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August 02, 2022
Adam Fisher
chief data officer
Natural language processing and the digital claims transformation

It’s not exactly a trade secret; anyone who’s ever filed a claim for insurance or benefits knows it entails a lot of forms and paperwork. What’s in those documents, combined with the notes of the assigned examiner or adjuster, forms the building bloc…

August 02, 2022 by Adam Fisher, chief data officer
July 27, 2022
Douglas Dell
vice president and director, Vale Training, a Sedgwick company
Revolutionizing readiness skills for loss adjusters and inspectors

Introducing virtual learning and improving the digital experience became a priority for many organizations throughout the last two years. At Vale, our mission to revolutionize readiness skills evolved quickly to meet the unique needs of carriers, adj…

July 27, 2022 by Douglas Dell, vice president and director, Vale Training, a Sedgwick company
June 27, 2022
Beth Burry-Jackson
SVP, managed care operations
Improving outcomes: PTSD in the workplace

Post-traumatic stress disorder (PTSD) claims can be particularly tricky due to the shifting nature of the diagnosis. Greater awareness around mental health is helpful, but there are several factors that greatly impact a patient’s outcome. The challen…

June 27, 2022 by Beth Burry-Jackson, SVP, managed care operations
June 15, 2022
Adam Fisher
chief data officer
How data and AI/ML are shaping the future of claims management

The volume of claims processed every day and the amount of data attributed to those claims is growing. But what we’re doing with data within the claims management space is constantly changing. And while risk factors must be considered, we’ve only beg…

June 15, 2022 by Adam Fisher, chief data officer
June 09, 2022
James Norman
International business development director
Strategic partnerships: Is the added value worth the risk?

With the complexity of today’s globalised business environment, it’s naïve to think that any one organisation can be everything to everyone. It’s quite impossible for even a large, multinational service provider to specialise in all areas or have cov…

June 09, 2022 by James Norman, International business development director
May 11, 2022
Eric Malterre, chief client officer, international, and James Norman, international business development director
Managing unpredictability in claims

From geopolitics to climate change to fears of another pandemic outbreak, instability seems prevalent everywhere. Current business risks abound, including cybersecurity, rising inflation, supply chain issues and the Great Resignation, which continues…

May 11, 2022 by Eric Malterre, chief client officer, international, and James Norman, international business development director
April 12, 2022
Max Koonce
chief claims officer
3 claims complexities driving today’s discussions and tomorrow’s decisions

You may remember the days when claim reporting lag times, introduction of medical cost containment, and assessment of soft tissue injuries were common conversation drivers for claims professionals. Despite the host of new intricacies and nuances, the…

April 12, 2022 by Max Koonce, chief claims officer
March 23, 2022
Jake Carter
Implementation and projects
3 technology trends that continue to transform claims handling

From manual forms and paper clips to the invention of the computer, the way claims are handled has certainly transformed. While it’s fair to say the evolution of technology in the insurance industry has not always been smooth, customer experience and…

March 23, 2022 by Jake Carter, Implementation and projects
March 09, 2022
Ian Carman
director, UK investigation services
Fraud detection: machine versus human?

Artificial intelligence (AI) and machine learning technologies are massively helpful in detecting suspicious behaviours and activities. However, insurance fraud identification and claims validation remain one area where technology requires human inte…

March 09, 2022 by Ian Carman, director, UK investigation services
March 02, 2022
Stephen Elliott, MBA, JD, CISSP, CSM
SVP, IT innovation and decision optimization
Bridging technology through robotic process automation

Sometimes new technology comes along that does not directly replace old technology, but instead integrates with it and enhances it. The claims process is still filled with legacy applications held together with manual tasks, so tremendous opportunity…

March 02, 2022 by Stephen Elliott, MBA, JD, CISSP, CSM, SVP, IT innovation and decision optimization
January 06, 2022
Stephen Elliott, MBA, JD, CISSP, CSM
SVP, IT innovation and decision optimization
New technology in claims and productivity management: automation and AI

In today’s marketplace, countless vendors and technologies claim to leverage artificial intelligence (AI) or automate manual claims processes. One could argue that starting with the very first computer, this is what everyone has been working towards.…

January 06, 2022 by Stephen Elliott, MBA, JD, CISSP, CSM, SVP, IT innovation and decision optimization
September 28, 2021
Matt Walker
FDA regulations for AI/ML-based medical devices expected soon on heels of EU MDR

Following the lead of the European Union and Great Britain, the U.S. FDA has begun rolling out its action plan for regulating artificial intelligence/machine learning (AI/ML)-based software as a medical device. The United Kingdom’s Medicines and He…

September 28, 2021 by Matt Walker
September 10, 2021
Chris Harvey, VP crisis solution
Stricter regulatory enforcement ahead for all industries in 2021 and 2022

As regulators, businesses and organizations emerge from the global pandemic, each is struggling to find its path to a new “new normal.” Most are finding it’s a rocky path. Significant questions and uncertainty persist, and reputational risks to compa…

September 10, 2021 by Chris Harvey, VP crisis solution
July 07, 2021
Jeremy Schutz
CPSC warns it’s now focusing on AI and ML in consumer products

The brave new world is here. The Consumer Product Safety Commission (CPSC) has issued its first report on artificial intelligence (AI) and machine learning (ML) in consumer products. The report promises added scrutiny of “potential hazards” created b…

July 07, 2021 by Jeremy Schutz
July 02, 2021
Guest author: Erik K. Swanholt
Spotlight: CPSC takes first step to expand enforcement

Foreword by Jeremy Schutz, senior corporate sales manager at Sedgwick: Welcome to the latest edition of spotlight. Spotlight is our way of sharing insights and perspectives from our strategic partners – lawyers, insurers, risk managers and crisis co…

July 02, 2021 by Guest author: Erik K. Swanholt