A MATTER OF ETHICS 

The actor Leslie Howard, who played Ashley Wilks in the Gone with the Wind movie, was killed during World War II when the airplane on which he was a passenger was shot down.  After the war it was discovered that the English had broken the Enigma code and they knew that his plane was going to be targeted by the Luftwaffe.  The British Military did not warn the plane or…

Read More

2024 Reminders for Claims Operations

I would like to thank all of you who have diligently read our “Simple Ideas” papers during the past year. I admit that a few of the papers we sent out were actually not “simple”. These papers are either focused on improving outcomes for the injured workers while reducing costs for the employers, or are designed to help bring you up to speed on the latest technology which will impact…

Read More

Simple ideas for a complex system – Injury prevention in our new world post pandemic / the great resignation

  Studies are regularly published which indicate that a high percentage of injuries occur during the first year of employment.   With the current churning of workers due to the great resignation it is important for employers to focus on their new employees (and long-term employees who are performing new jobs at the same employer) as an opportunity to reduce claims frequency.    The reasons for a higher claim frequency during the…

Read More

Simple Ideas for a complex system -Zooming into the future

One of the keys for companies to survive and prosper during the pandemic was to embrace new technology. Many companies pivoted from mandating all their employees show up every day to utilizing Zoom, Microsoft Teams, or other video conferencing programs to hire, train, maintain their corporate culture and encourage interaction and creativity.  Originally, I was skeptical about the process of hiring, training, and managing new claims examiners remotely.  The productivity…

Read More

THE LUCA BRASI THEORY

In the movie You’ve Got Mail, Meg Ryan asks why all men use quotes from The Godfather.  The answer is quite simple. The book and movies teach lessons of business and life, and they are easy for men to understand.  There are many good business theories and life experience lessons that came from the movie. How to deal with business partners: "I will just make him an offer he cannot…

Read More

Using Actuarial Information To Improve Claims Outcomes 

Introduction  Actuaries require accurate and timely information for them to calculate the reserve loss development pattern as well as the ultimate exposure for losses.   Even though management may not always be happy with the information, knowing the correct ultimate exposure is always ultimately good for the insurance company or the employer.    Due to company silos, process or ignorance, most claims operations do not regularly engage with the actuary process.    Quality…

Read More

An Ideal Workers Compensation System

An ideal system serves the two primary stakeholders (the employer and the employee). An ideal system allows and encourages clear, concise, timely and accurate communication (in-person, phone, fax, text, app, semaphore, morse code, smoke signals) between all parties.  An ideal system provides a prompt provision of fixed and “fair” benefits to the legitimately injured worker within a no-fault system. An ideal system ensures that all workers are covered by the…

Read More

Workers Compensation Medical Care Axioms

The right medical care at the right time is always in the best interest of the injured worker and almost always will result in the lowest claims costs.The right medical care at the right time will (almost always) result in an earlier return to work with less permanent residual disability.Evidence-based medicine is the right care for the legitimately injured workers. (There is a hierarchy on how to apply evidence-based medicine).One…

Read More

Managing People with DITMR (Deer in the middle of the road syndrome)

For thousands of years deer had two primary methods of survival.  The first was to run very fast when they were in an open field.  The second was to stand very still when they were in a forest. If they could not outrun the mountain lion, they knew that if they stood still while in the forest that their camouflage would make it harder for them to be seen. For…

Read More

Balancing Children at School and Parents at Work

A School Calendar There are many different life situations facing parents. One of the most rewarding and challenging is the balancing act of raising children while meeting work responsibilities.  One fundamental obligation of a parent is to make sure that their children obtain the necessary education to be successful in life.  Children who are engaged and supported at school usually become successful adults.  Many times, employers ignorantly create work situations…

Read More

Skip to content