Forces at Work Symposium at the New York Stock Exchange

Forces at Work Symposium at the New York Stock Exchange
April 7, 2025
Monday 10:00 a.m.-12:30 p.m. ET
From labor market fluctuations to shifting employee expectations, today’s workforce is evolving at an unprecedented pace. In this special extended episode of Wednesdays with Woodward®, the Travelers Institute broadcast live from the Board Room of the New York Stock Exchange to explore the challenges and opportunities brought on by these changes. Thought leaders from across government and industry shared insights to help your organization thrive in an increasingly complex environment. Sessions in this symposium explored the state of mental health in America, drawing on insights from workers compensation, how leaders can prioritize the mental well-being of their workforce and the latest labor market trends affecting hiring and retention strategies, with a special focus on technology.
Prior to the symposium, we rang The Opening Bell® at the New York Stock Exchange to celebrate the launch of our new initiative, Forces at Work, and cap off our 15th anniversary.
Jump down to:
- NYSE Opening Bell, Opening Remarks and Keynote – Mental Health in America: A View from the 20th U.S. Surgeon General
- Session 1: From Awareness to Action – Creating a Mental Health Action Plan for Your Organization
- Session 2: The Intersection of Tech and Talent – A Leadership View of Today’s Labor Market
- Podcast: Listen to this symposium on the go
NYSE Opening Bell, opening remarks and keynote
Mental Health in America: A View from the 20th U.S. Surgeon General
How is mental health evolving in America? And how does mental well-being fit into the broader national conversation about health? Dr. Jerome M. Adams, the 20th U.S. Surgeon General and Executive Director of Purdue University’s Health Equity Initiatives and Center for Community Health Enhancement and Learning, provided his unique perspective on this critical issue. Drawing from his extensive experience as the nation’s top doctor, Adams offered expert insights into the current challenges and opportunities in addressing mental well-being and thoughts on a path forward.
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Slide: Forces at Work (service mark). Travelers Institute (registered trademark). Travelers. Symposium at the New York Stock Exchange, April 7, 2025. Text: Travelers Institute rings the opening bell at the New York Stock Exchange to celebrate its 15th anniversary and launch of its Forces at Work initiative.
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A group of 16 people applauds behind the stock exchange bell. A backdrop behind them says T.R.V. Listed N.Y.S.E.
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A woman in an indigo blazer at the front of the group rings the large round bell.
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She gives a thumbs up. Slide: Forces at Work (service mark). Travelers Institute (registered trademark). Travelers. Up next: Opening remarks. Keynote: Mental Health in America: A View from the 20th U.S. Surgeon General. The woman in the indigo blazer stands at podium that says, N.Y.S.E. An I.C.E. Exchange. Text: Joan Woodward, President, Travelers Institute, Executive Vice President, Public Policy, Travelers.
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JOAN WOODWARD: We did this to celebrate our 15th anniversary of the Travelers Institute, which is the public policy educational thought leadership arm of Travelers Insurance. And I have the privilege of leading it over the past 16 or so years.
We've been celebrating this 15th-year anniversary for the whole year. And I want to take just a two minute out to talk about what we've done in 15 years. Actually, I'm not going to talk. You're just going to watch a video.
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Text: Travelers Institute (registered trademark). Travelers. 15 Years.
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- 15 years ago, Travelers established the Travelers Institute to lead constructive conversations about today's public policy challenges and tomorrow's needs.
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Text: 1,131 programs. 456,083 attendees. 636 speakers. 192 cities visited. A mosaic of images and logos scrolls by, including tiles of Wednesdays with Woodward (registered trademark), Every Second Matters (registered trademark), She Travels, the Travelers Institute Risk and Resilience podcast, and Small Business Big Opportunity (registered trademark).
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Since then, the Travelers Institute has leveraged our risk management expertise, convening audiences with government and industry thought leaders to share insights, learn together and solve problems.
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Images from video calls and weather monitoring appear around the text, Coastal Resiliency Programs.
Photos of different speakers and the Risk and Resilience podcast logo appear around the text, 432 Economic and Public Policy Programs.
Panels and speakers, along with the Small Business Big Opportunity logo, surround the text, 84 Small Business Programs.
A tornado turns and fire pours from a shed around the text, 22 Disaster Preparedness Programs.
Text: Live from the Insurance Institute for Business and Home Safety (I.B.H.S.) Research Center. The speaker pours water down a sample roof. She fires a machine-made hail stone.
Event photos appear with the headline, The Travelers Institute to Premiere "Overdraft," Documentary About National Debt Crisis, in Charlotte, NC, June 11, 2012. Text: 88 U.S. National Debt Programs.
The film logo, Overdraft, appears over the capitol building. Text: Award-Winning Documentary "Overdraft" has earned 11 distinct honors. Award seals for the Cine Golden Eagle Award 2012, the Gold Winner Prestige Award 2012, and the silver and bronze 34th Annual Telly Awards appear.
Event photos and a piece of literature that says, Cyber, Empowering organizations to tackle evolving cyber threats, appear. On the front of the pamphlet, a person uses a tablet. Text: 68 Cybersecurity Awareness Programs. People bustle around an event hall. Backdrops say, Cyber.
Photos depict demonstrations, presentations, and the speaker and a man signing the hood of a car. Two pieces of literature say, Every Second Matters, and, Insurance Essentials. Text: 104 Distracted Driving Programs. In a demonstration, a car plunges into a solid barrier.
Images from video calls appear with the text, Autonomous Vehicles. A pamphlet is titled, Insuring Autonomy. Text: 16 Autonomous Vehicle Programs.
Photos from presentations appear with literature titled, 2024 CFO Study, and, Leading Your Business into 2025. Three panelists sit in front of a backdrop that says, RiskWorld. Text: 62 Workforce Risk Programs.
Speakers surround the text, 49 Leadership Conversations. The mosaic scrolls by once more.
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We are proud to celebrate 15 years of educational initiatives, and we look forward to driving thoughtful conversations that help us all meet the opportunities ahead.
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Text: Here's to the next 15 years. Travelers Institute (registered trademark). Travelers. 15 Years. The speaker stands at the podium, next to four empty chairs on stage.
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JOAN WOODWARD: So thank you all for being part of the last 15 years. And now we're focused on the next 15 years. We're about the future, and we're future-ready. We're innovative at Travelers, and so our programming has to be innovative as well. We launched our Forces at Work initiative for a reason. The goal is to help us all navigate through the really challenging workforce issues today.
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Text: Forces at Work (service mark). 1. Risk Management and Insurance. 2. Labor Market. 3. Leadership and Management. 4. Talent and Development. 5. Employee Well-Being. New York Stock Exchange. Travelers Institute (registered trademark). Travelers.
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The topics we're going to talk about are on your screen. And over the next two hours, we're going to dig deep into these.
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Agenda. 10:10 AM ET - Keynote Address. 10:30 AM ET- Session 1: Creating a Mental Health Action Plan. 11:30 AM ET - Break. 11:40 AM ET - Session 2: A Leadership View of Today's Labor Market. 12:30 PM ET - Program Concludes.
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We'll start off with a keynote address on the state of mental health in America and why it should matter in the workplace. Then session one, our panel will help us determine, as business leaders, what we can do to promote mental well-being within our organizations. And we'll share insights from workers compensation systems, of which we are the leader in the United States. And our thought leadership on workers comp has been for many decades. And I'm going to call out my colleague Rich Ives and Nick Seminara for leading the way.
So towards the end of the session, we'll begin serving lunch, for those of you who haven't had enough already to eat. And then we'll have a very short break. So finally, session two, we're going to assess today's labor market and what it means for bringing new talent, especially with a focus on technology talent. And my colleague, Mojgan Lefebvre, is going to lead that conversation.
So before we get started, as always, I'd like to share the disclaimer about today's program.
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Text: About Travelers Institute (registered trademark) Webinars. The Wednesdays with Woodward (registered trademark) educational webinar series is presented by the Travelers Institute, the public policy division of Travelers. This program is offered for informational and educational purposes only. You should consult with your financial, legal, insurance or other advisors about any practices suggested by this program. Please note that this session is being recorded and may be used as Travelers deems appropriate.
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I also want to thank my incredible friend, Joe Tama, from the New York Stock Exchange. He gave me an overly generous introduction. I couldn't even get out my opening remarks. So whatever I said about an hour ago, I don't even know what I said. I was so overwhelmed with joy. He's an incredible friend.
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Text: Forces at Work (service mark). Travelers Institute (registered trademark). Travelers.
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So, Travelers is very proud of our history. We're the only P&C company on the Dow 30. And over the past few years, Travelers Institute programming has explored mental health, mental well-being, and we know what it takes to be successful at work. And that's why the topic of this morning is so important.
So now on to our keynote address. We thought it only fitting to kick off our conversation with someone who has served as the nation's top doctor.
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A man in a dark suit jacket and bowtie smiles in a headshot photo. Text: Keynote Address. Jerome M. Adams, M.D., M.P.H., F.A.S.A., 20th U.S. Surgeon General, Executive Director, Health Equity Initiatives and the Center for Community Health Enhancement and Learning, Purdue University.
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Dr. Jerome Adams was the 20th U.S. Surgeon General working at the forefront of America's most pressing health challenges. As former Commissioner of the Indiana State Department of Health, he led the state's response to Ebola, Zika and HIV.
As the nation's Surgeon General, Dr. Adams was the operational head of 6,000-person public health service department, and he oversaw responses to three back-to-back CAT 5 hurricanes and a once-in-a-century pandemic. We owe him a debt of gratitude.
Currently, Dr. Adams serves at Purdue University, where he's Presidential Fellow and the first Executive Director of Health Equity Initiatives at the Center for Community Health Enhancement and Learning. So please join me in welcoming Dr. Jerome Adams to the stage.
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The two speakers shake hands as the guest takes the podium. Text: Jerome M. Adams, M.D., M.P.H., F.A.S.A., 20th U.S. Surgeon General, Executive Director, Health Equity Initiatives and the Center for Community Health Enhancement and Learning, Purdue University. New York Stock Exchange.
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JEROME ADAMS: Thank you. Well, good morning, everyone. It is such an honor to be here today. Thank you, Joan and Travelers for hosting us. Thank you to the New York Stock Exchange.
And for those of you who need one more reminder, it is appropriate and ironic that I am here today because it was almost five years ago that I crashed the stock market with COVID shutdowns. True story. And that's why it's even more of an honor to be here at the New York Stock Exchange. It's a place that stands as a symbol of the vibrance, the resiliency and the potential of America.
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On a slide, an image of a man pinching the bridge of his nose clouds a map of the U.S. Text: The State of Mental Health in America: Its Impact on the Economy and the Role of Civility in Moving Forward.
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We thought times were bad. They were historically bad in 2020. We thought they were never going to come back. But the market went to the highest of highs after that, and it will come back again.
And today, I want to talk to you about something that impacts us all, particularly in these turbulent times, the state of mental health in America and its profound effects on our nation's economy. Over the course of my career, I've had the privilege of engaging in conversations with a wide range of people, from health care professionals to politicians, from business leaders to families. And one thing that I've learned is that mental health challenges are pervasive, and they affect us all, whether directly or indirectly.
And these challenges are not just personal. They're societal. From 2017 to 2021, I had the privilege of serving as your United States Surgeon General during a time when mental health was emerging as one of the most pressing public health concerns of our time. I approached the issue through my lens as the nation's doctor.
But what I came to realize during my tenure, and what I've continued to witness in the years since, is that the state of our mental health is not just a medical issue. It's also an economic one. That's why it's critical that we understand the profound impact our collective mental health has on our workforce, our business and our overall economy.
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Text: The State of Mental Health in America. Addressing mental health isn't just a necessity - it's a lifeline for millions. Anxiety Disorders. Impacts 40 million U.S. adults (18.1% of the population). Most common mental health issue. Depression. 17 million U.S. adults (1 in 6 Americans) are affected. Leading cause of disability worldwide. Suicide. Over 48,000 lives lost annually. 10th leading cause of death in the U.S., 2nd for ages 10-34. Substance Misuse. Opioid crisis: nearly 100,000 lives lost in 2021. Linked to untreated mental health conditions. An illegible attribution sits at the bottom of the slide.
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So, why are we seeing the rise in mental health issues? And OK, first of all, I want to start with a couple of facts to orient you. The state of mental health in America, it's concerning, to say the least. Anxiety-- according to the National Institute of Mental Health, anxiety disorders affect 40 million U.S. adults, or 18.1% of the population. It is the most common mental health issue, and its prevalence is only increasing in our current times.
Depression-- approximately 1 in 6 Americans will experience depression at some point in their lives. In fact, it's one of the leading causes of disability worldwide, affecting 17 million adults in the United States alone. How many people are at each of these tables? About 10? So, 1 in 5, 1 in 6 people-- anxiety, depression.
Suicide-- tragically, suicide rates have been rising in recent years, with the CDC reporting it as the 10th leading cause of death in the United States. More than 48,000 lives were lost last year. And what's even more troubling, particularly to me as a parent of a 20, a 19 and a 15-year-old, is the sharp increase in suicides we're seeing amongst young people. Suicide is now the second leading cause of death for individuals between the ages of 10 and 34.
And then finally, an issue that's deeply personal to me-- many of you have heard me share my family's story-- substance misuse. Despite some recent declines, the opioid epidemic continues to rage across America, with nearly 100,000 Americans dying yearly from drug overdoses. Many of these deaths are tied to substance use disorders that stem from untreated mental health conditions, like depression, anxiety and PTSD.
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Text: Understanding Mental Health Disparities and Causes. Mental Health Disparities. LGBTQ+ youth face significantly higher suicide rates and mental health challenges. Black and Latino communities experience poorer mental health outcomes. Disparities in healthcare access affect minority communities' mental health. 1 in 3 adolescents report symptoms of depression and anxiety. Causes of Rising Mental Health Issues. Modern societal pressures and economic stress. Social media. COVID-19 pandemic exacerbated isolation and uncertainty. Political polarization and sensationalized media. An illegible attribution sits at the bottom of the slide.
