IAIABC Member Spotlight

Each month, the IAIABC will highlight one of its member organizations, asking about what the organization does; what challenges it sees workers' compensation facing; and why they're involved with the IAIABC. Find past member spotlights here. 

IAIABC: Please provide a description of your organization. 

Shayne Garner, Vice President, Ebix: Ebix is an insurance technology company founded in 1976 and headquartered in John’s Creek, GA. With solutions for every type of insurance including Life & Annuities, Health & Benefits, and Wealth & Asset Management, Ebix offers unrivaled product breadth with technology solutions for virtually every need in the insurance industry. This focus and expertise puts Ebix in a singular position to provide all the technology needed for an integrated insurance and risk management approach. The Risk Management division of Ebix has focused on software and services for property & casualty risk and compliance management since 1994. Ebix is a public company (symbol: EBIX) with over 10,000 employees with offices around the globe.

IAIABC:  How does your organization serve the workers’ compensation industry or what do you see as the most important role you play in the workers’ compensation industry?

SG: Most IAIABC members will be familiar with our WC Claims EDI services. Ebix associates have been heavily involved in workers’ compensation EDI compliance for nearly 30 years. We are the longest tenured provider of Workers Comp EDI jurisdictional hosting services, and also provide FROI/SROI/MedBill EDI reporting compliance systems and services for trading partners.

Ebix also provides three enterprise level risk and claim management systems for the workers compensation industry:

• RiskEnvision is a full featured Risk Management Information System supporting workers comp claims as well as all other P&C lines. It is fully integrated with our WC EDI solution for automatically triggering FROIs and SROIs to all jurisdictions based on changes in the claim data.
• EC Care is a medical case management system that supports utilization review, return to work, and medical bill review features.
• EbixAdvantage is a customizable policy administration system for all P&C lines specializing in workers compensation insurance products.

IAIABC: What do you see as some of the major challenges the industry is facing, and how can we as a community address them?

SG: The property & casualty industry has historically been slow to adopt new technology. That is especially true of the workers compensation sector. Many jurisdictions, insurers and claims administrators face major challenges with their processes and systems. With seemingly ever-tightening budgets, these organizations find themselves having to do more with fewer and fewer resources, all while facing many new threats from cyber-attacks to rapidly changing workplace environments.

IAIABC: Are there any projects/programs/initatives going on at your organization that you are particularly excited or enthusiastic about?

SG: Ebix is looking at expanding our state EDI solutions to provide additional systems and services for the jurisdictions. Ebix sees tremendous opportunities in platform and system modernization to leverage new technologies like artificial intelligence, process automation, system integration, and predictive analytics, business intelligence, and dashboards. Our existing claims and insurance coverage applications could be enhanced to replace many of the manual and paper programs and processes that are in use by the jurisdictions today.

IAIABC: Why is your organization a member of the IAIABC? What would you tell others about the benefits of membership?

SG: We have been members of the IAIABC Claims, Systems, XML, and Return to Work committees. Ebix and its predecessor companies have been members of the IAIABC since the Claims 1.0 standard. We are members so we can meet frequently with trading partners and the jurisdictions to help shape EDI standards. We highly recommend becoming members not just for compliance interests, but also for the many educational resources, and for the sense of community and the networking opportunities the Association provides.

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Previous Member Spotlights

Aerie EDI Group - January 2022
FAIR Health - May 2022
Colorado Division of Workers' Compensation - June 2022
Saskatchewan Workers' Compensation Board - July 2022
Sikich - August 2022