Risk Management & Insurance Industry - Knowledge & Resource Center

GCat: Risk Mgt, Claims & Ins
MCat: Claims Management

What's New (Last 30 Days)

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Claims Administration

Bad faith, structured settlements, large losses, etc.

Evaluating Bodily Injury Claims [24954] ?

When reviewing the bodily injury demand, it is important to look at a variety of critical information

Claims Filing

P-C insurance claims checklists, interview statement guides, etc

State Traffic Crash Report Forms [36652] ?

Download state traffic crash report forms and any overlay code sheets applicable to that state

Health Claims Code Sets

DRG, APG & ICD-9-CM and ICD-10-CM coding - Medicare payment rates

CPT Medical Coding [22028] ?

Article provides advice on where to locate CPT codes

Property Claims

Property insurance claims management materials

2016 US Property Claims Satisfaction Survey [13450] ?

Overall client satisfaction with the property insurance claims experience

How to Navigate Claims Negotiations [24389] ?

Developing trust, knowing the details of the file, and good listening skills are fundamental

Return to Work

Managing workers compensation costs by returning injured workers to work

Return to Work Program for Injured Workers [13403] ?

Steps for Developing a Return-to-Work Program


State EDI requirements

PA-Pennsylvania EDI Requirements for WC [36290] ?

Electronic Data Interchange (EDI) involves the computer-to-computer exchange of data between companies and the State

WC Fee Schedules

Workers compensation medical fee schedules

PA-Pennsylvania Charge Classes by Zip Code [23215] ?

The major users for this list are those who reprice medical bills to the workers' compensation fee schedule

PA-Pennyslvania: WC Fee Schedule [11253] ?

Workers' Compensation Fee Schedule for Part A (Tables A through H) and Part B medical providers

WC Forms

Download state workers compensation forms such as first report of injury

PA-Pennyslvania - Workers Compensation Forms [10984] ?

Access WC forms for the state of Pennyslvania

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"If you have made mistakes . . . there is always another chance foryou . . . you may have a fresh start any moment you choose, for thisthing we call "failure" is not the falling down, but the staying down.

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