Sedgwick Connection

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Improving consumer experience

Just this past week Dave North, our President and CEO, reminded an audience at the Integrated Benefits Institute conference that our industry must strive for one button simplicity. Despite often being known for its complexity, our industry’s goal should be to make things as easy as possible for the people impacted when something unexpected happens – a workplace injury, property or financial loss or damage from a natural or man-made disaster, the birth of a child or another medical situation, a

Drive-thru operators beware: A double-double = an accident benefits claim?

The Court of Appeal for Ontario recently released a decision in a case that has far-reaching impacts. In Dittmann v. Aviva Insurance Company of Canada, an Ontario accident benefits claim was presented to the insurer, Aviva Canada, as a result of a scalding burn sustained on July 7, 2014 when a hot beverage ordered at a McDonald’s drive-thru spilled on the claimant causing significant injuries. Rather than pursuing a commercial general liability claim for damages, a claim was presented to th

Pink socks

When I think about how I connect the dots between my background in healthcare with my career in the insurance industry, my current role as a business leader and my passion about social responsibility, employee benefit models and taking care of people, the answer is pink socks. Yes, pink socks adorned with black mustaches. Allow me to explain. Empathy and caring have always been at my core. On my fifth birthday, I announced to my family that I would become a nurse. At age 15, I began working as

How to curb compounds and related drug costs when the law is silent

My recent curbing compounding post outlined Texas’ regulatory response to the alarming rise in use and cost for compound prescription drugs and the legislation being put in place to curb compounding within the state. While this marks a continued positive trend toward improving quality and effectiveness in injured worker treatment, employers remain exposed to increasing compound drug spend in states that have not yet moved to address the issue through regulations. What can claims admini

Why you should love a career in claims and insurance

February is Insurance Careers Month, and Sedgwick is proud to participate in this industrywide effort to attract new talent to our ranks. With nearly 4 million Baby Boomers retiring each year and fewer than 5% of millennials expressing interest in careers in insurance, our industry faces a looming talent crisis. To ensure we can properly meet clients’ increasingly complex needs and care for the millions of people who depend on our services when unexpected events occur, we must make a concer

Fire safety is no crock: “Big three” takeaways from “This is Us”

In an episode that aired immediately following the Super Bowl, millions of fans of the hit NBC drama “This is Us” finally got an answer to the question that has loomed over the past two seasons: how Pearson family patriarch Jack (played by Milo Ventimiglia) died. We won’t spoil it completely, but previous episodes showed a house fire that started with a spark from a slow cooker in the kitchen and spread with terrifying speed up the curtains, then flashed across the celling. It was an emotional r

Curbing compounding

With its new rule requiring preauthorization of compound prescription drugs, Texas has become the latest state to attempt to curb the unnecessary use of compound drugs in workers’ compensation. The Texas Division of Workers’ Compensation (DWC) drafted the rule to stop prescribers from continuing to exploit a loophole in the state workers’ compensation drug formulary, one which allowed compound prescriptions to be filled without first obtaining preauthorization to confirm medical necessity for th

Ontario, Canada justice system says “I do” to limiting predatory marriage

It used to be so simple: People fell in love and got married. Now, with big settlements involved when serious and catastrophic injuries have been sustained, families need to be wary of marriage predators. The claimant in a recent case, Kevin Hunt, suffered brain injuries in a tragic ATV accident in 2011 and was determined to have sustained catastrophic impairment. A former girlfriend, Kathleen Worrod, suddenly appeared and whisked him away, successfully marrying Hunt. This incident occurred in

Marijuana high on federal radar

The buzz on New Year’s Day was the legalization of recreational marijuana in California, the nation’s most populous state. However, just four days later the focus shifted to federal drug enforcement of the Controlled Substances Act, which still classifies marijuana under Schedule I along with heroin and LSD. Attorney General Jeff Sessions issued a memo on January 4, 2018 rescinding all previous guidance documents for United States Attorneys specific to marijuana enforcement that were issued fro

Charting industry trends for 2018

At Sedgwick, our colleagues are dedicated to taking care of our clients and helping them stay informed on key changes and emerging trends in our industry. We recognize that 2018 will be a year of change in a variety of critical business areas. Sedgwick’s thought leaders believe the changes and trends in the spotlight for 2018 will include important topics such as catastrophe planning and response efforts, policy compliance and drug control efforts, self-service options, improving on opportuni

Preventing frozen pipes during Winter Storm Grayson

You may need more than bread and milk on hand if the meteorological phenomenon known as Winter Storm Grayson turns out to be as intense as anticipated. The Weather Channel predicts that Grayson may bring the East Coast of the U.S. some of the heaviest snow in decades and even more severe cold than we’ve seen this past week. It snowed in Tallahassee, Florida, for the first time in 28 years, if that’s any indication of things to come. Even if you’re a northerner who’s used to winter conditions

First responders demonstrate that courage counts

At Sedgwick, taking care of people is at the heart of everything we do. Our job is to provide assistance and support when the unexpected occurs. But more often than not, our colleagues are not the first ones at the scene when there’s an injury at work, a natural disaster, an outbreak of violence, an auto accident, a fire or a health crisis. It’s the community first responders—police, firefighters, paramedics and emergency medical providers, search and rescue teams, military members and oth

Keep your holiday tree safe and bright

Beautiful, twinkling lights and the pine scent of a real holiday tree can be part of a cherished tradition that makes the season bright and festive for many. However, all too easily, the tree that may be decorating your living room can turn into a fire hazard that threatens your family and home. To prevent fresh-cut trees from becoming dry and easily combustible, it is essential to keep them well watered. Check out the video from the National Institute of Standards and Technology (NIST)

What’s ahead in 2018? Increased opportunities for collaboration

Human resources and benefit managers will have excellent opportunities to demonstrate their expertise in 2018. The complexity of issues they address on a daily basis continues to grow and evolve. Federal, state, county and city laws that govern employment issues are constantly changing. Organizational structures can further compound these multi-layered regulatory complexities. Departmental silos with their own internal policies and procedures can make it difficult to implement consistent prog

We are better together

As I think back on the past week, I feel reaffirmed that we are better together. This week, the 5th Annual Comp Laude™ Awards and Gala celebrated the good things our industry does to help those experiencing a workplace injury or illness, just as our dear friend the late David DePaolo, founder of WorkCompCentral, envisioned when he first proposed the annual gathering. I was there five years ago for the first event and, oh my, how things have changed from our small, intimate, one

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