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And we know that mental health disparities disproportionately affect certain communities. For example, LGBTQ+ youth face a significantly higher risk of suicide and mental health struggles, with suicide rates estimated to be four times higher than their heterosexual peers. In minority communities, especially Black and Latino populations, we see poor mental health outcomes partially due to systemic racism, cultural stigma and disparities in health care access.
And as we know, our young people are increasingly struggling with mental health challenges, with 1 in 3 adolescents reporting symptoms of depression and anxiety. I told you, I have three kids. That means one of my kids, statistically speaking, is going to be suffering from anxiety and depression.
So, why are we seeing this rise in mental health issues? Well, several factors contribute. There's the pressure of modern society, economic stress-- we're at the New York Stock Exchange-- social media and the COVID-19 pandemic. And there's also an overall breakdown in community connections.
But let's not overlook the role of politics in the media. In today's 24-hour news cycle, we're constantly bombarded with sensationalized headlines, divisive rhetoric, and a steady stream of doomscrolling that keeps our stress levels sky high. And the polarization in Washington, D.C., isn't helping, either. If you've turned on the news lately, you've probably wondered whether Congress itself should be going through group therapy.
Yet, the dysfunction, the gridlock and the political infighting, they don't just shape our policy. They shape our collective anxiety. When every issue is framed as an existential crisis, a very threat to our lives and to our livelihoods, it's no wonder so many people feel overwhelmed. Our fast-paced, high-stress world, combined with a lack of proper mental health support and support for each other, has led to what is a national crisis.
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On the next slide, dollar bills fall around a human icon with a question mark above it. Text: The Economic Impact of Mental Health Challenges. Mental health challenges aren't just a personal struggle-they're a trillion-dollar global economic crisis that demands urgent action. Over $200 billion in lost U.S. earnings annually. U.S. spends $210 billion annually on healthcare. Mental illness impacts employee: Productivity, Decision-making, Turnover. On the slide, trillion-dollar global economic crisis is written in blue link text. An illegible attribution sits at the bottom of the slide.
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Now let's consider the cost of this national crisis. It's not just in terms of human suffering, but in terms of its impact on the economy. According to the World Health Organization, depression and anxiety alone cost the global economy $1 trillion annually in lost productivity. Someone tell Elon that he could save a whole lot more money if we focused on mental health issues right now.
In the United States, the economic impact of mental health disorders is staggering. Mental illness contributes to over $200 billion in lost earnings every year due to workplace absenteeism, reduced productivity and disability claims. But the true cost, it extends beyond direct impacts on the workforce. It's also about health care spending.
Treating mental health conditions, including substance use disorders, comes with a hefty price tag. Direct U.S. health care costs for mental health conditions, including treatment for mental illnesses, substance use disorders and related comorbidities, are estimated to be about $210 billion annually, and much of these costs are borne by employers.
Moreover, when individuals suffer from untreated mental health conditions, their ability to contribute to the workforce, to participate in the workforce, diminishes. People leave their jobs, or they experience long-term unemployment. And even when they stay employed, the toll of mental illness can mean reduced productivity, poor decision-making and higher rates of turnover.
So, what can we do to reverse this trend because it is not all doom and gloom?
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Text: What Employers Can Do to Improve Employee Mental Health. Workplace Environment. Foster a supportive environment. Minimize stressors with reasonable workloads and work-life balance. Resilience and Support. Build resilience through resources and Employee Assistance Programs (E.A.P's). Offer flexible work, financial wellness, and community support. Proactive Mental Health Approach. Prioritize mental wellness to boost productivity and engagement. Integrate mental health support and advocate for healthcare access. Address societal factors and emphasize civility. By embracing civility, employers can transform workplace culture, reduce stigma, and pave the way for improved mental health and well-being for all. On the slide, emphasize civility is written in link text.
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Employers play a crucial role in fostering a workplace environment that supports mental health and overall well-being. To minimize workplace stressors, organizations can promote reasonable workloads. They can encourage work-life balance. They can create a culture where employees feel safe discussing mental health without fear of stigma.
Beyond just reducing stress, companies can proactively build resilience by offering access to mental health resources, implementing employee assistance programs, and providing training on stress management and emotional well-being. Additionally, recognizing that external stressors, such as financial struggles, family responsibilities and societal pressures also impact mental health, employers can offer flexible work arrangements, financial wellness programs and community support initiatives.
By prioritizing mental wellness, businesses not only enhance productivity and engagement, but also contribute to a healthier, more resilient workforce. This is why we must, we must address mental health proactively, by integrating mental health support into the workplace, by advocating for policies that expand access to care and by fostering an environment of parity where our mental health is prioritized and paid for to the same degree as our physical health needs.
But we also need to address the societal factors that contribute to mental health struggles. And that brings me to my final point and one that's been on my heart a lot lately, the power of civility. You might be wondering what the heck, Dr. Adams, does civility have to do with mental health? Well, my answer to you is a great deal.
It goes without saying our nation is deeply, deeply divided right now. Political polarization, our social media echo chambers and rising tensions have created a climate where anger and vitriol often replace understanding and empathy. And while it's easy to see how this affects our political discourse, it's important to recognize the toll that it's actually taking on our collective mental health, each and every one of us.
Civility-- the simple act of showing respect for one another, even, or dare I say, especially when we disagree, is critical for our emotional well-being. When we live in a society marked by division and discord, it increases our stress, our anxiety and our feelings of isolation from one another. People begin to feel unheard, unseen and disconnected from their communities. This not only worsens mental health outcomes, but it makes it more difficult to address complex issues like mental illness and substance misuse.
But there's good news here. Civility can be a powerful tool for healing. When we engage in civil discourse, whether with a colleague, a neighbor or a stranger out on the streets of New York, we create space for mutual respect and understanding. Civility allows us to break down barriers, to build trust and to move toward solutions that address our shared challenges.
In my own career, I've seen firsthand how civility can impact health. I'm going to share with you one quick example. In 2015, before I was Surgeon General, I was the Indiana State Health Commissioner, and we faced an unprecedented mental health and public health challenge. A staggering number of people in rural Scott County, Indiana, had become infected with HIV caused by injection drug use.
The public health solution was clear. We needed a needle exchange program. But that solution was highly, highly controversial, especially in such a deeply conservative state and a deeply conservative community.
We could have forced a governmental solution. I could have used my authority as health commissioner to simply demand that we open up a syringe service program. But instead, we chose to approach the community with respect and with understanding. We listened to their concerns and engaged in a civil discourse with local leaders, even those who opposed the program.
We found common ground. We built trust. And ultimately, implemented a policy that saved lives, not just in Scott County, but through the expansion of harm reduction programs across rural and conservative America. It remains one of the things I'm most proud of in my career.
So I speak from experience when I tell you that this same approach, an approach rooted in civility, can help us improve mental health in this country. By fostering civil conversations about mental health, we reduce stigma. We encourage people to seek help. And we create policies that truly address the needs of those suffering.
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Text: Steps to Cultivate Civility. To foster a society where respect and understanding are the norms, consider these practical steps to cultivate civility in everyday interactions. The terms respect, understanding and cultivate civility are written in link text. Text: 1. Listen Actively. Pay attention without interrupting to build mutual understanding. In a photo below, two women have a conversation. Text: 2. Choose Words Wisely. Use respectful language to foster dialogue and avoid division. In another photo, two people in hi-vis vests chat. Text: 3. Practice Empathy. Understand others' perspectives to connect and reduce judgment. In a photo below, one woman comforts another, placing a hand on her shoulder. Text: 4. Encourage Constructive Debate. Focus on ideas, not individuals, for respectful discussions. In another photo, a group of four people sit around a circular table.
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So how do we cultivate civility in our everyday lives? How can you build a society where respect, empathy and understanding are the norms and not just the exceptions? Well, I'm going to close by sharing four practical steps that I believe can make a meaningful difference in how we engage with each other and how we tackle complex issues around mental health.
Step No. 1-- listen actively. In a world where everyone has an opinion, it's easy to speak without taking the time to truly hear others. But to foster civility, we must make an effort to listen actively. This means really paying attention when someone speaks without interrupting or forming our rebuttal.
And my wife is watching on the livestream right now. Lacey, I'm trying to do better at this. Listening shows respect, and it helps build our mutual understanding.
No. 2-- choose your words wisely. Our words can build bridges, or they can tear them down. In times of disagreement or tension, be mindful of the words you use and how you communicate. Language that is respectful, even when challenging an idea, encourages dialogue and doesn't alienate others. So choose words that foster understanding and not division.
No. 3-- practice empathy. One of the most powerful tools we have in fostering civility is empathy. We should try to see things from other's perspectives, especially when those perspectives differ from our own. Empathy allows us to connect on a human level, reducing the judgment and stereotyping that often fuel discord and disconnect.
One of my favorite quotes is from Mark Twain. He says travel-- travel is fatal to prejudice, bigotry and narrow-mindedness because it opens your eyes to how other people see and exist in this world.
No. 4-- encourage constructive debate. Debate is a cornerstone of our democracy, but it must be done respectfully. Instead of attacking individuals, focus on ideas. Instead of criticizing people, critique policies. Encourage open discussions that challenge your own views in a constructive way. Healthy debates lead to deeper understanding and better outcomes for everyone involved.
So, what's my final Surgeon General's warning on mental health? Well, we must invest in mental wellness, and we need to make mental health care accessible to everyone, regardless of their socioeconomic status, geographic location or demographics. Employers, you all can play a huge role by prioritizing mental health in the workplace and offering the full spectrum of mental health support for your employees.
And we need to commit to civility. Let's work to build, to rebuild, a culture of respect and of understanding. Remember, civility isn't just about being nice, but about building healthy and prosperous workplaces and communities. It doesn't just lower stress and anxiety. It fosters collaboration, innovation and problem-solving, which are critical to get that stock market going in the right direction again.
Finally, let's all remember that mental health, it's not just the job of the Surgeon General. It's a shared responsibility. We must act together to create an environment where everyone, regardless of their background or identity, has an opportunity to thrive.
You always harvest what you plant. Maya Angelou said that. So, I challenge you to choose the seeds that we sow in this world and in our workplaces carefully. And I thank you for giving me the privilege of your attention today and of serving as your United States Surgeon General in 2017 to 2021. Thank you very much.
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Text: Travelers Institute (registered trademark). Travelers. To learn more visit Travelers Institute dot-org. Images of N.Y.S.E. Group, Inc., including the images of the New York Stock Exchange Trading Floor and the Façade of the New York Stock Exchange, the design of each of which is a federally registered service mark of N.Y.S.E. Group, Inc., are used with permission of N.Y.S.E. Group. Inc. and its affiliated companies. Neither N.Y.S.E. Group. Inc. nor its affiliated companies sponsor, approve of or endorse the contents of this publication. Neither N.Y.S.E. Group. Inc. nor its affiliated companies recommend or make any representation as to possible benefits from any securities or investments. Investors should undertake their own due diligence regarding their securities and investment practices.
- Mental health challenges impact everyone personally and societally, Adams said. Anxiety disorders affect 40 million U.S. adults and depression affects 17 million, according to the National Institute of Mental Health.
- Factors contributing to increasing mental health issues include modern societal pressures, economic stress, social media and effects from the pandemic. Political polarization and sensationalized media coverage of issues also play a role by shaping a collective anxiety, Adams said.
- The state of mental health in America has profound effects on businesses, our workforce and the economy. Direct costs for treating mental health conditions total $210 billion a year, according to the National Institutes of Health. Many of those costs are shouldered by employers, and untreated mental health conditions cost them even more by affecting productivity, decision-making and employee turnover, Adams said.
- Employers can play a proactive role in improving mental health in America. Steps they can take include creating a supportive work environment, reducing stress through reasonable workloads and work-life balance, and helping employees build resilience with resources ranging from Employee Assistance Programs (EAPs) to tech tools. This approach will help to create a healthier, more resilient workforce, Adams said.
Session 1
From Awareness to Action – Creating a Mental Health Action Plan for Your Organization
From stress and burnout to substance use disorders, this session provided a comprehensive framework for understanding mental health as a continuum. Our expert panel shared their insights on how organizations can proactively identify and implement the necessary resources to support mental health and effectively connect employees to these resources. Additionally, they discussed the latest trends in workers compensation programs and their role in the broader context of employee well-being. We had an engaging conversation as we discussed how to raise awareness and develop actionable plans to address mental health in your workplace.
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Logos: Travelers Institute (registered trademark). Travelers. SLIDE. Text: Forces at Work (service mark). Symposium at the New York Stock Exchange, April 7, 2025.
Up next: Session 1: From Awareness to Action: Creating a Mental Health Action Plan for Your Organization.
Joan Woodward walks to the podium while the other three speakers rearrange themselves in the row of armchairs on stage. The audience sits at large round tables.
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JOAN WOODWARD: Well, thank you, Dr. Adams. I think it's something we all need to hear in this environment. So I really appreciate your views. Thank you for staying on the panel. And of course, thank you for your government service.
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SLIDE: Text: About Travelers Institute (registered trademark) Webinars. The Wednesdays with Woodward (registered trademark) educational webinar series is presented by the Travelers Institute, the public policy division of Travelers. This program is offered for informational and educational purposes only. You should consult with your financial, legal, insurance or other advisors about any practices suggested by this program. Please note that this session is being recorded and may be used as Travelers deems appropriate. Logos: Travelers Institute, registered trademark, Travelers. Text, Joan Woodward, President, Travelers Institute, Executive Vice President, Public Policy, Travelers.
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Government service is really important these days. And I think that sometimes, people don't recognize that. And it's really the bedrock, I think, of our society. So I want to call out my favorite federal government employee who retired last Friday, my husband, Ned Woodward, 38 years!
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38 years. So thank you, Ned, for your service.
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Text: Session 1, From Awareness to Action: Creating a Mental Health Action Plan for Your Organization. Photos of each speaker appear labeled with their names and titles. Text: Jerome M. Adams, M.D., M.P.H., F.A.S.A. 20th U.S. Surgeon General, Executive Director, Health Equity Initiatives and the Center for Community Health Enhancement and Learning, Purdue University. Ramona Tanabe, President and CEO, Workers Compensation Research Institute. Rich Ives, Senior Vice President, Business Insurance Claim, Travelers. Joan Woodward, Executive Vice President, Public Policy; President, Travelers Institute, Travelers.
