Blog_Posts

Thursday Thought Leader: Carlos Luna

The workers’ compensation industry gets a bad rap for surviving off of people’s accidents and injuries, but there’s something that you have to know. First things first, someone has to do it. Second of all, many of the leaders in this industry only possess good intentions and are fighting for a bigger, more positive cause. A good example of the latter? Carlos Luna.  As the Director of Government Affairs at Reed Group and Medical Issues Committee Member of IAIABC, he is constantly on the hunt for learning and sharing newfound knowledge in this industry. He’s been personally affected by a close family member who had to go through a workers’ compensation accident, so his fight for what’s right is all…


Jackelyn Ho

Top Workers’ Compensation Issues in 2018

As we transition from 2017 and usher in the New Year, there have been several milestones in workers’ compensation that PRIUM has been monitoring as these issues continue to have an impact on the opioid epidemic, overall medication safety, and our ability to achieve a more balanced biopsychosocial approach in treating injured workers. These are the top workers’ compensation issues that may have continued impact in 2018: A big trend in workers’ compensation has been the design and implementation of drug formularies. Tennessee started its formulary on Aug. 28, 2016 for new claims, and initiated guidelines for legacy claims on Feb. 28, 2017. This state is accruing experience and outcomes data, which will serve to assist and inform the rest…


Mark Pew

Why Transparency Matters in a Cost Management or Bill Review Company

We get it – bill review companies get a bad rap. This post comes in response to Joseph Paduda’s latest blog write up on Uncomfortable Truths at this year’s NWCDC, a piece that highlights the missing transparency between TPAs and employers, which further decreases the quality of managed care. It’s a very well written post and it details that companies only care about two numbers: how much each processed claim costs and how much money they are ultimately saving. When it comes to cost management, they want the first number to be low and the second number to be high. Paduda says issues arise when there is non-transparency between a TPA and their clients about what bill review vendors actually…


Jackelyn Ho

The Best Conferences To Attend For Risk Management, Workers’ Compensation, and Insurance

There’s nothing quite like being in the heat of the business day in and day out, but as professionals, one of the best growth tactics out there is to attend a conference. It’s here that we are able to network, find partners that work in synergy, and discover new clients to help find solutions to their workflow. Although the long days and the cold expo halls can get intense, there’s nothing that beats sharing memories with new friends who understand exactly why you’re in the business. After many years of exhibiting and attending conferences all across the spectrum, these six came in as our top favorites in terms of quality leads, professional yet friendly attendees, and innovative education. RIMS –…


Jackelyn Ho

Does Your Company Need Litigation Cost Management?

The insurance industry is filled with so many niche solutions and products these days – how do you know which one is for you? Litigation cost management has been around as long as litigation has (so, forever), but it’s now being recognized as a necessary solution for companies with a lot of litigated claim files on hand. What is Litigation Cost Management? Litigation cost management, legal spend management, cost containment, or claims management, is keeping track of and understanding all cost data surrounding a company’s legal matters. For a large corporation who may see many litigated claims, it’s important to know both micro and macro data, including but not limited to: Which lawyers are on the case The current case…


Jackelyn Ho

Thursday Thought Leader: Pamela Pettus

In our Thursday Thought Leader series, we love to feature industry leaders who are at the top of what they do, but when they’re also a founding member of an innovative and unique concept, we’re even more intrigued. Pamela Pettus is the CEO and co-founder of The Gavel, which she describes as a “nationwide network of vetted attorneys — vetted by industry professionals for industry professionals”. She’s leading the pack in a niche area that is stereotypically complicated but she has gone in and completely simplified the process. Pamela graduated from Boston University with a degree in Business and Psychology and a law degree from Emory University of Law. She joined the insurance industry as a specialty claims professional at…


Jackelyn Ho

Thursday Thought Leader: Robin Smith

We first caught wind of power woman Robin Smith at this year’s Dig+In Conference, an annual gathering of all the latest and greatest companies and people who are advocating for a more digitally advanced insurance world. As the CEO and Co-Founder of WeGoLook, she knows exactly how to throw an eye-catching presentation, something made easy with a simple-to-use product. Using a classic DeLorean and an iPhone, Robin demonstrated how WeGoLook reaches out to their nationwide network of over 30,000 Lookers, a crowdsourced and verified group of agents that can meet you at an agreed location to record details of the ordered items. It’s a simple but completely necessary product that helps consumers receive faster claim service while helping to employ…


Jackelyn Ho

13 Digital Insurance Buzzwords You Need to Know

Digital insurance is all the rage these days and it’s evident in the way that companies are flipping an age-old industry on its back. The push stems from customers, internal operations, and unavoidable technological progression, and it’s pretty exciting to see how it will all evolve. With so many new products launching and re-launching in the market, we thought it’d make sense to break down the essential jargon. The next time someone gushes on how their company is building the latest and greatest, you’ll be right on top of the conversation with them. Thank you to our good friends at WeGoLook, the Uber of inspections providing on-demand field services, for helping us perfect this list. They’re leaders in the digital…


Jackelyn Ho

Thursday Thought Leader: Frank Petersmark

Have you ever met someone and immediately felt comfortable? You know the feeling: easy conversation, good laughs, and total respect. That’s exactly how we feel about Frank Petersmark. He’s done a whole lot for the insurance world and most notably serves on the board for the Dig+In Conference, an annual event dedicated to showcasing companies who are advancing the insurance industry forward through technology. He’s been a huge influence no matter where he steps foot and we were so fortunate to hear more of his thoughts on leadership and where he sees the industry headed next. There are times when hearing nuggets of wisdom can seem repetitive and predictable, and then there’s Frank. Read on and you’ll understand. You were with…


Jackelyn Ho

Thursday Thought Leader: Jeffrey Adelson

We’re not even sure where to begin with the long list of accolades that Jeffrey Adelson holds. For starters, he’s the general counsel and managing partner of The Law Offices of ATB, a firm focused on Workers’ Compensation and Civil Litigation Consultation & Defense. Our favorite facts about Jeffrey? He’s served as a Judge Pro Tem, a Workers’ Compensation Instructor at several colleges in Southern California, and has a long list of notable published work and speaking engagements. To sum it up – he knows what he’s talking about. So, how does one get to be where Jeffrey is? We asked, he answered. When did you realize you wanted to pursue a career in the legal world? Why did Workers’ Compensation…


Jackelyn Ho

Thursday Thought Leader: James Riviezzo

After a short hiatus from our Thursday Thought Leader series, we are back with a brand new lineup of really incredible industry professionals! Today’s spotlight is on James Riviezzo, Client Director at AIG. He’s held a handful of impressive roles at several major companies, a difficult feat that looked like a walk in the park for James. We had the lucky opportunity to learn more about who he is and how he navigates the world of team culture and client relationships. As someone who has gracefully paved his way to success over the years, we’re taking his words of wisdom to heart. You’ve held very prominent positions at several big-name companies like Marsh, Safety National, and more currently, AIG. What…


Jackelyn Ho

How to Launch a Business You’ll Love From Top to Bottom (Line)

What does the ideal day as an entrepreneur look like to you? For some people, it means taking business calls from the beach with a Mai Tai in your hand (topped off with a tiny umbrella, of course). For others, it means leading yoga retreats in exotic locations, while teaching your students to find inner stillness so you can help them transform their lives – and the world. Whether you prefer to work from bed in your pajamas (or yoga pants) or from Starbucks with a tall pumpkin spice latte, your dream of running your own business is definitely within your grasp. It just takes some time, effort, and proactive planning on your part. Know The Way Out Start with…


Jackelyn Ho