Insights into the World of Insurance Advocacy by Dr. Claire Muselman

CLAIMS
ADVOCACY
Dr. Claire Muselman
DR. CLAIRE MUSELMAN
My mission in life is not merely to survive, but to
thrive; and to do so with some passion, some
compassion, some humor, and some style.
 
    
– Maya Angelou
TO SET THE TONE…
The world needs you to stop being
boring…
…BORING IS EASY!!
Create something that will make the
world awesome!
 
 – Kid President
LIFE LESSONS FROM A
KINDERGARTENER…
WHAT IS HAPPENING IN THE
WORLD OF INSURANCE?
WHAT IS HAPPENING IN WORKERS’
COMPENSATION?
Insurance Carriers
Employers
Friends/Family
Medical Providers
Attorneys
MESSAGING
AND
THE
FAVORITE…
 
MESSAGING
INSURANCE
CARRIERS
MESSAGING
EMPLOYERS
MESSAGING
FRIENDS & FAMILY
 
 
M
E
S
S
A
G
I
N
G
M
E
D
I
C
A
L
P
R
O
V
I
D
E
R
S
MESSAGING
ATTORNEYS
WHY DOES IT MATTER?
Emotional Hijacking
Biology
Neocortex
Limbic
Psychology
Human Behavior
Leadership Behavior
Maslow
Needs
Basics of WC
Physiology 
Stress
Healing
HUMANS ARE
COMPLICATED!
Remember: Behavior is:
-
Multi-faceted
-
Multi-functional
-
Multi-dimensional
-
Multi-emotional
What do you
do about it?
 
 
H
O
W
D
O
E
S
 
O
N
E
B
R
I
N
G
U
P
O
N
C
H
A
N
G
E
?
 
 
D
O
 
W
H
A
T
 
Y
O
U
 
S
A
Y
 
Y
O
U
W
I
L
L
 
D
O
INSURANCE
CARRIERS  & TPAS
Restore
the Livelihood of People
And if you work for an organization
that does not…
You have TWO options.
EMPLOYERS
Care about employees
THE GAP
FRIENDS & FAMILY
People of Influence
Social Media
MEDICAL
PROVIDERS
Provide the Best Outcome
Background
Their perspective…
ADJUSTERS
It costs nothing to be a good human.
If your attitude does not reflect that of
your organization... You have two
choices.
WHAT DO YOU DO
ABOUT IT?
Do What You Say You Will Do.
REMEMBER
Change is made by your example.
FRAUD
 
1.) Rohrlich, Ted and Evelyn Larrubia, "Anti-Fraud Drive
Proves Costly for Employees." Los Angeles Times. Aug. 7,
2000. 2.)Leigh, J. Paul et al. Costs of Occupational Injuries
and Illnesses. Ann Arbor: University of Michigan Press, 2000.
pg. 195-197. 3.) David F. Utterback and Teresa M. Schnorr,
“Use of Workers’ Compensation Data for Occupational Injury
& Illness Prevention,” Department of Labor, 2010,
www.cdc.gov/niosh/docs/2010-152/pdfs/2010-152.pdf. 4.)
“Workplace Injury and Illness Summary,” Bureau of Labor
Statistics, October 25, 2012,
www.bls.gov/news.release/osh.nr0.htm. 5.) Quoted in Greg
Hunter, “Worker’s Comp Scams that Push the Limits,” ABC
News, March 3, 2013,
http://abcnews.go.com/GMA/story?id=127996. 6.) Quoted
in Selena Maranjian, “The Real Cost of Workers’ Comp
Fraud,” Daily Finance, June 21, 2011,
www.dailyfinance.com/2011/07/21/the-real-cost-of-workers-
comp-fraud.
EMOTIONAL
HIJACKING
Emotional hijacking
 occurs when strong feelings overwhelm
reason, judgment, and perspective.
Thinking Brain
+
Feeling Brain
= Behavior
undefined
STRESS:
A NEUROLOGICAL &
PHYSIOLOGICAL
RESPONSE TRIGGERED
BY A PERCEIVED
THREAT.
STRESS:
 CAUSES US TO
RUN –
NEUROLOGICAL
& HORMONAL
RESPONSES
30
THE STRESS CYCLE
What happens to our bodies?
31
31
THE STRESS CYCLE
DANGER~!
32
32
 
CHANGE THE WAY YOU LOOK
AT THINGS… AND THE THINGS
YOU LOOK AT WILL CHANGE!
 
WHAT
IF…
THE POWER OF INFLUENCE
BUT CLAIRE…WHERE DO I START?
What if people had a good
experience?
Would outcomes be different?
What if it were YOU?
The overall impact:
Happy people
Cost reduction
Back to work, back to life
THE WORLD IS CHANGED BY YOUR EXAMPLE…
TAKE AWAY…
If you can wake up every morning
loving what you do
help & inspire other around you
to be better than they were yesterday
then you know
you’re doing something right
in business and in life.
- Ashley Bodi
Go be awesome, and
make good things happen
for people.
After all…
Business is about 
people.
QUESTIONS?
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Explore Dr. Claire Muselman's mission to thrive with passion, compassion, and humor, alongside inspiring messages from Kid President and insights into workers' compensation and messaging strategies in the insurance industry.

