Insurance Journal

OCTOBER 6, 2024

The impact and surge of long-term COVID on the California workers’ compensation system since 2020 has been prevalent, including long-term impacts on disability and long-term patterns of medical cost and treatment on long COVID claims. That’s from a report by …

Workers Comp 278

Workers Comp Claim Compensation Workers Compensation Insurance 278

AMAXX

FEBRUARY 18, 2025

When it comes to managing workers’ compensation, understanding classification rules is fundamental. The higher the risk, the higher the workers compensation premium for that classification. Be Proactive About Audits : Workers compensation audits are a routine part of ensuring that businesses are accurately classified.

Workers Compensation 103

Workers Compensation Compensation Workers Comp Premium 103

Insurance Journal

AUGUST 18, 2024

million workers’ compensation claims reveals the costliest claims are driven by the most common workplace accidents, according to Travelers 2024 Injury Impact Report. Analysis of 1.2 The data also shows first-year employees are still among those most vulnerable to injury.

Claim 275

Claim Injury Compensation 275

Insurance Journal

FEBRUARY 20, 2025

When the garbage truck stopped, the worker stepped down from the metal step on the back of the truck to run and retrieve a trash can. When his feet hit the ground, he heard a pop in his leg, felt …

Workers Compensation 259

Workers Compensation Compensation Claim Liability 259

Insurance Journal

DECEMBER 4, 2024

Claim frequency in California workers’ compensation remains significantly higher in the Los Angeles Basin than in the northern part of the state, a new study shows. The Workers’ Compensation Insurance Rating Bureau of California released its WCIRB Geo Study 2024, …

Workers Comp 245

Workers Comp Claim Compensation Workers Compensation Insurance 245

Insurance Journal

JULY 30, 2024

Injured Minnesota employees who seek services from the Department of Labor and Industry’s Vocational Rehabilitation unit (VRU) while their disputed workers’ compensation claim goes through the litigation process will soon face new eligibility rules. Effective Aug. 1, 2024, if the …

Claim 264

Claim Compensation Workers Compensation 264

Insurance Journal

MARCH 3, 2025

Adding a dependent to an open workers’ compensation death benefits claim does not constitute a separate claim, the New Hampshire Supreme Court ruled last week. Furthermore, the court concluded, there is no statutory time limit for the dependent of a …

Workers Comp 256

Workers Comp Claim Compensation Workers Compensation 256

Insurance Journal

DECEMBER 12, 2024

Mega claims in workers’ compensation represent far less than 1% of total workers’ comp claims yet account for more than 2% of total loss dollars, and total in excess of $1 billion each year, a new study from 10 state …

Workers Comp 237

Workers Comp Claim Compensation Workers Compensation 237

Insurance Journal

NOVEMBER 21, 2024

The trend of decreasing rates in Connecticut workers’ compensation insurance will continue as the state’s insurance regulator has approved an industry proposed 6% rate decrease beginning January 1, 2025. The now-approved rate filing submitted by the industry’s National Council on …

Workers Compensation 246

Workers Compensation Compensation Insurer Insurance 246

Insurance Journal

NOVEMBER 18, 2024

A construction industry captive insurer along with three construction contractors have filed a lawsuit alleging a massive New York fraud scheme involving staged workplace accidents and bogus workers’ compensation and personal injury lawsuits backed by complicit lawyers and medical providers.

Injury 299

Injury Compensation Claim Insurer 299

AMAXX

FEBRUARY 24, 2025

However, there are times when the NCM doesn’t serve a specific purpose and is assigned to the claim to get it moving. Ask your third-party administrator or adjuster to work with you to determine when nurses are needed to resolve claims quickly and ensure good-quality medical care for employees.

Workers Compensation 66

Workers Compensation Workers Comp Compensation Claim 66

AMAXX

JANUARY 20, 2025

In the intricate landscape of workers’ compensation, the pursuit of optimal outcomes for injured workers is paramount. In the context of workers’ compensation, EBM seeks to streamline care pathways and promote recovery by basing treatment plans on standardized guidelines and peer-reviewed evidence.

