Fix the Problem, Not the BlameData, Accountability & Fraud in Workers’ Compensation

Ed BeecherRisk Manager

City of Pompano, FL

Today’s Panel

Susan LangleyDirector of Human Resources

Florida Natural Growers

Kimberly SimmonsProperty& Casualty Claims Manager

Fidelity National Financial

Diane Blaha, CorVel Corporation Gary Jennings, Strategic Claims Direction, LLC

Facilitators

©2015 CorVel Corporation.

Fixing the Problem

Placing the Blame

©2015 CorVel Corporation.

Measuring Results

©2015 CorVel Corporation.

Data Elements v. Analysis Paralysis

©2015 CorVel Corporation.

Claims Scorecard

REPORTING

©2015 CorVel Corporation.

Claim Details

REPORTING

©2015 CorVel Corporation.

Bill Review Savings

REPORTING

©2015 CorVel Corporation.

Pharmacy Savings

REPORTING

©2015 CorVel Corporation.

Closed Claims

REPORTING

©2015 CorVel Corporation.

2012 2013 20140%

10%

20%

30%

40%

50%

60%

70%

80%

Workers' Compensation Closed Claimsby Percentage of Indemnity Total Claims

Close Ratio

REPORTING

©2015 CorVel Corporation.

Idemnity Medical Only Combined0%

20%

40%

60%

80%

100%

120%

140%

Workers' Compensation Closed ClaimsClosing Ratio by Year Closed and Claim Type

2012 2013 2014

The Right Partnership

©2015 CorVel Corporation.

Service Instructions

■Setting expectations■Roadmap for success

■ Identifying redflags■Updating and evolving

©2015 CorVel Corporation.

■Lag time■Adjuster turnover■Closing ratio

■Costs■Employee satisfaction■LT to MO ratio

Key Performance IndicatorsANALYTICS

©2015 CorVel Corporation.

Program Enhancements

©2015 CorVel Corporation.

A Healthy Partnership

©2015 CorVel Corporation.

Ed BeecherRisk Manager

City of Pompano, FL

Thank You.

Susan LangleyDirector of Human Resources

Florida Natural Growers

Kimberly SimmonsProperty& Casualty Claims Manager

Fidelity National Financial

©2015 CorVel Corporation.