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OK, now on to our panel. Rich Ives, sitting right here to my right, a Senior Vice President of Business Insurance Claim at Travelers and leads Business Insurance, overseeing workers compensation, general liability, auto, property, specialty claims and international claims. There's a lot of claims that come into a big company like ours. And business insurance is his specialty.
He has really driven corporate strategies in the United States and Canada, providing thought leadership on issues like opioid addiction and workforce challenges. He also serves on the board of the Workers Compensation Research Institute. We're incredibly lucky to have Rich's leadership at Travelers. And we're especially grateful for him joining us today.
Next up, we have Ramona Tanabe, President and CEO of the Workers Compensation Research Institute, which is an independent nonprofit research organization providing objective data analysis on workers compensation systems. They conduct original research on major issues confronting systems and look at individual state-based systems.
So, thank you both for joining Dr. Adams. I'm going to kick off. Rich, we're going to go to you first. First question. We've heard that the state of work and mental health, just now, from where you sit, what is the most important trends you're seeing in workers compensation with regard to mental health?
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Text: Rich Ives, Senior Vice President, Business Insurance Claim, Travelers. Rich speaks to the audience from his chair on stage, as Joan leaves the podium and sits in her chair next to him.
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RICH IVES: Thank you, Joan. It's a privilege to be here. And thank you for your passion around this topic. We think that this is an important one for the health and well-being of businesses. And that's, at Travelers, what we're driven toward. Obviously, we see a direct connection, correlation, if you will, between personal well-being and the success of businesses. And that is-- that's certainly a passion of Travelers. So a couple of stats.
First of all, external to our organization, the American Psychiatric Association completed a survey more recently. And that survey really brought forth that 92% of workers who completed that survey said that emotional-- working for an employer who supports and promotes their emotional and well-being was important to them. Furthermore, 77% of the workforce reports being in a situation of stress within the last month.
And so those are just a couple of external statistics. Now, we believe that when you think about personal wellness, think about a leading cause of accidents. We see this all the time, that distraction is certainly a leading cause of accidents. So in that way, personal well-being, mental wellness, certainly can help promote the safety of the workplace.
But additionally, as the leading writer of workers compensation insurance, we also see that psychological and social risk factors deter recovery after a workplace injury. And we've done a lot of work on this. I'll share a little bit more as we go about what we mean by psychological and social risk factors. But it has a very practical realness in delaying somebody's recovery and having them return to function and return to work capacity, which certainly impacts businesses overall. So that's something that we're pretty passionate about.
JOAN WOODWARD: Thank you. Ramona, I want to go to you. So you've been at the Institute a long time. What are some of the most pressing things today that you're researching? And tell us why you chose those topics and what you're seeing.
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Text: Ramona Tanabe, President and CEO, Workers Compensation Research Institute. Ramona speaks to the audience from her chair on the other side of Rich.
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RAMONA TANABE: Sure. So, workers compensation is a balance between appropriate indemnity payments to the injured worker, adequate medical care and a balance to affordability for employers that are competing in a global market. And when we look at the research, it comes from either internal issues or things that are external to the workers compensation system. So internal would be things like regulatory and legislative changes.
And WCRI has a series of reports that tracks some measures across jurisdictions and also provides trends over time. As far as external forces that are affecting workers compensation, we recently put out two reports on changes to the workforce. The first one looking at, specifically, changes after the pandemic. With job turnover and shorter tenure, more workers have an injury in the first year or two of their tenure. So there was a change in what's happening in the workforce.
The second report we put out was looking at changes in the medical workforce. What types of providers are providing medical services to injured workers, not just specific to workers comp. But we've seen, with the provider shortages, more advanced practitioners that are picking up some of the work that's being done, those nurse practitioners and physician's assistants.
And then we also look at external factors such as artificial intelligence, recreational marijuana laws and weather-related events. We put out two studies on weather events, the first one looking at, what happens to claims during an extended period of excessive heat? And we saw an increase not just in people that were working outside, but all of us that work in places that might be a little bit more warmer than they are normally.
The second study that we put out looks at the effect of states that implemented heat policies, compared to states that did not implement heat policies. And then finally, there's a number of issues that arise with medical conditions. So looking at things like prescriptions, we talked about the opioid crisis that happened.
And specifically looking at not just opioids, but alternatives to pain medicines. What's being prescribed? How frequently is it being prescribed? Also, looking at mental health as an important issue for workers comp as it's becoming more and more recognized.
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Text: Jerome M. Adams, M.D., M.P.H., F.A.S.A., 20th U.S. Surgeon General, Executive Director, Health Equity Initiatives and the Center for Community Health Enhancement and Learning, Purdue University. Jerome speaks to the audience from his chair next to Ramona.
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JEROME ADAMS: Can I just really quickly jump in here? When I was Surgeon General, I put out a call to action, warning about the dangers of increasing marijuana use amongst young people and pregnant women. And I got a lot of heat. I got a lot of heat from folks up here in the Northeast and in New York because we were and continue to have this conversation about recreational marijuana.
But I'm glad you brought that up because it's a challenge at work. If someone's driving a forklift and they're high, whether it's because they're taking it as medicine or recreationally, it's a problem. The last time I was here in New York, I gave a talk at Mount Sinai. I went to get coffee at 7:00 in the morning. And I walked by somebody who was literally sitting out on the street, smoking marijuana at 7:00 in the morning.
We've normalized this to a degree that I think is troubling. And where it ties in with mental health is that there are a lot of people out there with unrecognized, untreated, unaddressed anxiety and depression, as I told you. And they are self-medicating with marijuana. And what's the challenge there? This isn't the Cheech and Chong marijuana of 20 years ago. Marijuana used to be 4% THC.
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He picks up his glass of water from the end table next to him.
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So, one of the points I make is 4% is a light beer. If I filled this cup up with a light beer with Miller Lite and chugged it right now, would I be OK to go out and drive around the streets of New York? Probably so. I wouldn't be legally drunk. Marijuana today is now 20, 30% THC. And that's in the leaf form. If you actually vape it like the college kids are doing, it's 80% THC. If I fill this cup up with grain alcohol, that would be the alcohol equivalent to the THC content in marijuana today.
If I were to fill this cup up with grain alcohol and chug it, would you all drive around the streets of New York City with me? And so I just say that to you all because we need employers to really be thinking about these things and pushing the conversation because, quite frankly, Congress haven't been willing to have this conversation on a federal level to the extent that they should.
And at the state level, I think all they're seeing is dollar signs. And so employers need to say, this is a challenge for our employees. And it's also increasing mental health issues in children. And as you all know, 50% of the people covered under your employer insurance plans are the spouse and the children.
JOAN WOODWARD: Oh, thank you for that. It's such an important topic. And again, we've normalized a lot of this behavior in the workplace, if we're not calling out our employees or recognizing it first, to recognize which employees might be at risk for this. So, thank you for that. I want to go on to defining behavioral health. And Ramona, you've done some work here. Can you tell us about that?
RAMONA TANABE: We have done work in the area of behavioral health, specifically in workers compensation. We wanted to put out a paper that said, what does that mean? So we had a lot of conversations with stakeholders in workers comp and said, what are you doing for behavioral health? What does that mean to you? And what we discovered, it includes things like some of the psychosocial factors that Rich talked about.
But it also includes chronic pain, depression, post-traumatic stress disorders, other stress disorders, anxiety, substance use. So, then we were looking to see, what would we find if we looked at data? And we used the functional outcomes and therapeutic outcomes data. And we specifically found that, when we use that data set, that the most common or most prevalent behavioral health issue that was showing up among injured workers were the psychosocial risk factors.
And so we looked at-- we did a study and looked at specifically at back claims and identified claims that had psychosocial factors. And those include things like negative coping skills, catastrophizing, fear of pain and therefore, fear of movement because of pain. So less desirable outcomes than one would expect to find that.
And so we looked at those low back claims and compared functional status scores for those injured workers at the beginning of their physical therapy, to the functional status scores that were measured at the end of their physical therapy. And the injured workers that had psychosocial factors, including this fear of movement, experienced a 40% decrease in their functional status score. So there's a big effect on behavioral health and workers comp.
JEROME ADAMS: And I think you're going to go into this. But I want to highlight the publication that you all put out, the white paper that Travelers Institute put out about behavioral health. And a key point is that behavioral health isn't just mental illness. It's a spectrum. And so, yes, we need to do a better job of understanding and identifying the full spectrum of pathologies and the ways that behavioral health can manifest in a negative way in the workplace.
But there's also resilience factors. There's positive things that we can do to promote behavioral health. The company softball team, flexible work schedules, things that we can do to empower individuals to improve their behavioral health. Think of your behavioral health like a muscle.
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He points to his bicep.
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And you can sprain your muscle. And you need to go to the doctor. And you need to actually get that taken care of. You can go to the gym. And you can work out that muscle. And I think it's important for employers to think about behavioral health not just always as a negative, but as something positive that you can incorporate into the workplace, too.
JOAN WOODWARD: Right, excellent. I want to talk about how managers, leaders, can identify those people who might be at risk. How do you know someone's struggling? I mean, is it a simple question as, are you OK? Or how are you doing? What are some tactics and techniques that we can teach our managers to employ in the business?
JEROME ADAMS: Well, I think that the first step is, are you OK? Checking in on individuals. But certain things, you can recognize them. And No. 1, behavioral issues. So if someone's becoming more aloof, more withdrawn, more isolated, emotional issues. Are they prone to anger, to sadness? Are they crying in their cubicle? I mean, how many times have we seen something like that happening and not taken the time to say, are you OK?
There's also physical manifestations. And when you see someone who's not dressing as well as they used to. They're not caring about their appearance. They appear tired at work. Or they're, in many different ways, looking physically different than what you're accustomed to. They're not keeping their hair cut the way that they used to.
Someone who's usually meticulously dressed, like I said, who's not dressing in the way that they used to. Those are all signs and symptoms of a potential problem. And one of the stigma issues that we have to deal with is that people say, well, that's not my business. That's not my concern. I don't want to get into their business. Well, you need to at least recognize the signs. And then just say, are you OK?
Make it a part of your normal check-in on folks. And I think that's another important point, is normalizing it, doing it regularly, not just doing it when there's a problem. I think, managers, it's important for you all to create regular check-ins with your folks. I do that with the folks who report to me at Purdue University, just regularly checking in. Hey, how's everything going? Not just at work, but in your home life.
How's everything going? How's everything going overall, especially now with all that's going on in health and in public health. It's incredibly important that I reach out and check in and just say, how are you doing? How are you doing today? And so, yes, it starts with that. But then, yes, there are key things you can look at.
And again, the white paper, I've read it twice on the way out, that you all put out. They did a really good job on that white paper. It takes about 15-- took about 15 minutes for me as a doctor to get through, maybe 30 minutes for you all to really absorb it. But it's worth a read if you get a chance.
JOAN WOODWARD: Thank you so much. And Rich's team obviously wrote that for us. So Rich, now we've identified someone who's struggling. What can managers do about it?
RICH IVES: Yeah, three things come to mind. And I loved hearing what you just mentioned because I think it falls very much in line with the way we think. But we think about, identify, ask and be ready to listen. We are an organization who prides itself in helping our leaders be their best so that they can help others be theirs. And when you think about that and you think about how a leader can be influential in the life of another person, relationship becomes really important.
It's hard to identify that something's off, that something is just wrong, that it's amiss, unless you have enough of that relationship to be able to identify. So that's very key. And what we mean by that is caring about the whole person, not just their work side. But what are their dreams, goals, aspirations? What are some of their current challenges? So you build those relationships. You identify that something seems a little bit off.
And then it's a courage to be able to ask, because I think, sometimes, we shy away from those instances because we think, well then, how am I going to then engage? I'm not an expert in this field, if the person responds in a way of saying, yes, something is very, very wrong. Well, sometimes, the very best help that we can offer in that situation is knowing that we care. The fact that we took the time to ask, that we can then listen, goes a long, long way.
And then recognizing that we don't have to have all the answers. But we can at least refer or provide some guidance and direction. Employers have a wealth of capabilities today that go unused sometimes. Employee assistance programs offer tremendous benefits in this way. Maybe it's simply pointing out that maybe the person see-- do they have medical help? Do they have a counselor that they're talking to, maybe a spiritual leader? So, simply being able to refer in the right direction.
Certainly, in the very worst of cases where you think that this person is in a state where they could endanger themselves, then there's a higher degree of caution needed. 988, Suicide Prevention Line, obviously, is one of those, 911 if it's in a critical case of emergency like that. So you have to have some judgment and discretion around what you're dealing with. But I think it starts first and foremost with care.
JEROME ADAMS: Rich, I don't know if you're a fan of Mental Health First Aid. But I'm a very big fan of Mental Health First Aid. And so we teach people BLS, Basic Life Support, or basic first aid. And many of you all have taught folks how to do that through different programs at your workplaces. We teach them, hey, someone got cut on the job. This is how you take care of it. And you recognize, hey, this is more than what I can deal with on my own. So I need to call for additional help.
Mental Health First Aid is a formal training program. It takes six weeks to go through. But we're doing it in schools. We're doing it in workplaces, to arm people with the tools that they need to recognize that there's a problem. All the things that you said, that you mentioned, ask, identify, listen. And then recognize when it's appropriate to refer for a higher level of treatment.
And it gives people the confidence to actually feel like they can have those conversations because they've gone through a formal training program. So not everyone's going to do it. But I just want to mention that to you all in case you hear about it, because if you want to take a deeper dive, it's a great tool for you to give to folks to empower them.
JOAN WOODWARD: Thank you for that. So, Rich, I want to get back to you, because I know you obviously see this in workers comp claim data. But a lot of industries-- some industries are much more difficult to deal with in terms of mental health and raising awareness about some of the critical things that are going on in these industries. So we have a slide up if you want to walk us through it. And what do we do about it, in different industries?