  • Insurance Advocacy
  • Dr. Claire Muselman
  • Workers Compensation
  • Messaging Strategies
  • Inspiration

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  1. CLAIMS ADVOCACY Dr. Claire Muselman

  2. DR. CLAIRE MUSELMAN My mission in life is not merely to survive, but to thrive; and to do so with some passion, some compassion, some humor, and some style. Maya Angelou

  3. TO SET THE TONE The world needs you to stop being boring BORING IS EASY!! Create something that will make the world awesome! Kid President

  4. LIFE LESSONS FROM A KINDERGARTENER Boring is easy If life is a game aren t we all on the same team? I m on YOUR team. Be on MY team! Create something that will make the world awesome! I took the road less traveled. Don t stop believing unless your dream is stupid. - Journey We can make every day better for each other.

  5. WHAT IS HAPPENING IN THE WORLD OF INSURANCE? Global United States Personal Commercial Workers Compensation

  6. WHAT IS HAPPENING IN WORKERS COMPENSATION? Insurance Carriers Employers Friends/Family Medical Providers Attorneys

  7. MESSAGING

  8. AND THE FAVORITE

  9. MESSAGING INSURANCE CARRIERS

  10. MESSAGING EMPLOYERS

  11. MESSAGING FRIENDS & FAMILY

  12. MESSAGING MEDICAL PROVIDERS

  13. MESSAGING ATTORNEYS

  14. WHY DOES IT MATTER? Emotional Hijacking Biology Neocortex Limbic Psychology Human Behavior Leadership Behavior Maslow Needs Basics of WC Physiology Stress Healing

  15. HUMANS ARE COMPLICATED! Remember: Behavior is: - Multi-faceted - Multi-functional - Multi-dimensional - Multi-emotional

  16. What do you do about it?

  17. HOW DOES ONE BRING UPON CHANGE?

  18. DO WHAT YOU SAY YOU WILL DO

  19. INSURANCE CARRIERS & TPAS Restore the Livelihood of People And if you work for an organization that does not You have TWO options.

  20. EMPLOYERS Establish Accountability Expectations Post-Appointment Check Ins Communication Send cards Text after injury Care Authenticity Care about employees Follow Up to Follow Though

  21. THE GAP GO TALK TO HR RESTRICTIONS HUMAN CONNECTION

  22. FRIENDS & FAMILY People of Influence Social Media

  23. MEDICAL PROVIDERS Provide the Best Outcome Background Their perspective

  24. ADJUSTERS It costs nothing to be a good human. If your attitude does not reflect that of your organization... You have two choices.

  25. WHAT DO YOU DO ABOUT IT? Do What You Say You Will Do.

  26. REMEMBER Change is made by your example.

  27. FRAUD 1.) Rohrlich, Ted and Evelyn Larrubia, "Anti-Fraud Drive Proves Costly for Employees." Los Angeles Times. Aug. 7, 2000. 2.)Leigh, J. Paul et al. Costs of Occupational Injuries and Illnesses. Ann Arbor: University of Michigan Press, 2000. pg. 195-197. 3.) David F. Utterback and Teresa M. Schnorr, Use of Workers Compensation Data for Occupational Injury & Illness Prevention, Department of Labor, 2010, www.cdc.gov/niosh/docs/2010-152/pdfs/2010-152.pdf. 4.) Workplace Injury and Illness Summary, Bureau of Labor Statistics, October 25, 2012, www.bls.gov/news.release/osh.nr0.htm. 5.) Quoted in Greg Hunter, Worker s Comp Scams that Push the Limits, ABC News, March 3, 2013, http://abcnews.go.com/GMA/story?id=127996. 6.) Quoted in Selena Maranjian, The Real Cost of Workers Comp Fraud, Daily Finance, June 21, 2011, www.dailyfinance.com/2011/07/21/the-real-cost-of-workers- comp-fraud.

  28. EMOTIONAL HIJACKING Emotional hijacking occurs when strong feelings overwhelm reason, judgment, and perspective. Thinking Brain + Feeling Brain = Behavior

  29. STRESS: A NEUROLOGICAL & PHYSIOLOGICAL RESPONSE TRIGGERED BY A PERCEIVED THREAT.

  30. STRESS: CAUSES US TO RUN NEUROLOGICAL & HORMONAL RESPONSES 30

  31. 31 THE STRESS CYCLE What happens to our bodies? Epinephrine pushes blood into the muscles when we begin to feel stress. (Thanks, hormones!) Blood pressure & heart rate go up. Muscles tense breathing quickens. Growth, digestion & reproduction is slowed. Immunity decreases 31

  32. 32 THE STRESS CYCLE DANGER~! Chronic High Blood Pressure Risk of Heart Disease Compromised Immune System Compromised Digestive System Body WILL NOT Heal 32

  33. CHANGE THE WAY YOU LOOK AT THINGS AND THE THINGS YOU LOOK AT WILL CHANGE!

  34. WHAT IF

  35. THE POWER OF INFLUENCE

  36. BUT CLAIREWHERE DO I START? Send Cards to Injured Workers & Families Increase Communication & Transparency Focus on Psychosocial Issues Establish Weekly Check-ins Phrasing Recovery - Proactive, Caring Language Provide Consumable Education Provide a Vision

  37. What if people had a good experience? Would outcomes be different? What if it were YOU? The overall impact: Happy people Cost reduction Back to work, back to life

  38. THE WORLD IS CHANGED BY YOUR EXAMPLE

  39. If you can wake up every morning loving what you do help & inspire other around you to be better than they were yesterday then you know you re doing something right in business and in life. TAKE AWAY - Ashley Bodi

  40. Go be awesome, and make good things happen for people. QUESTIONS? After all Business is about people.

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