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Sedgwick connection

This is the voice of our experts. Sedgwick is committed to continuous improvement, being open to new ideas, delivering value, and advancing our industry through the sharing of knowledge. Our bloggers provide unique insight and commentary on a wide range of issues facing employers today. We discuss the most important industry developments and emerging trends in workers’ compensation, liability, disability, benefits management, property and more – and we invite you to join the discussion.

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Please note: opinions expressed by blog contributors are their own and do not necessarily reflect the views and positions of Sedgwick.

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November 21, 2016
R. A. (Andy) Wilson, VP Fraud & Compliance
Be aware: Settlement fraud scheme

An old CONfidence fraud has found its way to the insurance business. Customers, consumers and adjusters should all be aware and alert of a new variant of the traditional “advance fee” fraud and identity theft confidence scheme that is affecting hun…

November 21, 2016 by R. A. (Andy) Wilson, VP Fraud & Compliance
November 15, 2016
Dr. Teresa Bartlett
Senior Medical Officer
More bad news about opioids

At Sedgwick, we are committed to steering people away from opioid addiction and finding solutions to returning them back to healthy, productive lives. However, the lure of such drugs can begin even before entering the workforce and experiencing an …

November 15, 2016 by Dr. Teresa Bartlett, Senior Medical Officer
November 11, 2016
Kimberly George
SVP Corporate Development, M&A, and Healthcare
Reflections on Comp Laude™ 2016

This past week, the workers' compensation industry came together in Burbank, CA to celebrate the 2016 Comp Laude Awards. Comp Laude was created by the late David DePaolo, WorkCompCentral founder and CEO, on the premise that workers' compensation does…

November 11, 2016 by Kimberly George, SVP Corporate Development, M&A, and Healthcare
November 04, 2016
Mike Merlino
SVP Medicare Compliance
CMS rescinds changes to zero dollar MSAs- for now

Last week I posted that CMS appeared to have altered the zero dollar MSA approval process. This caused a great deal of discussion and activity. This has resulted in CMS releasing the following bulletin indicating that no  changes …

November 04, 2016 by Mike Merlino, SVP Medicare Compliance
November 02, 2016
Stuart Ryland, Western Regional VP Vericlaim
Four benefits of field adjusting services

In this age of connected technology and communication, it is easy to lose track of the benefits of onsite, in person claims adjusting and investigation. In the property claims business, I have long recognized that there are still many benefits to o…

November 02, 2016 by Stuart Ryland, Western Regional VP Vericlaim
October 28, 2016
Mike Merlino
SVP Medicare Compliance
CMS appears to have altered zero dollar MSAs approval process

For the past several years, we have been successful in obtaining zero dollar MSAs approved by the MSA review contractor. The case, however, had to meet very strict criteria: The case was denied; There had to be no payments for indemnity; There…

October 28, 2016 by Mike Merlino, SVP Medicare Compliance
October 25, 2016
Abby McBroom, Complex Pharmacy Management Nurse
The road to success has many obstacles

Risk managers should always be aware of injured worker opioid use across their open claims and make sure that there is persistent clinician involvement with prescribers. I am a complex pharmacy management nurse for Sedgwick. I want to share one of…

October 25, 2016 by Abby McBroom, Complex Pharmacy Management Nurse
October 18, 2016
Lorne Brunner, MS Forensics, IAAI-CFI, Unified Investigations & Sciences, Inc.
October is fire prevention month

October is fire prevention month and this year the theme is:Don’t wait – Check the date! Replace smoke alarms every 10 years. The National Fire Protection Association estimates that nearly two-thirds of deaths from home fires occur in properties wit…

October 18, 2016 by Lorne Brunner, MS Forensics, IAAI-CFI, Unified Investigations & Sciences, Inc.
October 13, 2016
Bob Blankenship, Group Chief of Staff
October is National Disability Employment Awareness Month

October is National Disability Employment Awareness Month (NDEAM), a time devoted to exploring disability employment issues and celebrating the many and varied contributions of America’s workers with disabilities. Reflecting the important role disabi…

October 13, 2016 by Bob Blankenship, Group Chief of Staff
October 03, 2016
Jon Wroten, SVP Regulatory Compliance & Quality
The flip side of regulations

What does the Joni Mitchell song ‘Both Sides Now’ have to do with workers’ compensation regulations? I’ve looked at life from both sides nowFrom up and down and still somehowIt’s life’s illusions I recallI really don’t know life at all– Joni Mitchel…

October 03, 2016 by Jon Wroten, SVP Regulatory Compliance & Quality
September 27, 2016
April Clemens, Business Relationship Manager, Specialty Operations and Diana Shick, Consultant Team Lead, Liability Nurse Program
When medical evidence does not add up in a liability claim

A Sedgwick liability nurse was asked to analyze the records of a claim involving a 52-year-old man whose car was struck when our client’s truck driver fell asleep at the wheel, overturning his rig and causing damage to several cars.  Liability…

September 27, 2016 by April Clemens, Business Relationship Manager, Specialty Operations and Diana Shick, Consultant Team Lead, Liability Nurse Program
September 21, 2016
Patrick Hudson, District Manager/Forensic Engineer, Unified Investigations & Sciences, Inc.
Staying afloat with boating safety

According to 2015 U.S. Coast Guard statistics, May through September is  the peak period for recreational boating accidents.  Florida, Minnesota, Michigan, and California lead the nation in the number of registered boats while Florida regul…

September 21, 2016 by Patrick Hudson, District Manager/Forensic Engineer, Unified Investigations & Sciences, Inc.
September 16, 2016
Dr. Teresa Bartlett
Senior Medical Officer
Connecting healthcare quality with telemedicine

Telemedicine customized for occupational injuries will provide the greatest advantage “You have to start with the customer experience and work backwards to the technology.”  - Steve Jobs Telemedicine, primarily audio technology, has been a…

September 16, 2016 by Dr. Teresa Bartlett, Senior Medical Officer
September 08, 2016
9/11: Reflections 15 years later

Pete Hamann, Sedgwick SVP of business development, Stamford, Connecticut Fifteen years; how can time have passed so quickly? When I close my eyes, I am immediately transported back to that day and its amazingly crystal-clear blue sky. I am one of th…

September 08, 2016
September 07, 2016
Chris Mandel, RF
SVP Strategic Solutions
Opioids: A stumbling block to good claim outcomes

On a weekly if not daily basis, there are media reports about the growing impacts of addiction to opioids. The Centers for Disease Control and Prevention (CDC) reports that 78 people a day are dying from the effects of opioid overdose.1 Families ar…

September 07, 2016 by Chris Mandel, RF, SVP Strategic Solutions