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SLIDE. Text: Understanding Psychosocial Risk Factors in Injured Employee Recovery: Why it matters. Risk factors impacting recovery are prevalent across all industries, affecting employees universally. This widespread presence underscores the critical need to identify and address these factors, ensuring a healthier workforce and improved recovery outcomes. A bar graph, titled Psychosocial Risk Factors by Top Industries, shows industries across the x axis and the y axis is labeled from 30 to 40%. Manufacturing, 34.1%. Services (Health, education, entertainment, 39%. Retail, 36%. Wholesale trade, 37%. Construction, 35.5%. Services (low hazard), 39.2%. Services (all other), 37.5%. Transportation and public utilities, 39.5%. All other, 36.3%. Text: 40% of overall injured employees with a lost time claim have psychosocial risk factors to recovery.
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RICH IVES: Yeah, and there's a whole story that goes around how we've gotten to this point of knowing the prevalence of some of these risk factors. I thought Ramona did a nice job of being able to say, when you think about mental well-being, our minds instantly go into that space of thinking a diagnosed condition, anxiety, depression, some type of psychological disorder. That, we would say, is the tip of the iceberg.
You heard Dr. Adams talk about the fact that mental well-being is a continuum. So when you think about psychological risk factors, Ramona mentioned a few, such as pain catastrophizing, fear avoidance. We would add a few others to those. Perceived injustice, somebody else is responsible for my circumstance. Think about how that might deter from you being able to reframe and be positive and optimistic. And how am I going to work myself out of this situation?
Others, just maybe the lack of positive coping skills. So we would add those. What we then did is we developed a questionnaire. We don't come out and ask somebody that question, obviously. It's kind of hidden a little bit in the way we interact with an injured employee. But then we're able to identify, is this individual someone who has a psychological or social risk barrier that's going to potentially delay their recovery? That's what this is.
And would it surprise you if we said 40% of injured employees who are losing time from work have at least one psychological or social risk factor? The whole reason of being able to identify that up front is how critical that is, then, in being able to offer supportive services, capabilities, to change an otherwise what would be an unfortunate outcome. So, this work for us really started more than 15 years ago. We set ourselves out on a mission to try to get ahead of chronic pain.
And chronic pain, if you're not familiar in that space, you think about the acute pain phase right after an injury that everybody goes through. But the acute pain phase is only supposed to last for a certain amount of time. Chronic pain, then, happens some many months later. The key thing about chronic pain is that chronic pain is both physical. It's physical. But it's the combination of the physical, the psychological and the social, combined. That's what creates chronic pain.
So if all you're doing is addressing the physical aspect of that, you're not going to get to some of the factors that then would cause somebody to decompensate into chronic pain. So the more we learned that, and we identified that, we said, how can we take that more broadly? Because chronic pain cases are a small subset. And certainly, they're bad for outcomes. People don't go back to work. Cost of medical treatment is extremely high.
You have a whole bunch of other associated bad outcomes that happen with that. Some are even on the personal side, substance abuse disorder, dependence on an opiate, a dependence on a non-prescription drug, all those things that can lead to a bad space. But we said, that underlying condition, if somebody's experiencing a psychological or social risk factor, what we also found is, across that population, the outcomes or recovery to returning from a workplace accident is 50% worse.
So very, very meaningful. Now, a key thing here. You might think that this is unique to certain industries. The other thing this slide nicely points out is, this is a call to action across all. Nobody is immune. The impacts are pretty far-reaching. This obviously doesn't have all of the industry sectors. But I'll guarantee you, everybody in this room can find themself in one of those bars.
So, it's more prevalent than we think, this issue, that folks could be dealing with a challenge. And then what we do is, we interact. Sometimes, it's simply showing empathy. We've got tremendous-- we've got 500-some nurses in our organization. And they're a proud moment for us because they really influence the life of somebody in a very critical state. And certainly, that's a space where they come into play, how they follow up, the things that they do to help coordinate a personalized level of care plan.
But then we also offer up our Wysa for Return to Work application. Think of it as a anonymous coaching chatbot, if you will. One of the modules that folks use the most is sleep aids. That's something that folks are challenged with when they're in this space. And the other one is reframing exercises that are really, really important to help develop those positive coaching or positive adaptive--
JOAN WOODWARD: Yeah, I love the fact that we have so many nurses on staff. And you've trained them so well to identify and pick up on these. Sometimes these are subtle conversations that they're having with an insured who's sitting at home, thinking about, oh, I could be at work. And look what I'm doing now. And I think that your training of these nurses is amazing.
So thank you for that. Dr. Adams, I want to go back to you. So what are the must-haves when an employer is looking for health insurance for their employees or assistance programs, employee assistance programs? We have a lot of great resources at Travelers. But having people access them sometimes is difficult. So talk about what you've learned there.
JEROME ADAMS: Well, I think, No. 1, you need to understand the spectrum of mental health services. And you need to be willing to provide the full array of remedies for that spectrum or assets for that spectrum. So specifically, what do I mean? Many places will cover severe mental illness. They will cover anxiety and depression. But they won't cover substance use disorders. And so we need to make sure coverage is key.
We need to make sure that you're also covering your network that's appropriate. It is hard. It is incredibly hard to find mental health providers in communities across America. And so you can have a card. But if your card doesn't allow you to see the doctor that's closest to you, or the doctor that's right for you-- and that's another thing that's important, is many people oftentimes have to try on two or three or four different counselors or social workers or mental health workers before they find the right one.
So making sure your network is appropriate and has people who look like the individuals in your workforce who they can relate to. Again, I mentioned the challenges that the LGBTQ+ community has. If they're going into someone who they don't feel like can relate to the unique issues that they're encountering in their day-to-day lives or in their workplace, they are not going to be able to be successful and to thrive.
Technology, and Rich, you mentioned technology. I think we're at a watershed moment in health, in physical health and mental health, with AI, with chatbots, with wearables. We need to make sure we are thinking about and covering and including the full array of electronic, of digital assets as we tackle mental health issues. Those are just a few things that I think need to be in our programs.
And ultimately, they need to be accessible within the workplace. I mean, some of these programs-- and I actually have advised some government agencies on this. There's the EAP office. And everyone sees you walking in. And there's a stigma attached to it there.
We need to make sure there are ways that folks can access these services in a non-stigmatizing fashion within the workplace, that they know about them, also. Many employees don't know. The average company you go to, most employees don't know that they have an EAP program, much less how to access it.
JOAN WOODWARD: Ramona, talk to us about your point of view about behavioral health and then workplace incidents, things happening on the job, that maybe we could have prevented from happening because of mental well-being.
RAMONA TANABE: Sure. Employee wellness programs have a physical component. That would be an ergonomic assessment or nutrition consulting or fitness programs. And all of those affect musculoskeletal health. And so if someone is healthier in that fashion, perhaps there's less incidence, less propensity to have a workplace injury.
They also cover some of the mental health that comes along with employee wellness. So looking at stress reduction or telemedicine, telehealth, to be able to see somebody that is available to you anywhere. And somebody who has less stress, perhaps more focus, less propensity to have an injury at work. We also did a study that looked at comorbidities within workers compensation claims.
So comorbidities include things like hypertension or diabetes, obesity, sleep disorders. And we also included osteoarthritis, some of the comorbid conditions and disabling conditions, degenerative conditions. And what we looked at were claims. What was the difference between those claims? Claims that had one comorbid or degenerative condition returned to work later, were more expensive in terms of both indemnity costs and medical costs.
And we also found that there was frequently more than one comorbid condition. And it increased as more comorbid conditions existed. And so if an employee wellness program can prevent some of these comorbid conditions, perhaps it would affect workers comp claims.
(DESCRIPTION)
Discussing Mental Health at Work. A Travelers Institute Survey. Survey Respondents: 100 New York City Area Small to Mid-Sized Business Managers. In the last year, managers surveyed reported experiencing: Stress 53%, Anxiety 43%, Burnout 39%, Loneliness 29%, Depression 26%. 98% expressed some level of concern about stress. 88% believe mental health should be discussed at work. 79% are open to resources to help with their mental health. 63% of managers have had conversations with their employees about mental health, yet only 29% have received training on how to do so.
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JOAN WOODWARD: Thank you for that. OK, I want to talk about awareness and stigma. So on the screen, you're going to see now, we're sharing the results of a survey we did before coming here. One hundred New York City area small and mid-size business managers. So we asked about the state of mental health. And this is what they told us: 98% expressed some level of concern about stress; 88% believe it should be discussed at work.
So that's a statistic, Rich, we're going to dive in, in a second, that people do want to talk about this at work. Seventy-nine percent are open to resources, 63% have had conversations with their employees about mental health, yet only 29% have received training on how to do so. And so you can look at the stats on the right side of the screen there as well.
The fact that only 29% have received training and almost 8 in 10 managers are open to resources about this topic. So first, Jerome, can you react to this data? And I know it's consistent with some of the stats you had in your slides. But I guess I'm really focused on only 29% feel that they're equipped to talk to their employees about this topic.
JEROME ADAMS: No, no, I'm so glad you all did this because you have to start with data. If you don't have data-- you have to measure it to move it. And it's important for I think folks to-- there's a very real statistic. Seventy percent of people think they're above-average drivers. I'll let that sink in for you all for a second. When surveyed, everyone thinks that they're performing better than the norm.
And so it's important to reorient people to reality. And the reality is that 88% believe mental health should be discussed at work. Almost 9 out of 10 believe it should be discussed at work. But 30 %-- only 30% have received training on how to do so. So what that tells you is we're not equipping people to do their jobs, or what they expect that they should be doing in their jobs. That means we're failing them.
That's how I feel when I see that data. And it means that we've got some work to do. The good news is that, again, Mental Health First Aid, basic training, those resources are available. It's not hard for us to put people in a position to feel like they can actually have these discussions at work. Eighty percent are open to resources to help with their mental health.
Just sharing that with all of your managers can alleviate their anxiety, their stress, the stigma that will prevent them from feeling like they shouldn't be asking someone if they're OK when they see them crying in the cubicle, or when they notice those signs we mentioned earlier. So I would encourage folks to use this data. If you're not at Travelers, do similar mini surveys within your workplace to understand, hey, what's going on within our community? And then share it with folks so that, again, they don't fall into the 70% thinking they're above-average drivers trap.
JOAN WOODWARD: So you know you're talking to a bunch of insurance professionals. When you're talking about 70% of us think we're good drivers, we know that. Many people are overconfident. And we certainly see that in our data.
JEROME ADAMS: I thought you were saying, we know we're good drivers.
JOAN WOODWARD: Oh, we're totally good. So I want to talk about generations. Is there a stigma, or-- I know in the olden days when I started my career, no one's talking about this topic. And it was a taboo. It was a stigma. And so now we have evolved, thank goodness.
And the awareness and the stigma seems to be-- the stigma hopefully is going away. But how do you think about older generations, younger generations in the workplace? And, again, a lot of people, Rich, as you say, don't want to talk about this topic out loud, right?
RICH IVES: So stigma in the workforce. So some of it, I would say, is organically starting to happen. Here's what I mean by organically starting to happen. We are currently living in a time when we could have really four generations in the workforce. That's a pretty interesting time, in and of itself. The youngest generation, Generation Z, those folks who were born between '81 and '96, they have grown up during a period of time where being able to talk about these issues is more commonplace.
Some of you are smiling. It's more commonplace. So there's a greater expectation as they become a greater portion of the workforce, with the boomers retiring, that, certainly, there should be support. And there should be conversation. And there should be more openness about this in the workforce. So some of that is happening organically.
Second, how do you influence it? I think by normalizing the conversation. Again, going back to some of those simple things of showing that you care. A leader can have a significant influence in the culture of that organization. So we certainly think that that goes a long way to helping break that stigma.
JEROME ADAMS: One of the most important things you can do is lead by example. Share your own stories. Practice good mental health and show that you're taking breaks. Don't just tell other people to take breaks. Show that you're taking breaks. Show that you're creating boundaries at work so that it gives the people who report to you permission to do so. Stigma, it's getting better. But I still tell people, stigma kills more people than fentanyl does because it keeps folks in the shadows.
It keeps people from asking for help. It keeps people from being willing to accept help. We need to not just be examples ourselves but share examples. So Naomi Osaka, the tennis player, Kevin Love, the basketball player, Noah Lyles, the track star. They're out there, talking about mental health and wellness. And I think that normalizes it, particularly to the younger generation.
But you asked about generational issues. And a practical tip is, you're going to have to have different remedies for people from different generations. So younger people are perfectly fine with group therapy, if you will. Hey, let's all come in. And let's talk about our feelings together. They're very open with sharing. And so if you have younger people in your workforce, you can have group conversations and group discussions.
My father-in-law, there is no way in heck he is going to have a group discussion about his feelings. And so, he's an old, grizzled guy, works for an oil company. And so for someone like him, that's where telehealth can come in. Where having individualized and electronic and digital access to services can help for him. And so you need to recognize the generational makeup of your population. That's No. 1.
Understand who you're trying to reach. And then make sure you have an array of resources tailored to the specific needs of that generation. I had to do that myself. My former special assistant, Dolly Moorhead, is here. And she's about 20 years younger than me. She worked in my office when I was Surgeon General. And I will tell you that, many times, she opened my eyes to the way that millennials saw a problem in a way that I just couldn't see that problem because I came from a different generation.
RICH IVES: Yeah, what's interesting about that is, in one way, we said there's four generations in the workforce. It can actually be a great value because you have different diversity of thought on points of view, experiences, all those things. So it can be that. It can also create conflict, too. And I'll go back to something that you had said. If you think about what creates conflict, conflict at its very base is, really, it's when my current circumstances don't necessarily meet my expectation.
When you think about different generations, generations, they're not just born with different characteristics. They're shaped. The things that define me and some of the things that I believe as far as what my expectations are that I would bring to my circumstance were shaped in my first 20 years of my life. What are the things that I grew up around?
So understanding that we are different and making sure that we're thinking about having that honest conversation, which is good, because it's not about, in ways of thinking, which idea, which way of thinking is good, better, best? It's about how we bring some commonality across that to really get the best value for the whole, rather than the individual. And the other thing that you made me think of, we think about this topic, what can you do in the workplace?
And we go automatically to this space of thinking negatively. Well, what do we do when there's a problem? There's so much that we should be doing today as leaders to help promote connectivity. If you think about a workplace, a person drives a tremendous amount of their value and their social connection from their work. So when you think about a leader's influence around that, being able to introduce laughter and warmth. We talk about stress. And you think about stress as a bad thing.
