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Client Case Study: American Claims Management, Inc.

When American Claims Management (ACM) launched its workers’ compensation division in 2008, the company needed a new claims system. Find out why it chose Systema Software and SIMS Claims, the next-generation in claims administration software.

81% of Returned Workers Comp Bills Aren’t Resubmitted

Using actual 2012 claim data from our CLAIMExpert® platform, we uncover interesting statistics regarding rejected medical submissions, including the fact that 81% of returned claims are never resubmitted!

Leveraging A.M. Best Data to Create Competitive Advantage

Consulting actuary, Erich Brandt, FCAS, MAAA, uses four case studies to demonstrate how publicly available data can create competitive advantage in the property casualty insurance industry.

Risk Management Triangles | Triangles may be frustrating, but it's not safe to throw them

Gain greater confidence in your interactions with actuaries and triangle reports that more accurately project your firm's expected losses.

Top 6 Reasons to Improve Integration of Claims Systems

Could your claim systems integration stand to be improved? In this white paper you will discover new technology advances that will ensure you reap the benefits of tying together claims, UR reviews, bill processes, and managed care relationships.

Seven Steps to Risk Management Success

Everything your organization does involves some level of risk. Shouldn’t an organization’s strategy be driven by risk every day? Or should risk management be put on the sidelines and only called upon when something goes wrong?

New Mexico Mutual Insurance Selects DataCare for Workers' Comp Software

New Mexico Mutual wanted a proven commercial-off-the-shelf workers' compensation system to support all aspects of its workers' compensation administration – including front-end data capture capabilities, report creation, caseload management.

Client Case Study - Berkshire Hathaway Homestate Companies

Berkshire Hathaway Homestate Companies (BHHC) is a group of six regional insurance carriers. In this case study, Terry McKelvey, vice president of IT in the workers’ comp division of BHHC, discusses the benefits her company experienced after implemen

How Much is Your Auto-Adjudication Approach Costing You?

Does your company automatically pay workers' compensation claims beneath a certain threshold? Find out how this type of approach can end up costing companies millions of dollars.

The Seven Standards of Cloud Computing Service Delivery

With the rapid growth in the enterprise use of cloud-computing comes a corresponding increase in responsibility on the part of vendors to provide cloud-computing platforms that offer outstanding service delivery.

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