Workers Compensation 98

Workers Compensation Compensation Workers Comp Injury 98

Insurance Journal

OCTOBER 17, 2024

A worker injured when he fell from a ladder is entitled to workers’ compensation benefits despite the fact he was intoxicated at the time of the accident. An appellate court in New York has upheld a decision of the Workers’ …

Claim 264

Claim Compensation Workers Compensation 264

Insurance Journal

JULY 17, 2024

Workers’ compensation claim rates and benefits paid in Minnesota continue to be stable or follow their long-term downward trajectories, a new Department of Labor and Industry (DLI) report shows. The 2024 Minnesota Workers’ Compensation System Report presents trend data regarding …

Workers Comp 263

Workers Comp Compensation Claim Workers Compensation 263

Insurance Journal

JULY 23, 2024

But perhaps the Orlando-founded firm has grown too big, too quickly, suggests a proposed class-action lawsuit that claims the firm has botched hundreds of … Morgan & Morgan calls itself the nation’s largest injury law firm, with offices in most states.

Injury 279

Injury Claim Workers Compensation Insurance Claim 279

AMAXX

FEBRUARY 24, 2025

Evidence-Based Medicine (EBM) plays a critical role in workers compensation, guiding both medical professionals and non-medical stakeholders in making informed decisions about injury treatment, recovery time, and return-to-work strategies. States mandate different sets of guidelines, which stakeholders must adhere to when managing claims.

Workers Compensation 66

Workers Compensation Compensation Workers Comp Injury 66

LexisNexis

FEBRUARY 28, 2025

Rassp, Presiding Judge, Los Angeles WCAB Disclaimer: The material and any opinions contained in this article are solely those of the authors and are not the opinions of the Department of Industrial Relations, Division of Workers Compensation, or the WCAB, or any other entity or individual. Below you will find 10 of them as a sneak preview.

Workers Compensation 73

Workers Compensation Compensation Claim Injury 73

Insurance Journal

AUGUST 12, 2024

Claims that a workers’ compensation insurer’s conduct after it canceled a policy were negligent are for a court, not the state’s workers’ compensation board, to decide, the Connecticut Appellate Court has ruled. Liberty Mutual Insurance Co. had succeeded before both …

Policy 264

Policy Compensation Claim Workers Compensation 264

Insurance Journal

AUGUST 22, 2024

The West Virginia insurance commissioner’s office has adopted a new policy: It will soon begin destroying workers’ compensation claim files that are 10 years old or older. “Given increasing cybersecurity concerns and the type of information contained in the closed …

Workers Comp 279

Workers Comp Cyber Compensation Risk 279

Insurance Journal

MARCH 6, 2025

A Providence Forge, Virginia man has been sentenced to nine years in prison for embezzling funds from his former employer, the Virginia Birth-Related Neurological Injury Compensation Program. According to court documents, John Hunter Raines was the chief financial officer and …

Injury 165

Injury Compensation Claim Insured 165

Insurance Journal

JANUARY 15, 2025

A recent decision and concurring opinion by a Florida appeals court may have upset years of practice and could raise costs for workers’ compensation insurers. Some claims that carriers were once ready to close out of due to the statute …

Workers Comp 264

Workers Comp Compensation Claim Workers Compensation 264

Insurance Journal

SEPTEMBER 19, 2024

A Washington man who claimed he was too injured to work while operating a metal fabrication shop faces a felony charge in an alleged $340,000 workers’ compensation scam. Travis Lee Johnson, 52, of Spokane Valley, pleaded not guilty recently to …

Workers Comp 264

Workers Comp Compensation Claim Workers Compensation 264

Insurance Journal

JULY 17, 2024

Georgia employers and their workers’ compensation insurers can rest a little easier after an appeals court this week narrowed the circumstances in which a state guaranty association can seek reimbursement on claims paid after staffing firms’ insurance carriers become insolvent.

Insurance Carrier 263

Insurance Carrier Compensation Claim Workers Compensation 263

Insurance Journal

OCTOBER 24, 2024

The owner of a Fresno, California-based for-profit vocational school was charged with engaging in fraudulent billing practices related to workers’ compensation. The fraudulent insurance claims could reach … Paul Steve Ramirez, 59, was charged with 11 felony counts, including insurance fraud.

