Furthermore, a personal navigation device may receive travel route information and use that information to retrieve risk values for the road segments in the travel route. An insurance company may use this information to determine whether to adjust a quote or premium of an insurance policy. This and other aspects relating to using geographically encoded information to promote and reward risk mitigation are disclosed. Data is king Allstate has been granted about 43 patents in the last 18 months. A high percentage are related to data, telematics and how to use the data collected to more effectively understand driving behavior. Data and more specifically data analytics is rapidly becoming the key to unlocking new revenue sources. Data is king. Allstate CEO Wilson was quoted in the Chicago Daily Herald saying that Arity can “incorporate new data sources and enhance analytical capabilities in ways that we weren’t able to do when it was embedded in the insurance company. It’s a big enough platform today with the Allstate customers in it, and that will continue to grow, but we’d like it to grow even faster with a broader set of customers.” See also: Data Science: Methods Matter (Part 4) One option for bringing innovation to a conservative company is to spin off the innovations into a separate company. It appears that the telematics business unit just simply couldn’t operate effectively within the confines of a highly regulated and conservative company.
“The biggest risk is not taking any risk... In a world that is changing really quickly, the only strategy that is guaranteed to fail is not taking risks.” ― Mark ZuckerbergLessons to be Learned? So what are the lessons to be learned?
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Steve Anderson is a seasoned business and technology veteran speaking on using technology in practical ways that will actually improve profits.