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

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 92

Workers Compensation Compensation Claim Workers Comp 92

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 72

Workers Comp Claim Workers Compensation Compensation 72

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 Insurer 203

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

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

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

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 …

Workers Comp 263

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 …

Workers Comp 264

Workers Comp Protection Claim Workers Compensation 264

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 82

Workers Compensation Compensation Workers Comp Injury 82

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 …

Workers Comp 246

Workers Comp Claim Insurance Insured 246

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.

Workers Comp 79

Workers Comp Workers Compensation Compensation Injury 79

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.

Workers Comp 72

Workers Comp Injury Compensation Workers Compensation 72

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 52

Workers Compensation Compensation Claim Workers Comp 52

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?

Workers Compensation 88

Workers Compensation Compensation Workers Comp Injury 88

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

Workers Comp 40

Workers Comp Workers Compensation Compensation Claim 40

AMAXX

OCTOBER 28, 2024

Every session seemed to touch on AI in some form, particularly in how it’s being used in workers’ comp and claims analysis. The way we implement AI in workers’ compensation — that’s a tactic. However, the principles of workers’ compensation will never change.

Workers Comp 83

Workers Comp Workers Compensation Compensation Injury 83

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.

Injury 82

Injury Workers Compensation Compensation Workers Comp 82

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 75

Workers Comp Workers Compensation Injury Compensation 75

AMAXX

OCTOBER 24, 2024

Click Link to Access Free PDF Download “8 ‘Think Outside the Box’ Tactics to Settle Workers’ Comp Claims” Take, for instance, an employee who tears their medial meniscus. This not only benefits the employee but also the employer by reducing workers’ compensation costs and minimizing downtime.

Workers Compensation 84

Workers Compensation Compensation Injury Workers Comp 84

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%.

Workers Comp 52

Workers Comp Risk Workers Compensation Injury 52

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 75

Workers Compensation Compensation Workers Comp Injury 75

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

SEPTEMBER 23, 2024

When it comes to calculating workers’ compensation premiums, two critical factors play a significant role: the frequency and severity of claims. Frequency: The Stronger Driver of Premiums In the world of workers’ compensation, frequency refers to how often claims are filed.

Workers Compensation 59

Workers Compensation Premium Compensation Workers Comp 59

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.

Workers Compensation 72

Workers Compensation Compensation Workers Comp Premium 72

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.

Workers Compensation 52

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.

Workers Compensation 52

Workers Compensation Compensation Workers Comp Injury 52

AMAXX

NOVEMBER 12, 2024

Portraits of Purpose” engagement activity at Paradigm’s booth, invited participants to share the driving force behind their work in the workers’ compensation industry. The emotional side of recovery is just as important as the medical, with participants keen to ensure that no injured worker feels alone.

Workers Comp 80

Workers Comp Workers Compensation Injury Compensation 80

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.

Workers Comp 40

Workers Comp Workers Compensation Compensation Claim 40

LexisNexis

SEPTEMBER 9, 2024

Robinson, co-author, Larson’s Workers’ Compensation Law Editorial Note: All section references below are to Larson’s Workers’ Compensation Law, unless otherwise indicated. Illinois Workers’ Comp. His injuries, even on the employer’s premises were, therefore, compensable. Workers’ Comp.

Workers Compensation 40

Workers Compensation Compensation Injury Workers Comp 40

LexisNexis

OCTOBER 22, 2024

By Julius Young, Richard Jacobsmeyer, Barry Bloom, Editors-in-Chief for Herlick, California Workers’ Compensation Handbook [Note: This article is excerpted from the upcoming 2025 edition of Herlick, California Workers’ Compensation Handbook. The AI revolution is starting to come to workers’ compensation.

Workers Compensation 40

Workers Compensation Compensation Claim Injury 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.

Workers Compensation 84

Workers Compensation Workers Comp Injury Compensation 84

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.

Injury 52

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.

Workers Comp 52

Workers Comp Workers Compensation Compensation Claim 52

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.

Workers Compensation 52

Workers Compensation Compensation Claim 52