Technology has had a significant impact on the insurance industry, primarily how people deal with workers’ compensation. The increased use of technology for these claims is being used to find trends and improve many workers’ comp claim processes.
The following are five vital areas that give insurance companies the chance to utilize technology to improve how workers’ comp claims are managed. These technological improvements reduce the chances of claims delays or even denials. In those situations, the worker may have to resort to filing a workers’ comp claim lawsuit.
People who suffer a work-related injury experience severe stress. In addition to working through recovery, the worker must also deal with a claim, often for the first time. Any effort to enhance communications between the worker and the insurance adjuster is a significant benefit.
For example, Liberty Mutual uses its SmartVideo feature to educate the worker on the workers’ comp claim process and get vital details, such as pharmacy, providers, and insurance adjuster contact details. The idea is to improve the human connection between the worker and the adjuster. With better communication, the worker’s stress is reduced, which can lower recovery time.
Faster Claim Payments
During a natural disaster or a national crisis, workers must receive their workers’ compensation payments promptly. However, there can be substantial delays in check delivery because of US Postal Service delays. Some insurance companies incorporate technology to convert a paper workers’ compensation check to an electronic funds transfer or EFT when computer models predict that mail interruption will happen.
Enhance Coordination of Pharmacy and Care Delivery
A key to a superior claims management program involves improving the worker’s pharmacy and care needs coordination as they recover from their injury. This is especially vital in a crisis or natural disaster. The problem is being addressed with technology by electronically connecting physicians, facilities, and pharmacies.
For instance, care coordination in a natural disaster can suffer when the power goes out, and medical treatments for the injured worker are delayed. It also can throw up barriers to obtaining prescription drugs from local pharmacies. This scenario requires the ability to use a digital network to quickly coordinate medical treatment for a worker in another part of the country.
Improve Claims Experience With Bots
One of the most significant areas where technology has made a massive impact on improving workers’ claims experience is claims management. Insurers are using automated processes to cut the time needed for the claim intake process. One way to do this is with ‘bots’ or web robots.
Bots are not intended to replace human beings. Instead, they use new technology, so there is an automatic response when a claim is filed. This emerging technology transforms a painfully slow manual process to cut intake time from hours to just minutes.
Automation speeds the processing and assignment of new claims, which provides more flexibility for workers’ comp claims experts because they no longer must shoulder administrative work. Claims teams can center their activities on interacting with the injured worker to connect to them personally and add value to the process.
Deal With the Opioid Crisis
The insurance industry regularly monitors the opioid abuse problem. They are doing this to use CDC guidelines as part of the workers’ comp claims management process.
Adjusters are trained when prescribing opioids is proper, and technology is integrating the guidelines into claims systems. This lets adjusters and doctors become more engaged in the claims process. More engagement may include claims teams getting automated alerts when an opioid prescription may not be required.
Technology makes the modern world more flexible and livable than ever, and its many benefits are enhancing the workers’ comp claim process.