Well, there's a healthy level of stress, too. That creates productivity and a sense of urgency. But you also have to have the amount of support in order to see that through. And then creating an environment where you have trust and respect. So if we think about it more from a positive standpoint, how much more productive and valuable are our businesses if we're able to create that type of a culture and environment on a day-to-day basis?
JOAN WOODWARD: I love this. This is so helpful because people do tend to go negative right away. And they worry about what that means for the whole team, for the business, the outcomes. And so, in going positive is, it can be done, right? You don't have to be the optimist always in the room. But we were in a panel last week.
And a professor, Marty Seligman at Penn, he talks about, be the optimist in the room. And someone asked him, how do you be the optimist? I'm inherently pessimistic. He says, you argue against your thoughts of pessimism. And you argue to be more optimistic. He was fascinating. Anyway, Dr. Marty Seligman, the author of-- I'm going to forget the name of his book. We'll come back.
RICH IVES: Learned Optimism.
JOAN WOODWARD: Learned Optimism. Go read that, Learned Optimism. So you are born an optimist or a pessimist, he told us. But you can learn how to become an optimist.
RICH IVES: As a matter of fact, he says he is naturally a pessimist.
JOAN WOODWARD: He is. Groundbreaking work. OK, so we're going to take your audience questions. We have a bunch that already came in when you registered. So we have those here. So we're going to have microphones in a minute. But first, I'm going to do a deep dive on workers compensation because Ramona is the expert. So what are the challenges now and opportunities, maybe, with the workers comp system? And are all insurance carriers talking and thinking about mental health like we are, or is there more education that needs to be done?
RAMONA TANABE: Well, we just had a long conversation about stigma. And I think stigma obviously affects timely treatment of some of these issues, which can only make the claim more complex when it does arise. So eliminating that stigma would certainly improve things.
One of the challenges is that states are very different in terms of what is treatable and compensable under workers compensation for mental health issues. So in some states, unless you have a physical injury that accompanies a mental health issue, it's not compensable. And in some states, it is. So there's a challenge there, people looking at it.
JEROME ADAMS: But it's a challenge where you all can lean in. You can advocate for changes in state policies if you feel like those state policies are hurting your ability to actually provide the care for folks who need it within your communities.
RAMONA TANABE: And another challenge is the causation, especially in mental health. Proving a causation and a direct line is sometimes difficult in workers compensation. Opportunities, many opportunities in this area because as it's becoming more accepted and growing more normalized in the workplace, there's opportunity for many different types of programs.
Some of the-- safety has never been a question in workers compensation. Nobody would argue that we want a safe workplace. But it's also becoming a psychologically safe workplace. That's part of the conversation, is moving toward that as well.
JOAN WOODWARD: So Rich, I know you have tons of data on this. But what have you found were some of the implementable things in different businesses? I know we had the early predictor with opioids. How do you tell if an employee or a workers comp individual is going to be addicted? And you have that early predictor. What are some of the other specific examples?
RICH IVES: Yes, and my friend and colleague Erik Roen is actually in the room. And so partnering with his team and his organization, we actually developed-- we've developed a bunch of different models that help us because, as an organization, we've got scale, we've got data. So the ability to then go and build regression models and say, what are the factors that can help us predict that somebody is likely to decompensate into chronic pain, is one of the underlying factors of our Early Severity Predictor program.
So, we implemented that some time ago. I want to say, about 10 years ago now. So we've got some time and experience with that. We find that outcomes in our approach can be as much as 50% better through that program. And then we think about win-wins for all.
It's obviously a win-win for the business, for Travelers, but for the person. Being able to help them with their recovery and that they don't decompensate into chronic pain is huge. We've seen a significant reduction in opioid use, both the severity of prescription, as well as the frequency and utilization of.
I talked about Wysa for Return to Work. Almost all of the injured employees who used that app say that it helped them in their recovery. And we see 20% better outcomes when they do. So we've got some statistics around our approach that lead us to believe that we're on to the right path.
JEROME ADAMS: I got to comment on the predictive analytics part of it because it's just something that I'm passionate about. I've coined this term, discussing this term, digital health equity. And as we have AI, as we have devices, as we have the ability to use technology to predict and put people into groups, there's the real potential for bias. And so when you talk about identifying folks, that's great. But what do you do once you identify them?
Are you identifying them to screen them out of job opportunities, of services, or are you identifying them to direct them towards proactive resources that can help them? I think it's important that you're thinking about that and that you're having these conversations because who is most likely to have higher degrees of psychosocial risk factors? People who are part of marginalized communities. People who live in poverty. People who are Black and brown. People who are LGBTQ+.
And so we want to make sure we're identifying these folks but not identifying them in a bad way. And quite frankly, that is a concern about using these newer technologies in the insurance industry. Are we going to be screening people out, or charging them higher amounts, or determining that they are higher risk because of something that is beyond their control, because of their environment, their zip code, as opposed to something that they actually have control over.
JOAN WOODWARD: No, thank you for that. So at this point, if you have a question, raise your hand. We want to get a microphone to you early. But we're going to have another-- one over there. So what is the bright spot for us, Dr. Adams? What are you seeing as hopeful? You talked about AI and how it can be used. But what are the bright spots in your mind?
JEROME ADAMS: There are-- yeah, we've had some heavy conversations, lots of bright spots. Technology is a bright spot. It is absolutely increasing accessibility to folks through telehealth, through apps. Calm, I mean-- and I don't mean to push any particular app. But it's the one that many people know about. It's teaching people meditation. So technology is giving us the opportunity to do things that we never could do before.
I mentioned lowering stigma. You have prominent people out there talking about mental health in a way that helps lower stigma. The younger generations, they are normalizing these conversations in the workplace. That gives me hope. The fact that we're having this conversation today, that gives me hope because, again, unfortunately, a long time ago, we cut the head off from the rest of the body.
And what I mean by that is we said, if it happens from here on down, your insurance will pay for it. And the doctor will see you now. And if it happens from here on up-- and it's not just mental health. It's vision health. It's auditory health. It's oral health. Then that's a whole different insurance program, different people that you see. We're having more conversations now about holistic health.
I was actually at the America's Health Insurance Plan's annual meeting in Baltimore two weeks ago. And the big conversation was about integrative health and making sure, when you're coming in for your primary care visit, they're checking your blood pressure. They're checking your heart rate. They're checking your mental health and wellness. And so those are things that are giving me hope. And I just want to thank you so much, Joan, again, for being a cheerleader, the cheerleader in chief for this effort.
JOAN WOODWARD: Actually, it's our CEO. He started this effort with our employee mental well-being initiative many, many years ago. And he just prioritizes it. And he talks about it in our all-employee meetings saying, look, this is the way we're viewing it. We want you to use these services. We're paying for them.
Please come and use the services that you have. And he literally gives out his cell phone and his email to people, saying, reach out to me personally. He does. It's quite amazing. I don't know if I would do that, but.
JEROME ADAMS: Well, and it's going to take more of you all doing that. And I promised I wouldn't get political. And I'm not getting political here. But the reality is, a lot of the federal involvement and oversight and support for these initiatives is getting pushed down to the state and local level. And that is what we're going to continue to see as a trend for the foreseeable future.
So that means we aren't going to be able to rely on SAMHSA and NIH: SAMHSA to provide the programs, and NIH to do the research, and CDC to do the surveillance. And I mean, that is, I think, an objective reality that we can all acknowledge. So it's going to be more important that companies see the value in this and that they invest in these endeavors within the workplace, within their communities, and support their states as they explore policies to be able to understand the burden of disease and communities, and the opportunities and programs that will help us address and improve mental health. Did I say that without getting into trouble?
JOAN WOODWARD: You did just fine. We had this little conversation about, no one wants to be political. We want to be successful. We want to live great lives. And so I love that you talked about civility. OK, we have a question in the back. And then who else has another question? We're going to get a mic over to them. All right. Let's go here first. Ma'am?
AUDIENCE: Good morning. My question is for Dr. Adams. Is there a difference in the efficacy of mental engagement, whether it's telehealth virtually, over a screen, or via text, or in-person? Or is it more important that people are just accessing it somehow, wherever they see the need?
JEROME ADAMS: Rich and Ramona, feel free to jump in. I think-- I love that question. And so the easy answer to your question is, it depends on the person. That's one part of the answer, that some people are going to respond better by text. Some people need face-to-face. And so we were having this conversation at dinner last night about work from home versus not work from home.
Some people are more productive when they're working from home. Some people are less productive when they're working from home. So you need to understand the person. But that said, you also need-- we also need research. We need to understand how we optimize the support systems for different people. So not all text apps are the same. Not all work-from-home programs are the same. So how do we provide that support for folks when they're using certain technologies or certain avenues?
How do we make sure we're understanding that they are getting the evidence-based, gold standard, best delivery of that option, and not just some cheap knockoff? And so, yes, it's both. We need to customize it for the person and give people an array of options within our workforce. And we need to continue to do the research to understand how we deliver these different options in the best possible way.
RICH IVES: Yeah, completely agree. I would have said the same thing. It's both. It's not either/or. The reason why it can't be either/or is we don't have enough resources currently to go around. I think we recognize that. So technology actually provides us an ability to both identify things that we talked about earlier, as well as provide services in a much broader way.
However, no surprise, this is probably part of our culture because we believe in art and science. We believe in using technology to have the effectiveness of our personal touch and abilities go even further. But we believe that it has to be a combination of both the personal touch, as well as the technology to make us more efficient and effective.
JOAN WOODWARD: Thank you for the question. Another question, just please raise your hand. We'll get a mic over here. Sir?
AUDIENCE: Good morning. I know employee assistance programs are often underutilized and very expensive benefit. So I believe a lot of people in this room would probably like to learn more on how to turn that into an opportunity.
JOAN WOODWARD: Rich, do you want to take that?
RICH IVES: I think part of it is-- and we train our leaders to do this because it's often out of sight, out of mind. So it's often when-- especially if there's an event that's happened and we know that it can be challenging to our employees, it's simply reminding our leaders, remember we have this. When you're having conversations with your employee, you're not alone. Here's the resources that can be utilized.
I think certainly, in our organization, we have a CEO who speaks to it right from the very highest platform. So that helps to build that, break down the stigma, include-- promote the overall adoption, and then being able to make those resources very easily accessed. So, rather than going through a whole tree with many clicks within your website. What's that number again? Being able to provide the accessibility of it is important, too.
JOAN WOODWARD: Any other question in the room? We're going to take a question right here. Greg Landmark. Go ahead, Greg.
AUDIENCE: All right, hello. I just want to ask about, you said comorbidity, because I think mental health, when we're doing research, we're seeing so much how it impacts physical and financial wellness, too. So I think it's important to think about not just from the mental health aspect, but how much it impacts people's complete lives.
JEROME ADAMS: No, I couldn't agree more. And I hit on that in my speech. And I believe Ramona brought that up, too. We need to look at the person as a whole person instead of siloing them out. You see this person for your mental health issue. You see this person for your physical health issue. You see this person for your legal issue, medical-legal partnerships in hospitals. We know that legal issues, a lot of times, cause stress. And in turn, mental health issues cause legal issues.
And so we need to do a better job of, first of all, asking, asking what the problem is. I can't tell you. I work in an inner-city Level 1 Trauma Center. And I can't tell you how many times our repeat customers show up over and over and over again for a specific physical malady. But then you do a deep dive. And you realize that the reason they're showing up isn't because their stomach actually hurts. It is because they have a legal issue, a fiscal issue.
They don't have a place to sleep at night. This is what we call these social determinants or social drivers of health. And they contribute-- there's some of these psychosocial issues that contribute to mental health issues. It's something that I would highlight to you all. It's shocking if you haven't looked at your own employees.
Remember, again, that 70% of people think they're above-average drivers. Seventy percent of workplaces think their employees are just fine, until you actually survey them about, how many of your own employees have food insecurity? How many of your own employees have housing insecurity? How many of your own employees have ongoing legal issues? And then they're bringing all that to work with them. They're sleeping in a car at night.
And then they're showing up to work. They weren't able to eat this morning because they didn't have enough food. And then they're showing up to work. And that's contributing to stress, anxiety and mental health issues. So thank you for bringing that up. And we need to build healthy communities. Another point I'll bring up super quick because I'm looking at her, Patricia Schramm is one of my friends. She was the head of the American Swiss Foundation for 20 years.
And she allowed me to go back and forth to Switzerland on several occasions and interact. And Switzerland actually does a much better job of holistic care than what we do. The United States spends 2 1/2 times the OECD average on health care, but gets terrible results, 67th in life expectancy by some rankings. When you compare to places like Switzerland, like Norway, like Sweden, they spend the same amount as we do on health.
But we spend so much more of our money on downstream health care. I don't call it health care. I say, we have a sick reimbursement system in the United States, not a health care system, whereas, in these other countries, they spend so much more money building healthy communities and preventing the problem in the first place.
So how is that relevant to Travelers and to the group here today? If you invest in upstream prevention, if you invest in building healthy communities, if you invest in building overall healthy environments, people will do better. Sweden has the happiest people on Earth, the happiest people on Earth! And again, not getting political.
They also have much higher taxes than we have here. And they use those taxes to then reinvest back into the community. I'm not advocating for tax policy here. But what I'm telling you is that, when you invest in healthier communities and people feel supported and have their needs met, they're going to be happier. They're going to be healthier.
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Servers mill about the tables in the audience.
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JOAN WOODWARD: OK, I know a lot of you are saying, they're serving lunch to me at 11:20? We wanted to do that for two reasons. One, our livestream, thousands of people are listening. And we want to get to the next panel pretty quickly right after this panel. And secondly, we wanted to feed you because we have to be out of this room in about 12:15-ish. So please eat up.
If you can, just scooch your chairs in a little bit. This is a very tight room. I want to give the servers a little room, so they don't bump into you. That would be great. And we are going to continue with this panel. And then we're going to move on to the next one. So if you do have to use the facilities or something, obviously go ahead and do that. Rich, did you want to add something to that?
