RIMS National Recap

Session handout link https://www.rims.org/RIMS16/Attendee/Pages/Session- Handouts.aspx

WhiteSpace at Work – Juliet Funt What It Is and Why It's Critical WhiteSpace is the strategic pause taken between activities. In tiny sips or larger portions, this open time was once woven between daily activities, & made the smartest of us even smarter. Now it's the most endangered element of modern work. A company or team with a WhiteSpace mind-set looks, feels and acts differently than one ruled by reactive activity. Examples of Cultural WhiteSpace include: Reacting to challenges or obstacles by thinking before acting Setting office pace and cadence for humans and not machines Leaders modeling and promoting the use of WhiteSpace Always considering how to best sustain human capital Controlling technology so tools don’t eclipse high-value action Examples of Tactical WhiteSpace include: Taking pauses between meetings to prepare and/or reflect Allowing silence in dialogue so ideas are not overrun by chatter Taking pauses when engaged with dense data to allow the mind to clear Taking WhiteSpace before or after a difficult conversation Using WhiteSpace at home to connect more richly with family Disconnecting when possible on vacations, evenings and weekends Making room for great ideas to grace us with their presence See more at: http://www.whitespaceatwork.com/whitespace/definition#sthash.SsF2D1Rz.dpuf

Thieves –CDO (OCD alphabetized) http://www.whitespaceatwork.com/whitespace/definition Drive becomes hyper-drive Excellence leads to perfectionism Information into overload Activity into frenzy Install filters Let go of what you can Decide where good is good enough Limit to what you truly need to know Does this actually deserve my attention? Opt in, Opt out, Opt over (delegate), Opt to be on call

Outcome based Claims audits http://blog.willis.com/2015/12/better-audits-for-better-outcomes- the-case-for-outcomes-based-claim-audits/ “People do what you inspect not what you expect.” Best Practice audits fail to identify claim handling failures 100 audit scores on files that had poor outcomes in terms of Medical Disability Guidelines (estimated length of disability based on ICD-10 codes) If you are a CFO, or risk manager and your TPA scores an overall “98” on your audit, but your outcomes are still not optimal, what kind of action can you take to improve your process?

OBC versus BP scoring

Takeaways Abandon Best Practices audits Insufficient value for the time TPA focus without evaluating employer actions Put more resources toward hiring practices, wellness, site social issues Regression analysis leads back to hiring Example of statistically significant finding – distance from employee home to work is a clear predictor of being less likely to return to work after an injury. TPA is giving the worst cases to the best adjusters – BP scoring not fair Data coding is a major challenge – gather in a way that allows for collection, analysis, and course corrections.

See you in Court – Proven strategies to Drive Down WC Costs and Improve Outcomes Panelists were Karen Stankevitz and Amy Turner https://www.safetynational.com/conferencechronicles/tag/workers-compensation/ Small % of claims drive large % of program costs. Shift focus to this small % of claims to significantly impact program performance. Define a “win” – educate your attorney Adjusters defaulting to attorneys - $ Don’t “spoon feed” attorney settlement authority. If you don’t trust the attorney to render a reasonable valuation and negotiate appropriately, you need to change attorneys. Sending the attorney in with a low ball offer damages his/her credibility Collect data and analyze the percentage of change over time on attorney valuations and budgets Address communication between attorney, adjuster – close down time gaps in giving settlement authority. Implement Escalation Loop Create a Litigation Progress Report – identify roadblocks in the process and facilitate communication between the attorney and adjuster