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Strategies for Overcoming Operational Challenges
and Benchmarking Program Performance CM1
Jason Beans, CEO, Rising Medical Solutions
Denise Zoe Gillen-Algire, Director, Managed Care & Disability Corporate Risk, Safeway Inc.
Ray Jacobsen, Managing Director, Aon Benfield
John Smolk, Principal Manager, Workers’ Compensation, Southern California Edison
Wednesday, Nov. 19 | 11 a.m. - 12: 15 p.m.
Claims managers face critical challenges overseeing their day-to-day operations without opportunities to rank their organizations’ performance against industry peers. A recent Workers’ Compensation
Benchmarking Study looked to change that by surveying management and executive-level claims
leaders across the industry to document their most pressing operational challenges. The study
provided a chance for organizations to measure core competencies, best practices, technology,
medical management performance and talent development. The study’s architects will present their
findings and provide claims managers and executives ways that they can scale and address indus-trywide priorities and hurdles.
• Apply the study’s recommendations for taking action on operational
challenges and opportunities
• Recognize key strategies industry leaders use to impact claims
and medical outcomes
• Analyze claims operation trends identified in study results
• Examine critical talent development and retention issues
Risk Scenarios TM Live! Navigating the Challenging Claim CM2
Robert Goldberg, M.D., FACOEM, Chief Medical Officer, Healthesystems
Dan Reynolds, Editor-in-Chief, Risk & Insurance
Additional speakers to be announced
Wednesday, Nov. 19 | 2: 30 - 3: 45 p.m.
In this multimedia presentation, you’ll follow the handling of a complex claim based on a hypothetical,
yet realistic, case. Using videos and photos, an expert panel will set the stage, depict the event and
navigate you past the claim’s potential pitfalls. Presented by Risk & Insurance and taken from the
publication’s popular Risk Scenario case studies that examine the lessons to be learned through
instructive, theoretical claims.
• Analyze opportunities for mitigating potential losses
• Recognize missteps that can exacerbate a claim
• Integrate new solutions into your claims resolution toolbox
• Evaluate claims decision makings
Learn directly from leading insurers
and TPAs including:
» Pinnacol Assurance
» Safety National
» Accident Fund Holdings
» Arrowpoint Capital
» Liberty Mutual