Insights
Keys to Building Relationships
1 MIN READ
As Case Management Week comes to a close, we want to recognize all of our Coventry Case Managers for their dedication and commitment to helping injured workers return to work, to play, to life.
Success Story: New AI Model Helps CCMSI Seal the Cracks in the Claims Cycle
6 MIN READ
Download a PDF Version of this Article CCMSI, a large boutique third party administrator (TPA), has been providing innovative risk management solutions to thousands of companies for more than 40 years. As artificial intelligence (AI) began emerging, CCMSI was early to adopt, and over the last several years, they developed an AI-driven intervention model that has been implemented with tremendous success. This new model had a simple goal: Use AI to flag at-risk claims for adjusters and ensure nothing falls through the cracks throughout the claims process.
Unlocking the Benefits Behind Custom Networks
3 MIN READ
In this era of rapid changes to health care, networks are becoming more important than ever.
Heart of Case Management Awards 2020
6 MIN READ
In a year when pandemic restrictions put the world on pause, Genex Services’ case managers kept going, determined to help injured employees regain function and return to work in a timely manner.
Getting It Right Makes All the Difference
2 MIN READ
As a telephonic case manager for Genex the past five years, Dianna Zellerman has mastered the ability to overcome one of the biggest challenges a non-field case manager faces in working with injured employees: establishing trust. This critical skill made all the difference in ensuring this injured woman received the right medical treatment to return to work.
Off the Streets and Safe from COVID
2 MIN READ
Rebecca Almskog is a field case manager with 25 years of nursing experience in the Denver-area. She put her critical thinking skills and knowledge of local resources to work when assigned to a case involving a homeless injured employee with several comorbidities who was on the streets during the height of the COVID-19 pandemic.
Breaking Down Barriers
2 MIN READ
Mariana Diaz, BA, CPDM, is a bilingual Integrated Disability Case Manager (IDCM) assigned to a major manufacturer of building and remodeling supplies. She employs her cultural expertise in managing her cases and often assists other case managers with communication with Spanish-only speaking employees and families.