Words from the Wise

Who Handles an Insurance Claim? A Peek Behind the Complex Claims Industry

Behind the scenes of an insurance claim, a complex web of professionals and entities work together to process and adjudicate these claims. Let’s explore the various roles that handle insurance claims and how they impact the complex claims industry.

What is Enterprise Risk Management, and how does it impact workers’ comp?

Almost every business owner has some understanding of risk. Whether it’s risk within the broader economic environment, cybersecurity risks, or risks associated with hiring, a traditional enterprise is exposed to uncertainty from all angles. Enterprise Risk Management looks at business risk as part of a collective whole.

What is dental record keeping and how do records impact claims outcomes?

Whether you’re a dental claims professional or an organization processing these claims, dental professionals aren’t immune to paperwork. In fact, dental records can be an essential part of a patient’s medical claim.

What is a Quality Assurance role within the insurance and claims industry?

In many companies, and ones that you are likely familiar with, you may be surprised to learn that behind the scenes is a quality assurance practice that keeps everything running smoothly.

New season of Talking Wisely coming soon!

Exciting news for all insurtech enthusiasts! Our podcast, Talking Wisely, is gearing up for another season.

Meet Wisedocs at TechCrunch Disrupt 2023

There’s no better place for the latest startups and technology innovators to come together and network than at TechCrunch Disrupt 2023. Among these innovators will be the co-founders of Wisedocs, Connor Atchison and Jenna Earnshaw, who will be sharing their vision for the future of insurance and the claims industry.

How to become an accredited IME

Great independent medical evaluators (IMEs) can be the difference between winning or losing a case. Expert medical testimony–whether it’s from a physician, psychologist, or other medical professional–is often convincing enough, and objective enough, to change a verdict.

Find Wisedocs at National Workers' Compensation & Disability Conference 2023

The National Workers' Compensation & Disability Conference (NWCDC) is an annual event that brings together professionals, experts, and stakeholders from the workers' compensation industry, and Wisedocs will be there!

Understanding How a Law Firm Leverages IME Knowledge in Claims

The partnership between law firms and Independent Medical Evaluators (IMEs) is a cornerstone in effective claims handling. IMEs bring unbiased expertise to the table, helping law firms make informed decisions based on medical evidence.

How to select the right IME partner based on types of claims

For insurers and other parties involved in the claims litigation process, Independent Medical Evaluations (IMEs) play a pivotal role. Selecting the right IME can be crucial in reaching a positive outcome for the case.

The Role of an Independent Medical Evaluator and their Impact on Insurance Claims

Across the healthcare, insurance, and legal industries exists a quiet but powerful career role called an Independent Medical Evaluator (IME). The role of Independent Medical Evaluators is a crucial link in the chain of accountability within the domains of healthcare, insurance, and litigation.

The Role of an Accident Benefits Adjuster and their Impact on Insurance Claims

The complexity of insurance claims requires a variety of key players to successfully assist claimants. One professional that plays a pivotal role in facilitating the claims process is an Accident Benefits Adjuster.