Claims, Health Insurance

Battling Health Insurance Claims Fraud

July 18, 2023

Battling Health Insurance Claims Fraud
Insurance companies and providers of health care benefits lose hundreds of millions of dollars yearly due to fraudulent claims for health benefits. Some of these are bogus claims that originate from insured persons, while others are payments for insured services that are not needed but are wrongly prescribed by providers who stand to make illegal profits.

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Worley Schilling and Randall Insurance

Worley, Schilling & Randall (WSR) is proud to serve as your trusted partner by helping you to protect your families, businesses, homes, and all the things that matter most. As a family-owned insurance agency in Georgia, we have been helping our customers prepare for the unexpected since 1920. We draw upon our extensive industry expertise, coupled with our widespread regional network, to offer you the most comprehensive insurance solutions available that are tailored to your specific personal, commercial, and recreational needs.

OTHER WHITEPAPERS
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TRADE CREDIT INSURANCE UNLOCKING GROWTH

whitePaper | January 20, 2020

A lot is changing in today’s global economy. Economic growth in North America appears to be slowing; likewise, there are signs of weakness in regions across the globe. With tariff wars, Brexit and military conflicts, there is uncertainty domestically and across the globe. Making business decisions in this environment can be daunting.

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Finance transformation projects in insurance

whitePaper | May 4, 2022

A small percentage of insurers have already started their finance transformation journey and doubtless others will begin the journey in the coming years. This white paper sheds light on ten factors driving the need for finance transformation within insurance and how to ensure a smooth transition.

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Three pillars of insurance transformation

whitePaper | October 20, 2022

Data and analytics have captivated business in recent years: tech startups, retail chains, big banks, movie studios and mom-and-pop shops are all digging into their numbers to power their companies. For insurers, this discovery is nothing new. Data has always been the core of their work. It’s the bedrock of actuarial tables and risk pools, of underwriting and reinsurance. Data-driven insights have powered the industry for centuries, since the days of Lloyd’s Coffee House and mutual benefit societies

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Insurance claims research: The path to digitisation

whitePaper | October 25, 2022

A recent survey conducted by Post, in association with SS&C Blue Prism, explored the ways in which digital claims are being approached by the industry. Despite digitisation taking off in recent years, many claimants today are still using emails and telephone to contact their insurer at the initial point of a claim. Many claims specialists believe that customers are dropping out of a fully digital claims journey due to claims being too complicated or customers being less tech-savvy. So, how can insurers ensure digital claims journeys are streamlined and easy-to-use for the consumer?

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Automating insurance reconciliations: Challenges and opportunities for 2022

whitePaper | April 21, 2022

Progress in the areas of robotics, Artificial Intelligence (AI) and Machine Learning (ML) continues to define a new era of automation in finance. In the last decade, one such focus area for many financial organisations has been automating and modernising key back-office processes like reconciliations. Yet the insurance industry has lagged behind in this regard, relying on outdated reconciliation procedures far longer than any other financial sector. The result is that many firms today struggle with critical issues like differing data formats, manual processes and IT dependencies.

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Are Insurers Moving with Changing Times and Tastes?

whitePaper | June 24, 2022

For the third year running, Guidewire is publishing its survey of consumer attitudes towards insurers and general insurance products. Guidewire commissioned the market research agency Censuswide to survey a representative sample of 1,008 UK insurance customers aged 18 to 55+ in May 2022. The aim of the survey is to provide the latest insights into how UK insurance customers view insurers as well as insurance products and services. While the primary focus of this report is on the UK results, it is worth noting that Guidewire commissioned simultaneous parallel reports in France, Germany, and Spain.

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Spotlight

Worley Schilling and Randall Insurance

Worley, Schilling & Randall (WSR) is proud to serve as your trusted partner by helping you to protect your families, businesses, homes, and all the things that matter most. As a family-owned insurance agency in Georgia, we have been helping our customers prepare for the unexpected since 1920. We draw upon our extensive industry expertise, coupled with our widespread regional network, to offer you the most comprehensive insurance solutions available that are tailored to your specific personal, commercial, and recreational needs.

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