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Workers’ Comp Claims Audit: Initial Action Plan Checklist

AMAXX

Claims audits and reviews are one of the most commonly used tactics by companies to control workers’ compensation costs. In fact, according to the RIMS 2009 Annual Benchmark Survey, 90% of companies had conducted a claim audit or review of at least some of their claims within the previous six months.

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Best Practices to Prepare for a Workers’ Comp Claim Audit or Review

AMAXX

When managing workers’ compensation, a claim audit or review is a crucial opportunity for employers, carriers, TPAs (Third-Party Administrators), and brokers to come together and optimize claim-handling practices. Here’s how to effectively plan and prepare for a successful claim audit or review.

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Avoid Litigation and Improve Workers’ Comp Claim Outcomes

AMAXX

A lack of clear communication often leads to confusion, frustration, and even litigation , increasing costs for both the employer and the injured worker. However, implementing strong communication strategies can significantly improve claim outcomes and reduce unnecessary legal battles. How do I get paid?”

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Get Started Building Your NEW Workers’ Comp Program in 2025

AMAXX

When embarking on the journey to master workers compensation, the road is well-traveled and marked by proven strategies. Our three components to achieve workers comp mastery are: Framework , Employer Controls , and External Controls. ” “I asked for surveillance on that claim, and they refused.”

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Reforming Your Workers’ Comp Program: Avoiding Common Pitfalls and Taking Action

AMAXX

Employers must recognize that effective workers comp management requires proactive employer involvement and robust internal processes to support external partners, emphasizing teamwork in workers’ compensation programs. Legacy claims that linger unresolved. What is the status of open or legacy claims?

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The Case for Injury Duration Guidelines in Modern Workers’ Comp Programs

AMAXX

By setting clear expectations, these guidelines help manage claims efficiently, promote recovery, and ensure equitable treatment for injured workers. Setting Clear Expectations Injury Duration Guidelines establish realistic recovery timelines for injured workers, employers, and medical providers.

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Eleven Considerations for Selecting Your Workers’ Comp Company Doctor

AMAXX

Efficient Communication of Medical Records Communication is critical, especially when it comes to sharing medical records with insurance claims adjusters or your company. By streamlining this process, the provider helps ensure smooth claims management, reducing delays in treatment authorization or return-to-work decisions.