HM Insurance Group's Industry Insights Blog

Industry Insights

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Predicting the Unpredictable

By: Justin DeCroo September 29, 2020
The element of surprise. Facing the unknown. Making predictions. That’s what comes to mind when students interested in the actuarial profession ask me why I have enjoyed this career for the past 22 years. There are always problems to solve, but on any given day, I can never fully predict exactly what will come my way. Every morning, I start with my short list, but something unanticipated is usually on the horizon, case in point, the Coronavirus.
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Innovating for Next-Level Stop Loss Claims Processing

By: Kristen Baker September 9, 2020
You can probably imagine that working with more than 100 third party administrators (TPAs) means that HM Insurance Group (HM) receives tens of thousands of claim detail files every year. It’s a lot of data to manage. Files come into a secure, designated Stop Loss claims email box or via an FTP site. They are then saved to a corporate drive so our Claims team can format the TPAs’ Excel files into a format acceptable for loading into our claims system. The entire process takes a lot of manual work.  
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Don’t Doubt the Expense of Gout

By: Jamie Holowka February 5, 2020
We’ve all heard about gout. It’s that sharp, hot pain and swelling that most commonly afflicts the big toe. One of the world’s oldest recognized diseases, gout was first identified by the Egyptians in 2640 BC and has been viewed as a lifestyle disease of the rich and affluent, primarily because of its connection to certain more expensive dietary habits. This “disease of kings” has been problematic for ages, with little change in the treatment options that first were identified thousands of years back – until a few years ago.
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A Cloud of Uncertainty Hangs over Claims Tied to Vaping

By: Dom Palmieri January 15, 2020
The news is full of stories about health-related vaping incidents. At this point, medical professionals haven’t even determined all the ways in which e-cigarettes can injure the human body – and vaping was initially promoted (somewhat innocently) as “an alternative to cigarettes.” But there have been issues ranging from breathing challenges to lengthy hospital stays for life-threatening lung conditions to a shocking number of deaths now being tied to the ingredients in vaping products.
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Are You Losing Sleep?

By: Caleb Knier November 15, 2019
Fear of catastrophic claims and the financial challenges they can create may be keeping you – and your clients – up at night. When statistics show claims growing well beyond the $1 million mark with greater frequency, that fear is certainly founded. It’s also a very real fear for me as the CFO of a Stop Loss insurance company. However, I know that data-backed decisions and having the right approach in place for responding to trends can make all the difference.
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