Navigate today’s most pressing health industry challenges with a leading global expert by your side.
Meet growing needs for innovative insurance solutions while increasing operational health and improving compliance.
Deliver on the promises of the past and create smart solutions for the future.
Manage complex risks using data-driven insights, advanced approaches, and deep industry experience.
This is a place where your ideas and insights make an impact. Where an independent, entrepreneurial spirit is an advantage. And where diversity of thought and experience makes us who we are.
Data-driven insight. Deep expertise. Transformative innovation. Since 1947, Milliman has delivered intelligent solutions to improve health and financial security.
In the workers’ compensation claims administration process, medical and indemnity losses are affected by a number of factors related to the individual claimant, including demographic and socioeconomic factors, employment, injury, medical conditions, and treatments. In the past decade, predictive modeling has become increasingly important as a key decision-support tool in the management of workers’ compensation claim costs, driven in part by the combination of the following industry and societal trends:
By combining claim data with detailed medical transaction data, predictive models can supplement the claims administration process to estimate and score an injured worker’s propensity for high future medical costs. This allows companies to more quickly identify injured workers who are at risk for high medical cost and utilization, to provide them more appropriate and effective medical treatment, and to manage medical providers more closely. Ultimately, this reduces workers compensation costs.
A comprehensive approach that brings together actuarial, clinical, and claims expertise is the key to deriving the most value out of predictive models, and to lowering medical costs. The Milliman approach includes:
We’re here to help you break through complex challenges and achieve next-level success.