RICH IVES: Yeah. And by the way, we do see that mental well-being is as important as nutrition and physical exercise. But you do need to eat. So our way of caring for you, making sure that we're not delaying your eating. No, a thought on comorbidities. Comorbidities, what are some of additional comorbidities other than mental? Obesity, diabetes. And then, obviously, you get to some of the mental aspect as well.
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RICH IVES: Exactly right, yep. So here's a couple of interesting stats for you. When somebody has one comorbidity, the cost of a workplace claim, so think about that as synonymous with how long it takes them to get well again and return to meaningful work and function, the cost of a workplace claim doubles. When they have two or more, it's five-fold. Now, that's an interesting stat. Why is that important?
The prevalence of comorbidities is getting more increasingly pronounced because of the age of the workforce. Our workforce is not getting younger. It's actually getting older. The reason it's getting older, there's not as many new entrants coming in. And the boomer generation is becoming-- is a large portion of the workforce. And they're getting older.
So the prevalence of comorbidities is going up, which means that the capabilities, especially when it comes to medical outcomes, is even more important, which is one of the reasons at Travelers why we created our Travelers Preferred network, which is, we've been able to identify this subset of medical providers who produce better overall outcomes. So our ability to be able to align those things to really help promote.
And then, as physicians and treating physicians know that we have that capability, their motivational interest is, if they deliver better care, they go higher in the sort order, if you will. So there's a motivational factor there for them that we're helping with, too.
JOAN WOODWARD: OK, we have a question coming in from someone at Gallagher, Jesse [INAUDIBLE] King. Have you seen trends in more mental health-related claims since working from home began during the pandemic? So have mental health-related claims gone up in your data that you see?
RICH IVES: So I would say, as it relates to a diagnosed condition, we don't have any data that would go one way or the other. I would say, when you broaden it to these psychological and social risk factors-- and we talk about how social connection is very, very important. And when we look at our employee data from surveys, we find that there's a higher level of engagement with folks who either work full-time in an office or work in at least a hybrid-type work situation than remote.
Folks who work in a remote work environment, they feel less connected, less engaged. Therefore, when you think about some of the psychological social risk factors, I would say, it probably has not helped. It's probably hindered the situation.
JEROME ADAMS: But when you look at the data, you see that people who have flexible work arrangements actually are happier. So if you're a parent, as many of us are, and you have the ability to take off to go to your kid's doctor's appointment, you're going to function better at work. And so I think we have to not get sucked into the either/or, the all or none, that you've got to be at work 100% of the time, or I've got to allow you to be at home 100% of the time.
I agree with you. Being at home does increase isolation. But we're learning about different models where we can continue to encourage engagement and allow engagement even when people are working at home. That is important.
And I think not abandoning flexible work arrangements in this current push, cultural push to bring people back to work is going to be critical, because I think you're going to see depression and anxiety increase if you're forcing these parents to-- and other folks to be at work 100% of the time. I also think, from a workforce participation issue, many women have checked out of the workforce because of lack of flexible work arrangements. Many older people, I think, would participate and stay in the workforce if there were flexible work arrangements.
So, I guess I'll finish by saying, it's nuanced. It's not all or none. And we want to make sure we're providing people with flexible work arrangements. And when people are working at home, we want to think about, how are we keeping them engaged in the workforce, both for the workforce's benefit, and for their personal benefit when they're not seeing people and interacting with people every day?
JOAN WOODWARD: OK. Any closing thoughts? We're going to close this panel. We're going to take a very, very short break, which is why we fed you first. We're going to get back here at 11:40 sharp because our live stream is going to start then. But closing thoughts on this panel, Rich or Ramona? Actually, Ramona, do you have anything, any bright spots that we should look forward to?
RAMONA TANABE: I think the engagement of everybody in the workers comp community, all the stakeholders on mental health has really changed where it's headed. And I'm looking forward to seeing where it goes next.
JOAN WOODWARD: But you're optimistic?
RAMONA TANABE: Yes.
JOAN WOODWARD: Dr. Adams, anything?
JEROME ADAMS: I'll keep it very simple. Good health, including good mental health, is good business. And so the more we invest in improving people's physical, mental, emotional and spiritual health, the more we will see health care costs go down. The more we will see absenteeism and presenteeism go down. The more we will see productivity go up. And the more we'll see the stock market here at the New York Stock Exchange continue to go in the direction we want it to go in.
JOAN WOODWARD: There's some green today, I saw on my screen. So that's good. All right, listen. Thank you so much for your attention. Please join me in thanking our amazing panel. And be back here at 11:40.
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SLIDE: Text: Thank you for joining the conversation! Access some of the resources mentioned during Session 1 below: 988 Suicide and Crisis Lifeline. A QR code with the red Travelers umbrella logo in the middle. Text: Help is available. Speak with someone today. Learn more at 988lifeline.org, Available 24 hours (English or Spanish).
A Guide for Employers. A QR code with the red Travelers umbrella logo, the cover of the guide with a photo of a man and woman outdoors looking at a phone together. The cover has the Travelers Institute (registered trademark) and Travelers logos, titled, Investing in Mental Well-Being: A Guide for Employers, and the Forces at Work logo.
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Text: Next session will begin at 11:40 AM EDT. Logos: Forces at Work (service mark), Travelers Institute (registered trademark), Travelers.
Logos: Travelers Institute (registered trademark), Travelers. Text: To learn more, visit travelersinstitute.org. Used with permission of NYSE Group Inc., copyright 2025.
- There’s a direct connection between personal well-being and the success of businesses, said Rich Ives, Senior Vice President, Business Insurance Claim at Travelers. For example, distraction is a leading cause of accidents, and psychological and social risk factors deter and delay recovery after a workplace injury, he added.
- Behavioral health issues include anxiety, chronic pain, depression, stress disorders and substance use, and they can all impact recovery from a work-related injury, said Ramona Tanabe, President and CEO of the Workers Compensation Research Institute. But psychosocial risk factors, such as catastrophizing, negative coping skills and fear of movement due to pain, are the most common behavioral health issues among employees with a workers compensation claim and strongly associated with delayed recovery, she explained.
- Psychosocial risk factors are present across all industries and affect workers universally, Ives said. In fact, 40% of injured workers with a lost time claim have psychosocial risk factors, and outcomes for recovery and returning to work are 50% worse in these patients, he said.
- Signs that an employee may be struggling include behavioral issues (becoming more withdrawn or isolated), emotional issues (outbursts or crying at work) and physical manifestations (tiredness or a change in dress or grooming habits), Adams said. Managers should be doing regular employee wellness check-ins, making it easier to have a conversation if they spot one of these signs, he said.
- A Travelers Institute survey found that 63% of managers have had conversations with their employees about mental health but only 29% have received training on how to do so. There is a six-week mental health first-aid training program that can give managers the confidence to have those conversations, Adams pointed out.
Session 2
The Intersection of Tech and Talent – A Leadership View of Today’s Labor Market
In today’s competitive labor market, attracting, hiring and retaining top talent requires a well-executed strategy that positions your organization for the future. Dan Helfrich, Principal and former Chair and CEO of Deloitte Consulting LLP, and Mojgan Lefebvre, Executive Vice President and Chief Technology & Operations Officer at Travelers, shared leadership insights on how high-performing companies are adopting innovative talent strategies in a world of rapidly evolving technology.
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Text: Travelers Institute (registered trademark). Travelers. Forces at Work (service mark). Symposium at the New York Stock Exchange, April 7, 2025.
Up next: Session 2: The Intersection of Tech and Talent - A Leadership View of Today's Labor Market.
Joan Woodward stands at a podium on a stage. Two people sit in chairs to her right. Audience members sit at tables. Text: Joan Woodward, President, Travelers Institute. Executive Vice President, Public Policy, Travelers.
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JOAN WOODWARD: Welcome back and thank you again for those of you in person and livestreaming with us. We've just spent the morning talking about mental well-being and work, and how leaders like us can create the culture that allows people to thrive.
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Text: About Travelers Institute (registered trademark) Webinars - The Wednesdays with Woodward (registered trademark) educational webinar series is presented by the Travelers Institute, the public policy division of Travelers. This program is offered for informational and educational purposes only. You should consult with your financial, legal, insurance or other advisors about any practices suggested by this program. Please note that this session is being recorded and may be used as Travelers deems appropriate. Travelers Institute (registered trademark). Travelers.
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Our final session today takes that fundamental idea and expands outward, looking at the journey of how we bring people into our organizations in the first place. The labor market and employee experience has certainly evolved in the last couple of years, from the pandemic to remote work, the great resignation, or our CEO likes to call it the great reshuffle, to changing economic conditions. The core questions for our conversations are, what pressing issues are leaders confronting in the labor market? What issues may become paramount in the future, and how's technology affecting all of this?
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Text: The Intersection of Tech and Talent: A Leadership View of Today's Labor Market. Pictures, names, and titles of three people. Text: Mojgan Lefebvre - Executive Vice President and Chief Technology & Operations Officer, Travelers. Dan Helfrich, Principal and former Chair and Chief Executive Officer, Deloitte Consulting LLP. Joan Woodward, Executive Vice President, Public Policy; President, Travelers Institute, Travelers.
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So, I can think of no better one position to weigh in on these questions than the two leaders on the stage. First, Dan Helfrich, who is a principal at Deloitte Consulting, where he served as Chairman and CEO from 2019 until January of this year. Dan brings more than 20 years of experience fueling effective and efficient organizations. He's a pioneer in purpose-driven leadership and an advocate for team culture and continuous innovation. Dan, thank you for being here with us today.
Also joining me is my colleague and friend Mojgan Lefebvre, who is Executive Vice President and our Chief Technology and Operations Officer here at Travelers. She leads technology organizations with data, analytics, cybersecurity and business operations. She spent her career at the intersection of business and technology, having been named to the CIO Hall of Fame and to the Forbes CIO Next list, which recognizes the world's 50 most innovative enterprise technology leaders. It is quite an honor to have that title, Mojgan.
So she's also a recognized leader in talent development. I think you have 12,000 people that report to you, Mojgan?
MOJGAN LEFEBVRE: Well, employees plus contractors. So, 8,000 employees.
JOAN WOODWARD: OK, I have five, so-- I have five very talented people. So just last year, Travelers opened a new technology office in Atlanta. She oversaw that. She's just an amazing speaker on AI, data science and other things. So, thank you both for being here.
Dan, you're going to get the first question. Then I'm going to have a seat. You just spent the last six years as CEO of Deloitte. How is that unique experience shaping your view of the current talent workforce and issues we face?
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Joan sits in the third chair on the stage.
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DAN HELFRICH: Thanks, Joan. And then the five, 12,000, I had at 125,000. And so it shaped it in very profound ways.
I must start by saying it's special for me to be here today. As Mojgan knows, in many ways, I was raised a Travelers kid. And there may be one or two people either in the room or on the livestream who were here 30 years ago. My father was actually the CHRO of Travelers, Tom Helfrich.
JOAN WOODWARD: Really?
DAN HELFRICH: And so it's been fun to spend time with Mojgan and team. And a lot of my thinking about culture comes from spending time at Travelers, actually, as a teenager. And I remember moments like walking through the Tower and developing a friendship with Archie, the security guard. And you laugh, but my whole framework on leadership, to address your question, is that the biggest issue right now facing an organization of our scale, an organization of your scale, is that scale has the risk of eating humanity. And scale and humanity fight each other in cultures.
And so I think it's incumbent upon all of us who get entrusted with the privilege of leading an organizations of our scale and stature to make sure that humanity stays alive in the decisions we make, and the way we communicate, and the way we try to engage. Because if you don't manage it, scale, which the markets love, and growth is a great thing. But if it saps us of humanity, then you become very ordinary as an organization. And so I've learned that in a lot of different ways over that six-year tenure.
JOAN WOODWARD: OK, we're going to dig into that. That's a lot of employees to have to handle and manage. Mojgan, tell us about your technology journey at Travelers. So you joined us maybe five, six years ago, something like that?
MOJGAN LEFEBVRE: Over six-- in 2018. Six plus.
JOAN WOODWARD: And so technology is rapidly-- I mean, I just don't know how organizations like us keep up with it and employ new tools like AI on top of legacy systems that we've had for decades. So give us a little insight into what you learned in the last six years.
MOJGAN LEFEBVRE: Sure, sure. And, well, first of all, a privilege to be here. It was such a high to be up there ringing the bell, and great to be with you, Dan. I'm a big fan.
So, I joined Travelers in 2018. And while as we set our technology strategy very tightly coupled with our business objectives, and of course, we were very focused on modernizing our technology foundation, focusing on the customer and employee experience. But I knew-- and I'm such a big believer that at the end of the day, it all comes down to the people.
And so, the first strategic priority we set in place was investing in our people. And that's what we coined it. And that's really been what we've been very focused on. Our goal was to make sure that we got to a point where every single person was doing the right work with all the skills that they needed and the tools that they needed.
And so creating a culture where continuous learning and having that open growth mindset was going to be the case was really important to us. And so, again, really, really focused on that. And so in order to make it happen, I hired a leader to create our dedicated tech and analytics learning organization, which now has been in place for a few years. And they've really built some of the best-in-class, I would say, learning pathways on a modern platform and aligned that learning both to skills and to roles.
Because whatever gets measured actually gets done, we also established objectives and key results or OKRs, which were very focused on dedicated time for each of our tech employees to have the time to do the upskilling and reskilling, making sure that the leaders were giving them the space and the time to do that. It was also very clear to us that we needed to shift from the traditional, reactive IT mindset and approach to much more of an engineering, design-oriented, much more automation, really proactive. And so that became core, really focusing on engineering excellence and creating an engineering culture. And then ultimately, making sure that we had the right pipeline of talent.
And so in 2018, when I joined, I think we were hiring 15 or 20 college grads. And so we've grown that to be around a couple of hundred on an annual basis, and we've focused it on the top 100 computer science schools. Because we knew that, again, to get to engineering, it wasn't going to happen overnight. And so, again, really making sure that we had all of these elements in place. And so the interplay between technology and talent is really at the core of everything that we do.