Workers Comp 264

Workers Comp Compensation Insurance Claim Claim 264

Insurance Journal

MARCH 3, 2025

Defending workers’ compensation claims from employees who have not disclosed previous injuries may have just become a little more complicated for employers and insurance carriers in Georgia. The Georgia Court of Appeals last week found that a long-standing defense against …

Injury 165

Injury Claim Insurance Carrier Compensation 165

AMAXX

MARCH 10, 2025

Mass layoffs or company closures can trigger a significant increase in workers’ compensation claimssome legitimate, others potentially unsubstantiated. Enhance Claims Handling Capacity Prepare for an uptick in claims by adding staff who can handle the additional workload effectively.

Workers Comp 59

Workers Comp Claim Workers Compensation Injury 59

AMAXX

NOVEMBER 5, 2024

Successfully settling workers’ compensation (WC) claims can significantly reduce costs and streamline processes for employers and insurers. By adhering to a proven four-step process, organizations can consistently achieve better claim outcomes. One key trigger is the injured worker reaching medical stability.

Workers Compensation 105

Workers Compensation Compensation Claim Workers Comp 105

Insurance Journal

JANUARY 9, 2025

If insurance carriers want to have dibs on a company’s assets as premium security or collateral, they had better specify that those assets include potential tort-claim settlements, a federal appeals court said Wednesday. In a case that involved a Florida …

Claim 246

Claim Insurance Carrier Premium Workers Compensation 246

AMAXX

MARCH 10, 2025

In the first part of our series, we emphasized the importance of thoughtful layoff planning to mitigate the risk of increased workers’ compensation claims following a workforce reduction or facility closure. This reduces the potential for prolonged indemnity claims continuing after layoffs.

Workers Comp 59

Workers Comp Claim Workers Compensation Injury 59

Insurance Journal

FEBRUARY 6, 2025

A manufacturer and its workers compensation insurer thought an injured 60-year old service technician employee did not work hard enough to find a suitable replacement job as required to qualify for wage loss benefits. Among other things, he did not …

Workers Compensation 200

Workers Compensation Workers Compensation Insurance Compensation Claim 200

Insurance Journal

JULY 16, 2024

A Spokane, Washington woman who ran an adult family home while claiming she was too injured to work faces a felony charge in a $60,000 workers’ compensation fraud case. Serah Kamau, 52, reportedly operated her business, Brookhouse Adult Family Home, …

Workers Comp 245

Workers Comp Compensation Claim Workers Compensation 245

AMAXX

FEBRUARY 17, 2025

When a worker is injured, their experience in the workers’ compensation system can have a profound impact on their recovery, return to work, and overall job satisfaction. However, implementing strong communication strategies can significantly improve claim outcomes and reduce unnecessary legal battles.

Workers Comp 66

Workers Comp Claim Workers Compensation Injury 66

AMAXX

MARCH 24, 2025

In this three-part series, we are examining nine elements of independent premium audits to help you better understand and control your workers’ compensation premiums. Understanding these areas will further empower you to identify premium savings opportunities and maintain precise control over your workers’ compensation costs.

Workers Comp 104

Workers Comp Premium Workers Compensation Compensation 104

AMAXX

JANUARY 21, 2025

In the complex world of workers’ compensation, achieving optimal outcomes for injured workers requires a blend of precision, consistency, and empathy. By setting clear expectations, these guidelines help manage claims efficiently, promote recovery, and ensure equitable treatment for injured workers.

Workers Comp 98

Workers Comp Injury Workers Compensation Compensation 98

AMAXX

JULY 15, 2024

One of the most critical aspects of managing workers’ compensation claims is ensuring that injured employees receive prompt medical treatment. Understanding the importance of quickly reporting claims and reducing lag time is key to preventing such scenarios. This can have dire consequences for the injured employee.

Workers Compensation 83

Workers Compensation Compensation Claim Workers Comp 83

Insurance Journal

OCTOBER 8, 2024

California workers’ compensation written premium in 2023 was slightly above 2022, while written premium for the first six months of 2024 is 2% lower than the first six months of 2023, a new report shows. The Workers’ Compensation Insurance Rating …

Premium 277

Premium Workers Comp Compensation Workers Compensation Insurance 277

AMAXX

MARCH 18, 2025

These errors can have significant consequences, including prolonged recovery times, increased claims costs, and a greater likelihood of litigation. She was given a list of four medical providers but found that: Two providers did not accept workers compensation patients. The only available provider was 70 miles away.

Workers Comp 94

Workers Comp Workers Compensation Injury Compensation 94