Technology Advancements Impacting Risk Management Today

Report
Tech Time:
Technology Advancements
Impacting Risk Management
Today
Recording of this session via any media type is strictly prohibited.
Page 1
The panel
Ron Gray
AccentCare, Inc. - Director of Risk Management
Mr. Gray has been in the insurance/risk industry for 25 years. In his experience,
he has worked in many different facets of Risk. He has worked for carriers, third
party administrators and on the risk management side for corporations. He is
currently the director of risk management for AccentCare, Inc.
Jarrod Magan
Sedgwick - VP Client Technology Services
Mr. Magan is vice president of client technology services for Sedgwick. In this
role, Jarrod oversees the client facing aspects of Sedgwick’s viaOne® suite of
applications. His responsibilities include managing client setup, training, and
client customization, along with developing the strategic direction for the suite.
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What to expect
After attending this session you should be able to:
Analyze the impact of
technology on risk
management
Understand the
current and emerging
technology landscape
Adopt the lessons of a
technology driven risk
management program
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Tech Time Advancements
Challenges
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Page 4
Challenges
• Injured workers feel disconnected from the process and that it’s less of a
partnership
• Clients and examiners need to identify what is needed for a claim in order
to make faster and more accurate decisions and achieve better outcomes
• Need for keeping costs down
• Difficult and complex governmental regulations, making compliance
increasingly more difficult
• Need for tracking information as well as increasing in the number of data
sources available
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Tech Time Advancements
Tablestakes
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Page 6
Tablestakes
• Real time access to claim details, payment history, notes, etc.
• Reporting capabilities that are robust, timely and easy to use
• Claim notification via the web, as well as more traditional channels (i.e.,
call, email, fax)
• Data visualization
• Data integration capabilities (internal and external sources)
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Tech Time Advancements
Increasingly becoming
tablestakes
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Page 8
Increasingly becoming tablestakes
• Paperless environment
• Rules-based activity:
• System-directed workflow
• Flags and triggers
• Claim assignment
• System Diaries
• Predictive modeling:
• Large losses
• Attorney representation
• Medical escalation
• Fraudulent claims
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Increasingly becoming tablestakes
• Integrated platform of
services
• Bill Review
• OSHA
• Nurses
• Surveillance
• Custom branding
• Single Sign-on
• Social Media
• Self Service capabilities
• Reporting claims, running
reports, viewing information,
etc.
• Embedding established
guidelines that can be
used to influence the
management direction
of the claim. (i.e., ODG)
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Tech Time Advancements
A real world example
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Page 11
AccentCare, a real world example
Dashboards
OSHA 300/300A logs
Bureau of Labor
Statistics reporting
Electronic Sharps logs
RMIS System
Learning Management
System
Technology improvements that lead to time saving
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Dashboards
• Frequency by month
• Closing by month
• Payments by month
• Current open pending
• Outstanding liabilities
Technology improvements that lead to time saving
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OSHA 300/300A
Manual Logs
OSHA Tracking
• Incidents had to be
manually logged by the
location
• Claims system tracks
modified duty days and off
duty days
• Track off duty days and
modified duty days
• Ability to upload employee
count and hours worked and
then print out all 130 logs
• Employee count and hours
had to be manually entered
• Sign all of the logs
Technology improvements that lead to time saving
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Bureau of Labor statistics reporting
Each year we get “random surveys” to report our employee
injuries to the Bureau of Labor
• We had to report our injuries for over 30 locations for
accident year 2013
• The old method would have taken over 15 hours to complete
• The new method can be completed in under an hour
Technology improvements that lead to time saving
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Electronic Sharps Log
The Bloodborne Pathogen Standard requires a Sharps
Injury Log for all injuries occurring from contaminated
sharps in addition to the OSHA 300/300A log
• Historically we have had the locations complete and
maintain their log
• We are now maintaining and producing the log in the same
manner as the OSHA 300/300a and BLS reports
Technology improvements that lead to time saving
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Risk Management Information System (RMIS)
RMIS system allowed for a paperless
environment for:
Claims
Location tracking
Contract management
Supplier management
Technology improvements that lead to time saving
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Learning Management System (LMS)
Historically very labor intensive to track training for
all employees
• Paper records in personnel files
• Spreadsheets to track who has completed training
Current LMS system
• Allows electronic tracking of completion and storage of test results and
sign off sheets
• Automatic reminders for non-compliance
• Ease of proof of training for audits and inspections
Technology improvements that lead to time saving
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Tech Time Advancements
The future is now
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The future is now
The Influence of
Mobile
Cloud Technology
Big Data
Push Technology
Embedded
Predictive Modeling
Wearable
Technology
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Tech Time Advancements
Looking ahead
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Looking ahead
The Use of
Drones
The Internet of
Things
The Rise of
Smart Machines
Telemedicine and
Streamlined Care
3D Printing
Augmented Reality
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Questions, final comments and contact information
Ron Gray
AccentCare, Inc. - Director of Risk Management
Email: [email protected]
Jarrod Magan
Sedgwick - VP Client Technology Services
Email: [email protected]
Twitter: @jarrodsmagan
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Please complete the session survey
on the RIMS14 mobile application
Recording of this session via any media type is strictly prohibited.
Page 24

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