JOAN WOODWARD: I mean, you're competing with people who are working at Apple, and Google, and all these high-tech companies that if you're a technology student, you want to go to-- I'm not going to say it, but a sexier company than an insurance company? I don't know, maybe. Like, how do you think about attracting those young people to Hartford, Connecticut, in the P&C business? Because it must be a hard sell.
MOJGAN LEFEBVRE: Sure. And we are. Again, regardless of how advanced technology is, I'm still a big believer that some of the core engineering roles you need to have-- because again, to be able to leverage those technologies the right way, you need to have that critical thinking. And so we are competing, in fact, with the Amazons, and Googles, and others of the world for that top, top talent.
And so, it's about, first of all, making sure we're positioning ourselves as a technology company, as well. We spend anywhere between $1.5 billion plus annually, and Alan talks about this all the time, on technology, and data, and analytics. And so ensuring that people know that, that's more than many, many startups-- tech startups even make.
And then the work that we do is really exciting. I mean, we are a data company at the core of it. Like we're making decisions around risk, and that's all with information. We're not a manufacturer.
And so the ability to invest that much is exciting and do really great work. And then it's about going to where the talent is. And so that's why last year, April of last year-- so I'm a Georgia Tech alum. That's where I did my computer science undergrad. And so we opened our tech hub in Atlanta, which I think is a very tech-rich city. I mean, there's a lot of companies that have moved from Silicon Valley to there and are hiring, very close to the Georgia Tech grounds. We have a phenomenal office that we actually moved up to the 15th floor of the Coda building on the grounds of Georgia Tech, really having access to all of that talent who are on the different floors. You've got these data scientists that are working.
And so we're recruiting aggressively. We have over 100 people there. We have a plan to grow to over 200. We actually increased our space for that.
And so, again, it's about positioning yourself the right way, changing the way you go to market, and then being where the talent is and making sure that we're giving our people the tools. And then that they're working on exciting new things because they don't want to come in and do COBOL programming.
DAN HELFRICH: Well, and what our data would say, it's interesting, is for tech talent, brand isn't actually the sexy differentiator. It's learning pathways, and it's agency to work on really interesting things. Those are the two things.
Learning pathways-- people, particularly in the early stages of their career, they want to see an organization that is investing in tangible learning. Because people appropriately view that as the currency that's going to help them as their career moves forward. So the extent you're investing in saying, here's the investment we're making in tangible certifications and tangible growth plans, you can compete with Apple and Alphabet for that talent.
And then agency is about saying, not only do we have really interesting data things we're working on, but you as a 23-year-old engineer, you're actually going to be able to roll up your sleeves and be in it, applying new skills in AI or otherwise. If you both sell that and then you deliver it, then your both recruiting and retention of that talent will be leading in the industry.
JOAN WOODWARD: Completely agree 100%. And she's doing it, by the way. She is an exceptional--
DAN HELFRICH: I know. She's stealing some of our people.
JOAN WOODWARD: She is? Oh, good. [LAUGHS] Good to hear.
All right, let's talk about the current labor market. So demographics-- the birth rate is down. Our kids are getting married later. They're having less kids.
Immigration policy in the U.S. over the last couple of decades, many decades, is kind of upside down. We're not attracting the people we need. And we're retiring.
Baby boom generation, 10,000 of us-- I'm the last year of that-- 10,000 of us want to retire every day. Look at my husband.
So we actually-- no one wants to work until we're 85 years old. We are going to retire. We do not have enough kids to replace ourselves, and immigration policies. So the labor market shortages and the wage gains we've seen, again, got exacerbated during COVID. So talk about the current environment and how business leaders need to think about the labor force.
DAN HELFRICH: Well, we'll stay away from the current, current environment and policy associated. By the way, I think there are some people who want to work till they're 85.
JOAN WOODWARD: They do?
DAN HELFRICH: I think we have good evidence of that. Look, the premium right now is on skilling. And we have a macro responsibility as a country and as leading employers within the country to invest in the education system and the job skilling system to get new skills and to evolve people's skills.
And so I'm pretty heartened, actually, by the pace at which, across public private sectors, academia, curricula, and training programs, and policy initiatives are leaning into skilling. And look, I'm a tech optimist relative to the intersection between labor market and technology innovation. And so in that reskilling, we will see, are seeing, and we'll continue to see, I think, productivity enhancements as a result of the technology innovation that's happening. And so I think with that cocktail of factors, we can navigate the shortage that you describe at a demographic level.
JOAN WOODWARD: So, thank you. So Mojgan, how has tech changed just in your career? I mean you've been a techie forever, right? You went to school for that. You trained in that, got your MBA from Harvard. So you've been in the business environment.
So what trends in tech do we expect going forward? Or what are you seeing now, and what is going forward?
MOJGAN LEFEBVRE: Look, I think there's some things that are constant, and then some things that are new, as Dan is saying. So let me think about that from two angles. One is when I think of technology talent, one thing that I've always believed in, and I think has always been true, is that the best technologists are the ones who understand what business problem they're solving, who really understand their end user, their customer, whether it's the employee population, or the customer, or agent broker population in our case.
And so once you understand that, then you can truly leverage the right technology to solve that problem. That's always been the case. I think that's even more true now with tools like AI, generative AI, and more.
The other trend, though, that we've been seeing is what we call full stack, or I tend to talk about it from it's a T-shaped skill set, meaning you've got expertise in one or two areas deep, but then your ability to navigate across the software development life cycle or whatever value stream or value chain you're thinking, the ability to have breadth across all of that is pretty critical, as well, so that you can change roles and that you're not siloed. So having that T-shaped skill, having the full stack of skills that you need, I think is becoming more and more important, and that can navigate from business to technology and vice versa.
Then the second thing I'd say is, with the advent of generative AI and technologies that are really now allowing people who've never coded in their lives now do vibe coding. Like vibe coding, the term was coined several weeks ago, and now there are thousands and thousands.
JOAN WOODWARD: Say it slower. What did you just say?
MOJGAN LEFEBVRE: Vibe, vibe, V-I-B-E coding. So it's like--
JOAN WOODWARD: Vibe coding.
MOJGAN LEFEBVRE: You never coded. And now there's this vibe coding happening, or vibe marketing. Or people who weren't doing something, and now with the help of a tool, have the ability to do that. And so business folks, or non-technologists are becoming technologists in a way. So again, the domains are blending, but I do believe that enterprises still have the responsibility to make sure that they are enabling all of their employees to really become technologists, to understand technology.
So a couple of years ago, with the sponsorship of Alan, we established what we call our Tech Foundations. It's a 12-module, bite-sized set of trainings-- online again-- you can do at your own time. And we encourage every single one of our 30,000 employees to take those.
And to date, we have around 7,000 plus or so who've actually taken and finished those modules that are focused on cybersecurity, data, AI and more. And so these are some of the trends that I'm seeing.
DAN HELFRICH: I love it. And by the way, Joan, I'm excited for your vibe coding era. I think it's going to be-- I think it's going to be exciting.
JOAN WOODWARD: If anybody knows me, I mean, it is bad. Right? My family's over here. They're like, mom, you can't do anything.
DAN HELFRICH: No, you can. Anybody can vibe code. But Mojgan, I think, gave some really important insight to the employee base writ large.
We have a lot of executives in this room and watching. And so I want to share what I've been pushing a bunch of my clients towards, and we've pushed ourselves internally. If you think of the world of I'm going to give you three categories of people-- tech aware, tech savvy and tech fluent.
If you sit around a management table, as all of you do, many of you sit around in many, I'd ask you to assess the percentage of your management table in each of those three buckets-- tech aware, tech savvy, tech fluent. And what I'm seeing, and we're starting to do some research on this, is management teams that are-- have a ratio of more than half of their people are only tech aware are really going to struggle. Management teams who have no one that's tech fluent at the table are really going to struggle.
Because at the end of the day, so many of the decisions you're confronting are technology-influenced decisions. And if you don't have people around the table debating with, actually, the context of technology evolving at the pace that it's evolving right now, then you're putting yourself at a big deficit relative to competitors. And so if you think about it that way, then premium on upskilling management team members, premium on upskilling board members, and assessing that is a really interesting thing for a management team to do right now.
MOJGAN LEFEBVRE: And I love that you call it tech fluent because that was actually what we wanted. We wanted to make sure that every single one of our employees was tech fluent. And then you're right. You've got to model the way as leaders and be the ones who are doing it first and foremost.
JOAN WOODWARD: I love that. Let's talk about how to build a team. And so as I'm calling you out, Mojgan, because I'm just admiring what you did at Travelers to build that team almost from scratch. I mean, we clearly had technologists before and very brilliant people, but you brought them in. I'm going to go to Dan first so you can think.
But Dan, how do you build highly functional, engaged team. That's worker well-being. We just talked about mental health in the workplace. What has been your experience? What's the most successful thing someone could do tomorrow in their business to build that team who wants to work together, highly energized, and loves their job?
DAN HELFRICH: Yeah, I'll give you two things that I have found to be extraordinarily successful. I like to talk in what I call, and we've branded, everyday equations. These are things that you tell people you want the everyday behavior of them as individuals in the organization to take on.
And the most influential everyday equation that we applied, and it builds on the panel we had before, is that your well-being as an individual is greater than Deloitte's well-being. And then live up to that. What does that actually mean?
I'm telling you as the CEO that if you find yourself in a situation where you're debating about how to spend time, where to focus, etc., and you feel like it's a choice between the health and well-being of Deloitte or the health and well-being of you as an individual, I want you to choose you. And that as a cultural norm to build a team has been extraordinarily powerful.
The second technique, and Dr. Adams referenced it in a different context is, to me, the best teams debate. And what does a good debate look like? On things relevant to the workplace, not things related to politics, it looks like people of all levels and experiences having an unmoderated discussion where there's a free exchange of ideas in a civil way.
Everyone thought I was absolutely crazy. We did a company-wide debate on what our return to office policy should be.
JOAN WOODWARD: I'll bet that was interesting.
DAN HELFRICH: Unmoderated. When I say unmoderated, I mean it's not like people submitted things, and then the executive team decided which we would publish. It was an unmoderated discussion, and we learned so much. And people learned so much from each other.
But at the end of the day, what happened more than anything is we suddenly had a team that felt like no matter where they sat in the organization, their voice actually had a chance to influence the conversation. And that's been super powerful.
JOAN WOODWARD: And where did you end up on your remote work? I didn't look this up. I should have, but where did you end up? What is your policy?
DAN HELFRICH: Well, we've-- so we did this debate four years ago. We've evolved it over time. Our policy is super flexible to match the rhythms of our clients. I mean, we're in a professional services environment.
And so given that there are no norms and standards within the industry, we've got to be malleable. But we make sure that there is rhythm of in-person interaction at our corporate university, in our offices, in a periodic enough basis. So even if you're serving a client that happens to be a remote-- a primary remote client, you're getting enough cultural engagement.
JOAN WOODWARD: Mojgan, did you want to add to that? On building teams, how did you build your team?
MOJGAN LEFEBVRE: Yeah, building teams, I mean, again, for me, you want to build the most empowered teams that really own decision-making. But certainly, you got to do it in a way that's aligned to the outcomes you want to achieve. So getting to the-- we called it autonomy with alignment. So how do you build teams that feel empowered, that feel like they've got the ability to make decisions without having to ask for permission?
And this was really a big move for us going to where people are really nice at Travelers, so they always want to make sure they're doing the right thing. And so a lot of times, maybe they felt like they needed permission from management. And so really, that move needed to happen. And so really focusing on evolving the way that we worked, and looking at our operating model, and then saying, how do we learn from the outside?
So Alan took a group of us. We went, actually, we went to Boston. We went to Amsterdam. We visited a bunch of large organizations that had transformed themselves digitally.
And what we realized was you're moving away from being these-- doing these projects where they have a beginning and an end to where you have teams set up to build products and platforms that are going to stay. So once you build the product, then you've got to continue to make it better. And that's how technology companies build software and work, and so we wanted to transform to that.
And so we came back, and we changed our operating model. Again, very hand-in-hand, technology and business together, focusing in different parts of our business. And really moved from this project-based to this product platform-based type of small cross-functional teams of engineers and business people sitting together with specific goals that they had to achieve. And so they were all driving towards the same thing.
So that was absolutely very critical to us. And then making sure that the teams knew that they had decision-making power. And except for at points in time, of course, they've got to go up and down the chain. But again, these teams of teams really became much more autonomous.
It's a journey, by the way. It's not like-- we're not saying we're fully there yet, but we have evolved quite a bit. And that's been very, very important in making sure that people own their decisions, are taking action and can drive outcomes.
DAN HELFRICH: It's interesting Mojgan said autonomy with alignment. I'm seeing some organizations talk about freedom within a framework. But I think this is the magic culturally, with this multi-generational workforce and this environment is how you actually acknowledge that what you are seeking to do is combine empowerment and standardization, which is a really nuanced needle to thread. But when she says autonomy with alignment, when I say freedom within a framework, that's what-- and the organizations and teams that navigate that mixture of empowerment with standardization and clarity and norms are going to be the winners.
And right now, we have some organizations that are probably overly fixated on the freedom or autonomy dimension, and others that are confident that if they have the framework defined and get everyone aligned, that that's the answer. I think the magic's in between.
MOJGAN LEFEBVRE: And it was really helpful, though, to really go out and visit with companies because I remember it was the CEO of Fidelity's Wealth Management who they'd done this whole agile transformation. And she said they started out with a lot of the autonomy, and it was chaos.
And so very quickly they realized, well, we've got to be aligned to-- going all in the same-- towards the same target. We may take different directions. And so that was absolutely critical.
Look, I think when it comes to-- call it whatever you want, digital transformation, transformation or anything, the technology is important, but it is absolutely not the most important thing. It's much harder to do the change management, the adoption, ensuring that people are clear on where they're going. And communication is always at the heart of all of that. So the people part, the culture part, the mindset is as important.
JOAN WOODWARD: Dan, you talk about leaders that undervalue something related to the talent workforce. Can you talk about that for a second? What is most undervalued?
DAN HELFRICH: I think what's most undervalued is contrary opinions. And again, and this gets back to my commentary about debates, but I observe so many leaders in the teams I'm close to and the clients that I serve who are really anxious about contrary opinions. They see it as a sign of weakness.
