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Beyond the Claim is a show for inquisitive Risk & Claims Management professionals curious about the latest industry trends, winning strategies and stories from influential leaders. Each episode contains valuable...
show more
Beyond the Claim is a show for inquisitive Risk & Claims Management professionals curious about the latest industry trends, winning strategies and stories from influential leaders.
Each episode contains valuable tips, insights, lessons learned, and the stories that matter from the most influential leaders in the industry. If you’re eager to learn everything you can to meet the demands of today’s claims landscape — and enough to be ready for tomorrow’s — then you’ve come to the right place.
show less
Each episode contains valuable tips, insights, lessons learned, and the stories that matter from the most influential leaders in the industry. If you’re eager to learn everything you can to meet the demands of today’s claims landscape — and enough to be ready for tomorrow’s — then you’ve come to the right place.
Beyond the Claim
Beyond the Claim
Empathy-Driven Case Management: Rethinking Approaches to Employee Care
9 JUL 2024 · This week, host Marc Cunningham speaks with https://www.linkedin.com/in/kara-sepulveda-a5b5682b/, Senior Corporate Risk & Insurance Manager at https://www.lithia.com/lithia-and-driveway.htm, whom he caught up with at RIMS RISKWORLD 2024. Kara shares her thoughts on employee care, industry misconceptions, and the strategic role of case management—particularly her commitment to proactive communication and continuous training in order to prevent client dissatisfaction and enhance relationships.
Join us as we discuss:
- How proactive problem-solving from account managers positively impacts client retention
- Using field case managers early in an injury claim process
- The role of personalization when engaging with injured employees
How Pharmacy Benefit Management Shapes Healthcare Outcomes
28 MAY 2024 · This week features host Marc Cunningham’s conversation with https://www.linkedin.com/in/paul-j-king-12b842(Chief Client Officer at https://www.mymatrixx.com/), which took place at this year’s RIMS RISKWORLD2024 conference. Paul covers all things Pharmacy Benefit Management (PBM)—from implementation to challenges to benefits.
Join us as we discuss:
- How clinical edits fit into the PBM process
- The concept of benefit neutrality and treating whole-person health
- Using virtual healthcare platforms in managing conditions like COPD, asthma, and obesity
Inside Medicare Reporting: Ensuring Compliance and Avoiding Penalties
23 APR 2024 · If you’re a reporting entity, there’s a good chance you have October 11, 2024 circled on your calendars, as it’s when Medicare’s Section 111 becomes applicable following the effective date of December 2023. Naturally, questions remain for many regarding what effective compliance looks like—and when companies need to fully comply by. Given the hefty penalties that come along with the guidelines, most companies truly can’t afford to be left in the dark.
This week, we’re joined by https://www.linkedin.com/in/suzanne-jordan-9026402/ Compliance Manager at https://www.choosebroadspire.com/, who helps break down Section 111 and demystifies the various dates, forms, processes, and acronyms companies that all manner of companies need to know.
Join us as we discuss:
- The process for registering and recertifying with Medicare as a responsible reporting entity (RRE)
- The various challenges for meeting Medicare reporting standards
- The claim review process and the relevant deadlines for reporting entities
Data, Tech, and People: A Balance for the Future of Insurance Partnerships
18 JAN 2024 · Just how valuable is the human touch? And how necessary is it? More and more, it seems like the winning recipe for success in the Risk & Claims Management industry involves harnessing cutting-edge trends and technology without making your clients or team members feel like they’re dealing with an organization run by analytics and machines. It’s a challenge—but also an opportunity.
On today’s episode, we’re joined by https://www.linkedin.com/in/crystal-sanderson/, National Director of Strategic Partnerships and Placement at https://www.mcgriff.com/. Crystal harnesses more than two decades in the insurance industry—as well as experiences in many different areas—to continuously redefine and sharpen what effective internal collaboration and client support looks like.
Join us as we discuss:
- The role of market dynamics and internal company culture in shaping strategic vision.
- How unifying cultures and expanding into new industry verticals can excite and rejuvenate an organization.
- The value of non-linear career growth and exploration.
Navigating the Program Marketplace: Insights from an Industry Expert
27 JUN 2023 · The importance of partnerships and collaboration isn’t limited to product-driven spaces. In fact, they hold just as much weight in the program space. Making sure you work with top-of-the-line partners in mutually beneficial agreements can help build a strong brand across the high-competition program marketplace. But how are partnerships and M&As decided in the modern MGA environment?
We’re joined by https://www.linkedin.com/in/brad-isaacson-4a162123/, Senior Vice President, Program Development at https://www.amyntagroup.com/, who shares all things program — from new trends, best practices and success stories, Brad’s insights and experiences can help you shape a top-tier program with the right partners and cutting-edge strategies.
