What is the Experience Modification rate, and why are they important? An EMOD (Experience Modification) is a multiplier, and it is used to factor the cost of the premium. The most important number in EMODs
Experience Modification Rate
Ideal Caseloads for Claims Professionals with Bill Zachry, Season 7, Episode 92
In the latest episode of Adjusted, titled “Ideal Caseloads for Claims Professionals,” with Bill Zachry, hosts Greg Hamlin and Mike Gilmartin dive deep into the innovative strategies that can transform the claims management landscape. Joined
Financing for Medicare with Andrea Mills – Season 7, Episode 91
ONGOING HELP FOR THE INJURED WORKER: Before settling a claim, an injured worker usually has nurse case managers, adjusters, and other resources to assist them with their claim. Once the case settles, those personal resources go
Structured Settlements with Brad Cantwell – Season 7, Episode 89
WHAT IS A STRUCTURED SETTLEMENT? A structured settlement is a settlement that combines immediate cash for today’s needs and future payments for tomorrow’s needs. The future payments are usually funded through an annuity from a
How to Evaluate Your Pharmacy Benefits Manager with Ron Mazariegos – Season 7, Episode 88
Ron Mazariegos: Ron worked in the legal industry for over twenty years, working in various capacities, from the New York City Law Department to a large defense firm. Finally, he decided he liked the claims
Remote Physical Therapy with Raja Sundaram – Season 7, Episode 87
PLETHY IS A COMBINATION OF “GREEK AND GEEK”: Mr. Sundaram was formerly a software tech executive who entered the healthcare industry when his team partnered with large health systems. He noticed many challenges in the
Claims Technology, AI, Analytics, and What’s Next with James Benham – Season 7, Episode 86
James Benham is the CEO and co-founder of J B Knowledge and the podcast host of Insured Tech Geek: James grew up in Baton Rouge, LA, and had no technology in his home until he was
Bill Negotiation with Wendy Goddard – Season 7, Episode 83
RELATIONSHIPS ARE IMPORTANT: The workers compensation industry is very small, creating an environment where relationships are essential. The medical community fosters a similar atmosphere. The communication necessary for bill negotiations needs to be elevated to a
Subrogation with Ryan McIntosh, Season 7, Episode 77
THINK SUBRO EARLY: Early identification is imperative for successful outcomes. When files are incoming and the first notice of loss is received, subrogation should be in the scope of thought. If there is a glimpse of
Overcoming Amputation with Mo Kenney, Season 6, Episode 75
In this episode, ADJUSTED welcomes Mo Kenney. Mo shares his story of overcoming amputation and his work at Kenney Orthopedics, helping others in their recovery. AN ACCIDENT THAT BECAME “A BLESSING IN DISGUISE”: When Mr. Kenney was seven years