They fixate mentally on the existence of people and opinions that disagree with them and pay it too much mind. And therefore, try to bury it. So to me, the value of the respectful contrarian is undervalued right now. And the leaders who are, in my mind, confident enough to live in debate, in contrary opinion because it makes people better, that's the recipe for long-term engagement to rise.
JOAN WOODWARD: And what about letting people fail? So there's this big stigma in your head. You're a big loser if you lead a project and it's just failed miserably. How do you recover from that? How do you give people the grace to recover from that?
I mean, do you tell them to fail fast? What is the recipe for failing and then re-emerging?
DAN HELFRICH: Yeah. Well, first of all, I think there's obviously been a lot discussed and written about this. I think failure is a bit of a dramatic word. We grow up, at least in this country, in education, failure is rare and apocalyptic. Like the receipt of an F on something, it doesn't happen at the rate that we want what you're referencing or is commonly referenced as failure in the workplace to happen.
And so to me, it's about learnings that come from things that didn't go as well as we expected and actually celebrating them. So one of the things I did that turned out to be more powerful than I thought it would be is at big meetings we had, I would talk about losses we had in the marketplace.
JOAN WOODWARD: If that gets people--
DAN HELFRICH: In a business like ours, you get in the habit of celebrating winning. And I got in the habit of getting people on stage, and on Zooms, and talking about what we lost and why. And then it becomes a culture, more of a cultural norm, that maybe this isn't failure in the way we think about failure as a society. Maybe it's actually about learning, and actually seeing really impressive people with great careers talking about losses in pretty visceral terms can be powerful.
JOAN WOODWARD: I mean, that definitely gets your attention, but it's risky for a leader like yourself to talk about the failures out loud and share it with other people.
DAN HELFRICH: I mean, that sort of gets back to my philosophy, though, is if-- I don't see it as risky, and I don't want leaders to see it as risky. Because we are surrounded-- if we're leading large organizations, we have, quote, "wins and losses" happening by the hour. And so if you create a stigma around loss that elevates it in cultural importance, then I think you're setting a tone that doesn't allow people to learn.
MOJGAN LEFEBVRE: Or innovate. I mean, how do you innovate without taking some risk? And with no risk, there is-- I mean, without taking risk, you really don't know what the outcome is. And so if you want to get to perfection, I mean, you're stagnant. So you just absolutely have to create that, what we've called our test and learn.
One of our cultural beliefs is test and learn. So meaning it's OK to try things out. Yes, it may not work out, but failing smart, learning from it, making sure everybody is learning from it. By the way, the fact that you're sharing in large settings, I think that's critical. Because you want to make sure someone else doesn't make the same mistake, and so I think that's absolutely critical to organizations that want to evolve and really innovate. You have to.
JOAN WOODWARD: OK, we're going to get to audience questions. So if you have one, please raise your hand. I can go on, and on, and on here, but we have to be out of the room in exactly 15 minutes. So I want to give you an opportunity. We have some incredible leaders up here. Any questions for them? From anyone, how to lead teams?
How do you retain people? So this happens a lot, right? You get really talented people. You train them, you think they're highly engaged, and then they just went to a competitor for some reason. You're just throwing up your hands saying, how did this happen? What did I miss?
So how do you think about those employees that may be halfway out the door? How do you identify them? What do you say to them when you think they might be thinking of departing? I mean, technology is-- it's a tough business. People leave all the time.
MOJGAN LEFEBVRE: I mean, look, I think you've got to think of retention as a long-term strategy. And so how do you create a culture and an environment where people want to stay, and they're not leaving just because somebody else is offering them something more? I mean, Dan said it first. We can compete with other technology companies because even if they're paying them more, if we're creating an environment where they feel like they're learning, we're investing in them, that career progression is visible and accessible, that they're thriving, and they have control of where they're going, I think those are all critical things.
I think it's too late. If it comes down to where they want to leave and you've got to convince them to stay, then you've done something wrong. So I think it's really about creating that culture, making the investment up front, making sure you have an environment where they feel like they're growing and learning at all times.
DAN HELFRICH: Interestingly, and this is a little bit different given the nature of the business that I led, but I spent a lot of time actually trying to get people to celebrate people leaving.
JOAN WOODWARD: Tell me about that. Because when someone leaves me, it does not feel good.
DAN HELFRICH: So, I'll tell you a story. Ten years ago-- about 10 years ago-- two younger technologists, innovative people, really high performers, people I was close to, mentees of mine, told me they were leaving. Told the firm they were leaving. And I got-- they wanted to do something entrepreneurial, and I got a lot of really senior people in the firm saying like, Dan, how could you let this happen? Dan, what counteroffer do we need to make to get these two people not to leave?
And I said, well, hold on a second. We've given them a great platform to start their career. They have some ideas they want to see in action. And my view is we should celebrate them and hope that they're wildly successful.
Fast forward 10 years. I just hosted our whole team in Vegas at a meeting we have every two years in front of thousands and thousands of our partners, and these two guys were on stage, Russ and Achal. And they've started one of the fastest growing, most innovative health care companies in the U.S. called Cabinet Health.
And they told the story to all of Deloitte's leaders about what it meant to start their career at Deloitte, and what it meant to have their lack of retention celebrated and supported. And it's interesting. Your CFO, Dan, is a Deloitte alum. And I'm sure there was a-- there was some partner who, when Dan decided to leave-- it was more than a few years ago. But when Dan decided to leave, got a demerit for a high-performing, high-potential person leaving.
To me, I view it the opposite. We've seeded the world with great leaders who are going to go do awesome things, hopefully not at a competitor.
JOAN WOODWARD: You do have competitors. I mean, the consultants--
DAN HELFRICH: I do.
JOAN WOODWARD: So building the culture, building the team, allowing people to fail, talking about what success looks like-- I mean, to see success in your business, you have to have the metrics-- the data, and analytics, and the numbers, and the P&L, all in that. But I want to talk about technology to you, Mojgan, and building a career in technology over time when things change so rapidly.
And so I started my career without any computers. I know a lot of you in this room who might have gray hair or no hair, we didn't have computers, honestly. I know I'm old.
But the point is, someone like me who still wants to be productive, but I don't have the skills. I don't even know where to start in technology world because you want everyone to be technologists. I'm not a technologist. So how would you convert someone like me, or older cohorts, to care about being a technologist?
MOJGAN LEFEBVRE: Look, I think you're more of a technologist than you probably think, by the way. And by the way, when I came to the U.S. at the age of 19 to go to college, I had not seen a computer in my life either. I thought I was going to be a doctor my whole life.
Came to the U.S., had to support myself. I realized very quickly that was-- I couldn't. So what was the next best thing to do? Go into computer science.
But in any case, so I'd say start with the 12-module Tech Foundations that we've set. That's one. And the other thing is I don't know if any of you, if you haven't downloaded ChatGPT, by the way, onto your phone, I would highly recommend. It's an app. You just download it, and it's probably got the best voice recognition, natural language processing capability.
We all know that Siri is terrible. Apple's technology when it comes to AI is not that great at least. But if you talk to ChatGPT, you can actually capture your voice. And its translation is just incredible. Like I'm just amazed. And so you've got the ability to ask it anything.
And so Joan, whether it's recipes, or I sometimes actually ask it to match colors of clothing for me. Or if it's actually deep technical questions, or health care questions, or anything. And you can upload information to it. It's incredible.
So, you're much more of a technologist than you think. And so you can probably even ask it-- tell it what you want a program to do, and it'll tell you what the code is. And so you're a vibe coder as we speak. Download the tools and start using them.
JOAN WOODWARD: OK, we have a question that came in from someone who registered. Nicholas Zucco, Commercial Accounts Manager at Fairway Risk Solutions, wants to know, how could businesses embrace AI without stripping purpose and fulfillment from the human workforce? So again, how do you-- go ahead.
MOJGAN LEFEBVRE: No, look, I mean, that's a great question. It's like, how do you think of AI? Is AI going to replace us all? And again, I think leveraged the right way with a responsible approach to it, AI can absolutely enhance human capabilities.
I think of it as every one of us have now the best executive assistant that we could ever wish for at our fingertips. You just have to take the time, by the way, to interact with it, talk to it, ask questions, give it as much context as you would to a coworker, and have that feedback loop with it. And so if you do it, again, done the right way, making sure that you're keeping the human in the loop as you're building solutions, leveraging AI, I don't think it necessarily needs to strip the human element away.
Now, is it going to be leveraged by bad actors for bad things? Absolutely. But again, I'm sure that between both enterprises, and thinking about it responsibly, and then the regulators, I think that it can absolutely be leveraged the right way. And I think it can help science reach parts of the world where we just did not have the resources to make happen.
And we heard-- Rich talked about the fact that we don't have enough people to provide mental health education for everyone. And so you've got to leverage technology. I think of AI the same way. I think it can do things for us that we could never imagine in the world.
DAN HELFRICH: And corporations need to put their money where their mouth is. We're here on the 15th anniversary of the Travelers Institute. The Travelers Institute is a great example of a leading corporation choosing to invest in research and on topics that are on major societal issues. Well, we started six years ago, long before ChatGPT, an institute for ethical AI because we saw coming this set of topics.
So, we need the leading corporations in the space to prove that the headlines around things like ethical AI are backed up by true research and thought leadership in a way that will shape the course of the industry, and ultimately, shape the public policy that's going to come in the AI space that right now, people are very tentatively embarking on.
JOAN WOODWARD: Regulatory bodies, I mean, you heard I spent more than a decade on Capitol Hill. They're very slow to regulate technology. And that's, one, because I think a lot of them, again, are older and don't understand it. They don't even know where to start, I'm going to say, half the time.
So how do you think about regulatory regimes around privacy or other-- and is anything Congress going to do this year going to even be relevant in two years? So things are moving so quickly. I don't know how you think about that.
MOJGAN LEFEBVRE: Look, we're working very closely. Our teams are working very closely with the regulators, and actually the responsible AI framework that Travelers was the first insurance company to put that in place. And it's published on our website, and we're working. A lot of the standards that we put in place has actually become what the insurance regulators have actually considered across the board.
So I think it's a lot of collaboration. But again, at the end of the day, I think enterprises, as Dan is saying, it's incumbent upon themselves to make sure that they are thinking about it and doing it, leveraging technology the right way. And by the way, leveraging technology is not just AI. It's other technologies, as well, that you've got to think about.
DAN HELFRICH: Well, and Joan, I live in D.C. and spend a lot of time on the Hill and with folks there. I'm trying to encourage a different twist on the advice I gave management teams around tech aware, tech savvy, etc. I'm asking congressional offices and committees, tell me about the hiring screening you're doing right now for everybody, including your interns, and your entry level hires.
You know from your time on the Hill, you would not have had a technology sophistication screen to who you're interviewing and who you're forming your offices with. Well, if you change that, and then you get constituent mail that's related to technology things, then maybe you're having a more sophisticated conversation. And maybe as the technology evolves at the rate it is, you're more likely as a legislator to have the agility to pivot.
So I think that's a place, and to your point, public service, and related, we need more technology fluent people in the conversations not just at the elected representative level.
JOAN WOODWARD: So, our time has flown by. Anybody have one last quick question we have to get out of the way? No burning-- nothing? This is all crystal clear? You're going to implement all these things tomorrow in your business.
Listen, a couple of things before I address my current panel. I want to thank you all for your engagement not just today, but over the last 15. And we really do mean that.
Please give me feedback on this today, or anything we do at the Institute. We love feedback. Tell our CEO what you like, what you didn't like.
I love constructive feedback. Sometimes I don't listen to it, but I do like getting it to keep us grounded. So with that, I want to thank my terrific panel and you all for coming and for staying. Thank you.
MOJGAN LEFEBVRE: Thank you.
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Text: Travelers Institute (registered trademark). Travelers. To learn more visit travelers institute.org. Used with permission of N.Y.S.E. Group Inc., Copyright 2025.
- Success in recruiting requires being in the right place and positioning your organization the right way, said Mojgan Lefebvre, Executive Vice President and Chief Technology & Operations Officer at Travelers. She noted that Travelers recently opened a growing tech hub in Atlanta near Georgia Tech, which produces a steady stream of tech talent.
- Companies can compete by offering tangible learning pathways, like certifications and growth plans, said Dan Helfrich, Principal and former Chair and Chief Executive Officer of Deloitte Consulting LLP. Brand is not the differentiator, and early-career tech talent views learning as the currency that will help them propel their careers forward, he explained.
- Companies that give their employees the chance to be involved in exciting projects and apply new skills in AI and other growing areas can lead their industries in recruiting and retention, Helfrich said.
- Organizations have the responsibility to enable all employees to understand technology and how to leverage new tools in their roles, Lefebvre said. For example, Travelers launched Tech Foundations – a series of bite-sized trainings covering topics like cybersecurity, data and AI – and more than 7,000 employees have completed the program.
- Successful retention depends on fostering a culture where employees feel continuously supported – where learning is ongoing, investment is clear and career progression is both visible and accessible, Lefebvre said.
- Building a highly energized team that wants to work together goes back to prioritizing well-being. One everyday equation a company can apply is to let employees know their health and well-being is more important than the company’s, Helfrich said. That, as a cultural norm to build a team, can be extraordinarily powerful, he stressed.
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Keynote speaker
Jerome M. Adams, M.D., M.P.H., FASA
20th U.S. Surgeon General; Executive Director, Health Equity Initiatives and the Center for Community Health Enhancement and Learning, Purdue University
Session 1 speakers
Jerome M. Adams, M.D., M.P.H., FASA
20th U.S. Surgeon General; Executive Director, Health Equity Initiatives and the Center for Community Health Enhancement and Learning, Purdue University
Ramona Tanabe
President and CEO, Workers Compensation Research Institute
Rich Ives
Senior Vice President, Business Insurance Claim, Travelers
Session 2 speakers
Dan Helfrich
Principal and former Chair and Chief Executive Officer, Deloitte Consulting LLP
Mojgan Lefebvre
Executive Vice President and Chief Technology & Operations Officer, Travelers
Host
Joan Woodward
President, Travelers Institute; Executive Vice President, Public Policy, Travelers

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