January 16 | 12:00 pm – 1:30 pm EST
Claim Advocacy, Fact or Fiction?
Go "live" into a workers' compensation insurance trial and experience the process firsthand. Watch direct and cross-examination of witnesses and weigh the evidence. There will be a mock trial that will show you how an employer, adjuster and doctor can directly impact the mechanics and outcome of a claim. The overarching theme of the presentation is to compare and contrast traditional claims handling against a claim advocacy model.
1.Understand the importance of a thorough investigation
2.See how claims handling can drive medical treatment and outcomes
3.See the impact dignity and respect have on claim outcomes
4.Understand how to instill a claims advocacy culture into a WCI program
Melissa Steger is the associate director of unemployment and workers’ compensation insurance (WCI) for the University of Texas System (the UT System). Melissa is responsible for administering the WCI program for the academic and health institutions of the UT System. The program includes a certified workers’ compensation health care network and claims handling through a third party administrator with close oversight by the UT System. She is also responsible for administration of the self-insured unemployment compensation insurance plan.
Melissa has extensive experience with the public, private and regulatory sectors of the workers’ compensation insurance industry. She earned her Bachelor of Science degree in interdisciplinary studies in 1993 and her Master of Public Administration in 2003, both from Southwest Texas State University in San Marcos, Texas. Melissa serves on the board of directors for both Texas and National PRIMA and received the 2016 Texas PRIMA Risk Professional of the Year award.
Julie Saucedo joined CCMSI in September of 2013 as the Texas state director. She transitioned to national account manager after demonstrating success in operational growth for CCMSI in Texas. She has over 27 years of claims experience overall with 20 years of operations and account management experience in various industries.