AMAXX

OCTOBER 1, 2024

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.

Workers Comp 74

Workers Comp Claim Workers Compensation Compensation 74

Insurance Journal

OCTOBER 15, 2024

in the year ending March 31, resulting in an increase in California workers’ compensation temporary total disability and permanent total disability rates for 2025 work injury claims and other workers’ comp benefits … California’s State Average Weekly Wage rose nearly 3.8%

Workers Comp 147

Workers Comp Injury Compensation Claim 147

Insurance Journal

OCTOBER 2, 2024

The road construction firm that employed six workers who were killed and another who was seriously injured in the collapse of Baltimore’s Key Bridge, along with its workers’ compensation carrier, have filed claims against the owner and operator of the …

Workers Comp 203

Workers Comp Compensation Claim Insurance 203

AMAXX

OCTOBER 15, 2024

One of the most significant challenges for employers today is managing the rising costs of workers’ compensation claims. The price tag associated with these claims can severely impact a company’s bottom line if not controlled effectively.

Workers Compensation 86

Workers Compensation Compensation Workers Comp Injury 86

Insurance Journal

AUGUST 21, 2024

A 56-year-old former Washington State meter reader who claimed she was so traumatized from a workplace dog attack that she fainted at the sight of dogs has pleaded guilty in a workers’ compensation fraud case. According to a Washington State …

Workers Comp 260

Workers Comp Compensation Claim Workers Compensation 260

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, …

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Workers Comp Compensation Claim Workers Compensation 245

Insurance Journal

JULY 29, 2024

The California workers’ compensation system has been relatively stable in the post-pandemic era, as premium levels rose by 1% in 2023 and are forecast to increase modestly in 2024—while decreases in average insurer charged rates are moderating, a new report …

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Workers Comp Compensation Premium Workers Compensation 263

Insurance Journal

AUGUST 12, 2024

The South Carolina Court of Appeals has signaled that employers who offer on-site health clinics may not be immune from tort claims from injured or sickened workers. It’s the latest twist to a question that has bounced around courts and …

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Workers Comp Protection Claim Workers Compensation 264

AMAXX

SEPTEMBER 10, 2024

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.

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Workers Comp Workers Compensation Compensation Injury 83

Insurance Journal

AUGUST 29, 2024

Los Angeles area vocational school owner, Guillermo Frias, 65, of Paramount, and the school’s accounting manager, Yesid Colon, 54, of Baldwin Park, were arraigned following a California Department of Insurance investigation into allegations they submitted fraudulent claims to receive money …

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Workers Comp Claim Insured Insurance 246

AMAXX

SEPTEMBER 9, 2024

Medical cost containment is an essential aspect of managing workers’ compensation claims effectively. Various medical cost containment strategies play a pivotal role in managing these claims efficiently. UR begins with nurses who use established medical guidelines to approve or deny treatment.

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Workers Comp Injury Compensation Workers Compensation 74

AMAXX

AUGUST 21, 2024

In the complex world of workers’ compensation, setting accurate reserves is a critical task for adjusters. Reserves are the funds set aside by an insurer to cover the future costs of a claim, including medical expenses, lost wages, and other associated costs. Is the Cost for the Claim for Life?

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Workers Compensation Compensation Workers Comp Injury 92

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.

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Workers Compensation Compensation Claim Workers Comp 52

AMAXX

SEPTEMBER 16, 2024

Click Link to Access Free PDF Download “Step-By-Step Process To Master Workers’ Comp In 90 Days” The Importance of a Consistent Post-Injury Response A well-documented and standardized post-injury response plan offers multiple benefits. This prevents delays and ensures that the process moves forward efficiently.

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Injury Workers Compensation Compensation Workers Comp 85

LexisNexis

OCTOBER 15, 2024

percent in the year ending March 31, 2024, which will result in an increase in California workers’ compensation temporary total disability (TTD) and permanent total disability (PTD) rates for 2025 work injury claims and other workers’ compensation benefits that are tied to SAWW increases. to $1,680.29

Workers Comp 70

Workers Comp Workers Compensation Injury Compensation 70

AMAXX

OCTOBER 8, 2024

In the world of workers’ compensation, one of the most powerful strategies for managing costs while helping injured employees return to work is the implementation of a transitional duty (TD) program. Stack is the creator of Injury Management Results (IMR) software and founder of Amaxx Workers’ Comp Training Center.

