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Operations Research in the Insurance Industry: II. An Application in Claims Operations of Workmen's Compensation Insurance
William S. Jewell, Tom L. Johnston and Stephen S. Leavitt
Vol. 22, No. 5 (Sep. - Oct., 1974), pp. 929-941
Published by: INFORMS
Stable URL: http://www.jstor.org/stable/169650
Page Count: 13
You can always find the topics here!Topics: Disabilities, Health insurance claims, Workers compensation insurance, Insurance payouts, Health care costs, Employment, Jewelry, Physicians, Insurance industry, Insurance management
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This paper presents an application of operations-research techniques to managing claims in workmen's compensation insurance. It describes the investigative studies and their conclusions, outlines the systems design and implementation, and gives a sample of the validation studies. Implementation of the proprietary claims-management system described has provided dramatic reductions in case durations and paid dollar losses, while returning the injured worker to his ultimate level of rehabilitation in a shorter time.
Operations Research © 1974 INFORMS