Join us as we discuss:
- The MGA space and business segments at Amynta
- The impact of hardening in the program industry
- Current state and emerging trends across the program industry
The Inner Workings: Balancing Risk and Growth in Business
13 JUN 2023 · With countless moving pieces, businesses function like extremely complex machines. But this doesn’t make one function more important than any other. So how do you address risk management while simultaneously fostering internal growth? And what metrics and systems can be put in place to accurately judge success and while also highlighting areas of weakness?
Today we speak with https://www.linkedin.com/in/brian-riley-crsp-a29a087/, Associate Vice President at https://www.compass-canada.com/, a food facility service provider that serves countless industries including healthcare, sports, leisure, education and beyond. Brian dives into exactly how his team works to balance business and ensure each function of the machine works in unison with proper care and attention.
Join us as we discuss:
- Key indicators to implement in risk management systems
- How to deliberately impact team members’ success
- Open communication as the key to teamwide growth and success
Data Science and Analytics in Captive Insurance: A Growing Trend
30 MAY 2023 · The use of captives in industries such as the sharing and gig economies, as well as in unique risk areas such as cannabis and crypto, has become more prevalent due to the challenges faced by the commercial market in pricing and structuring insurance programs for these risks.
https://www.linkedin.com/in/richardcutcher/, Founder at https://captiveintelligence.io/ & Host of the https://podcasts.apple.com/us/podcast/global-captive-podcast/id1454128875, says that in particular, captive owners in the gig economy require claims support, and Crawford plays an important role in this area. The popularity of cell captives is growing, with some large structures seeing members paying up to $20m in premiums per year. Some even suggest that well-capitalized captives could take on significant business from the parent and start setting prices for premiums.
Join us as we discuss:
- What the benefits of using AI in supply chain management are
- How AI can be integrated into supply chain management processes
- When the best time to implement AI in supply chain management is
The Rise of the Accommodating Workplace
28 FEB 2023 · We’ve entered the era of the accommodating workplace.
From telecommuting to ergonomics, recent changes in the status quo have made the workforce more welcoming to more people than ever before. And that’s good news for everyone.
Today, we’re speaking with https://www.linkedin.com/in/matthew-mccord-m-s-c-r-c-a0133095/, Senior Consultant at https://askjan.org/, and https://www.linkedin.com/in/nanesha-courtney-6830a910/, National Product Manager Advocacy, Biopsychosocial, Disability, and Return to Work Services at https://www.choosebroadspire.com/, about what’s fueling the trend.
Join us as we discuss:
- Why companies are investing in ergonomic modifications
- The COVID effect on accommodation in the workplace
- How legislation is impacting accommodation
The Challenges and Opportunities in the Insurance Space in Latin America
6 DEC 2022 · Offering products and services across Latin America is no small task. The region is massive and its languages and traditions just as varied. What works in one country may not work in another and even exact translations may be problematic because of cultural nuances. It’s an opportunity that Roberto McQuattie, President, Latin America at Crawford & Company, has learned to manage with finesse.
A reluctant chip off the old block, Roberto followed in his father’s footsteps to insurance, but certainly did it his way and in ways his father likely could not have imagined.
Join us as we discuss:
How to navigate the challenges associated with different customs, languages, and traditions
What Crawford’s Latin American strategy looks like
Where to offer various products and services in a varied region
A Journey to Becoming an Innovation Officer
1 NOV 2022 · Are you innovating? We all think we are, but is your company really committed to driving impact for clients, colleagues, and industry culture in the midst of a changing world? Is your company committed enough to hire somebody precisely to do that job?
That’s exactly what Rachel Perry, Chief Innovation Officer, Commercial Risk North America at Aon, is here to do. The way Rachel sees it, you can’t have innovation if you’re not driving growth for the company, solving client problems, and growing right as a firm.
Join us as we discuss:
What a Chief Innovation Officer does to be successful
Why diversity, equity, and inclusion is important for innovation
How to not just hire a good team, but retain them too
Beyond the Claim is a show for inquisitive Risk & Claims Management professionals curious about the latest industry trends, winning strategies and stories from influential leaders. Each episode contains valuable...
show more
Beyond the Claim is a show for inquisitive Risk & Claims Management professionals curious about the latest industry trends, winning strategies and stories from influential leaders.
Each episode contains valuable tips, insights, lessons learned, and the stories that matter from the most influential leaders in the industry. If you’re eager to learn everything you can to meet the demands of today’s claims landscape — and enough to be ready for tomorrow’s — then you’ve come to the right place.
show less
Each episode contains valuable tips, insights, lessons learned, and the stories that matter from the most influential leaders in the industry. If you’re eager to learn everything you can to meet the demands of today’s claims landscape — and enough to be ready for tomorrow’s — then you’ve come to the right place.
Information
| Author | Sweet Fish |
| Organization | Sweet Fish |
| Categories | Business |
| Website | www.spreaker.com |
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