Workers Compensation 78

Workers Compensation Compensation Workers Comp Injury 78

Triple-I: Workers Compensation

JUNE 10, 2024

William Nibbelin, Senior Research Actuary, Triple-I The recent National Council on Compensation Insurance (NCCI) Annual Insights Symposium (AIS) in Orlando, Fla., provided important context and clarity around the state of the workers compensation line of business. most profitable) in the past five years. percent and below the 3.5

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Workers Comp Workers Compensation Compensation Claim 40

LexisNexis

OCTOBER 8, 2024

Oakland, CA – Migraine Drugs represented less than 1% of all prescriptions dispensed to California injured workers in 2023 but they consumed 4.7% of California workers’ compensation prescriptions filled in 2023, that was up from 0.2% of the California workers’ comp Migraine Drug spend and by 2021 it represented 8.8%

Workers Comp 40

Workers Comp Workers Compensation Compensation Injury 40

AMAXX

JULY 30, 2024

Michael Stack, CEO of Amaxx LLC, is an expert in workers’ compensation cost containment systems and provides education, training, and consulting to help employers reduce their workers’ compensation costs by 20% to 50%.

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Workers Comp Risk Workers Compensation Injury 52

AMAXX

AUGUST 7, 2024

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. Misclassification can lead to costly errors, either by overpaying premiums or by facing penalties for underreporting risk.

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Workers Compensation Compensation Workers Comp Premium 74

AMAXX

JULY 29, 2024

In the realm of workers’ compensation, the role of an injury coordinator is pivotal. Based on the comprehensive guide from the Workers’ Compensation Manual, this blog will explore the responsibilities, best practices, and significance of an injury coordinator in an organization.

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Workers Compensation Injury Compensation Workers Comp 52

Triple-I: Workers Compensation

AUGUST 15, 2023

By Loretta Worters, Vice President, Media Relations, Triple-I When Victoria Aumiller , AIC, WCP, claims specialist, Chesapeake Employers Insurance came to the organization 14 years ago, she didn’t realize how meaningful her job would be. It’s a day of celebration, not only for workers comp.

Workers Comp 40

Workers Comp Workers Compensation Compensation Injury 40

AMAXX

JULY 1, 2024

Issues concerning permanent total disability (PTD) benefits are a significant cost driver in workers’ compensation claims. When facing these claims, members of the claim management team and other interested stakeholders need to identify the issues early on, evaluate and develop defenses, and avoid costly mistakes.

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Workers Compensation Compensation Workers Comp Injury 52

Triple-I: Workers Compensation

JULY 27, 2023

Workers compensation insurance provides for the cost of medical care, rehabilitation, and wage replacement for injured workers and death benefits for the dependents of persons killed in work-related accidents. Combined ratio represents the difference between claims and expenses paid and premiums collected by insurers.

Workers Comp 40

Workers Comp Workers Compensation Workers Compensation Insurance Compensation 40

Risk Management Monitor

DECEMBER 20, 2022

Claimant fraud and premium fraud are two of the most well-known types of workers compensation fraud. In these cases, a worker may intentionally fake an injury (claimant fraud) or a business owner may misrepresent their employee headcount or incorrectly classify employees to obtain lower insurance premiums.

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Workers Comp Workers Compensation Compensation Claim 40

AMAXX

AUGUST 12, 2024

In workers’ compensation, communication with injured workers is a critical aspect that can significantly influence the outcome of a claim. Proper communication helps facilitate a smooth return-to-work process and plays a crucial role in maintaining the injured worker’s morale and engagement with the organization.

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Workers Comp Workers Compensation Injury Compensation 88

New Jersey Workers' Comp

JULY 19, 2024

Intentional harm lawsuits can be harrowing for employers to defend because the allegations are generally not covered under the workers’ compensation policy. As the readers know, there are two parts to a workers’ compensation policy. She filed both workers’ compensation claims for these injuries.

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Injury Claim Compensation Liability 52

Triple-I: Workers Compensation

SEPTEMBER 23, 2022

Max Dorfman, Research Writer, Triple-I The workers compensation field is “responding and adapting remarkably well to economic changes,” according to Donna Glenn , chief actuary, National Council on Compensation Insurance (NCCI). Strong employment and wages are on the rise, fueling the workers comp system,” Glenn said.

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Workers Comp Workers Compensation Compensation Claim 52

AMAXX

OCTOBER 9, 2024

Paradigm is back as a Gold Sponsor for the 2024 National Workers’ Compensation and Disability Conference , October 15-17, in Las Vegas. Mark your calendars and make plans to attend these engaging panels showcasing Paradigm’s commitment to life-changing outcomes for injured workers and families.

Workers Compensation 84

Workers Compensation Workers Comp Compensation Injury 84

New Jersey Workers' Comp

AUGUST 22, 2024

The New Jersey Division of Workers’ Compensation has historically assessed against employers the obligation to pay 60% of the fee of the injured worker. Injured workers pay 40% of the fee of their own attorney in New Jersey. This new counsel fee legislation affects both parties and petitioners’ attorneys.

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Workers Compensation Compensation Claim 52

AMAXX

JULY 23, 2024

Effective Return-to-Work programs can significantly reduce the costs associated with workers’ compensation claims. Studies have shown that a small percentage of workers’ compensation claims account for a large portion of the costs. times the direct costs. However, this probability dropped to 55.4%

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Workers Comp Injury Workers Compensation Compensation 52

AMAXX

JULY 9, 2024

Defending Permanent and Total Disability (PTD) cases presents many challenges for the claim management team and other interested stakeholders. These matters must be considered when seeking to maximize the efficiency of any workers’ compensation program and reduce costs. There are many defenses to these claims to consider.

Workers Compensation 52

Workers Compensation Workers Comp Injury Compensation 52

AMAXX

AUGUST 26, 2024

Oh, by the way, if you file that claim, you know that promotion you were thinking about? The lack of support and the implied threat regarding the promotion could lead the employee to seek legal counsel to protect their rights and secure compensation for their injury. I’m going to have to fill out all these forms—what a pain.

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Injury Workers Comp Workers Compensation Compensation 91

AMAXX

JULY 8, 2024

Even if it is not an explicit requirement, it should be a starting point for interested stakeholders seeking to defend PTD claims. When looking at job search issues, there are several factors to consider when handling the claim and crafting your defenses. Taxable earnings. Sheltered workshop employment.

Workers Comp 52

Workers Comp Workers Compensation Injury Compensation 52

New Jersey Workers' Comp

JUNE 20, 2024

The employer argued that Lopez could not sue and that his only remedy was in the New Jersey Division of Workers’ Compensation. 449 (2012) for the proposition that a violation of a safety code is just one factor in proving an intentional harm claim. Oakland Bd. of Educ. , The court relied on Van Dunk v. 21cv17366, 2024 U.S.

Workers Compensation 52

Workers Compensation Compensation Injury Claim 52

AMAXX

SEPTEMBER 3, 2024

Return to Work (RTW) programs are essential components of an effective workers’ compensation system. Michael Stack, CEO of Amaxx LLC, is an expert in workers’ compensation cost containment systems and provides education, training, and consulting to help employers reduce their workers’ compensation costs by 20% to 50%.

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Workers Comp Injury Workers Compensation Compensation 81

New Jersey Workers' Comp

MAY 6, 2024

I had the pleasure of Speaking on Law Day in Plainfield Workers’ Compensation Court on May 1, 2024 and wanted to share with readers part of the discussion in our session, namely the discussion of the New Jersey authorized vehicle rule contained in N.J.S.A. The Judge of Compensation dismissed the case.

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Workers Compensation Compensation Injury Theft 40