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

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 …

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Premium Workers Comp Compensation Workers Compensation Insurance 277

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

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 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

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 200

Workers Comp Compensation Claim Workers Compensation 200

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

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 Insurer Insured 246

Insurance Journal

JANUARY 16, 2025

Increases in average medical payments and average indemnity payments drove public self-insureds’ total paid losses up last year even though the number of claims fell, a new report shows. The California Workers’ Compensation Institute reviewed the initial report on fiscal …

Workers Comp 130

Workers Comp Claim Compensation Insurer 130

Insurance Journal

OCTOBER 20, 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 130

Workers Comp Claim Compensation 130

AMAXX

OCTOBER 7, 2024

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.

Workers Comp 84

Workers Comp Claim Workers Compensation Compensation 84

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%

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Workers Comp Injury Compensation Claim 147

AMAXX

JANUARY 13, 2025

Navigating workers’ compensation can be complex, with various parties working together to ensure effective claims management and cost containment. Lets explore the roles of these critical players in a workers’ compensation system.

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Workers Compensation Compensation Workers Comp Broker-Agent 80

AMAXX

JANUARY 6, 2025

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.”

Workers Comp 80

Workers Comp Building Workers Compensation Compensation 80

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.

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Workers Compensation Compensation Claim Workers Comp 94

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 73

Workers Comp Claim Workers Compensation Compensation 73

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 84

Workers Compensation Compensation Workers Comp Injury 84

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 81

Workers Comp Workers Compensation Compensation Injury 81

AMAXX

JANUARY 14, 2025

Workers’ compensation programs are a cornerstone of workplace safety and risk management. Exclusivity: Protection Against Lawsuits One of the most significant benefits of workers compensation for employers is the exclusive remedy provision.

Workers Compensation 67

Workers Compensation Compensation Workers Comp Injury 67

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 90

Workers Compensation Compensation Workers Comp Injury 90

AMAXX

DECEMBER 19, 2024

These lessons also extend to reducing workers’ compensation costs through better collaboration and proactive problem-solving. These lessons extend to the implementation of autonomy and building safetytwo critical components of a thriving workplace that directly impact workers’ compensation outcomes.

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Workers Comp Workers Compensation Injury Compensation 74

AMAXX

JANUARY 15, 2025

This is the actual costs of the claims that were legitimate claims for workers’ compensation. Remember, your work today in workers’ compensation can have a dramatic impact on your company’s bottom line, but it will have a dramatic impact on someone’s life. So be great.

Workers Comp 66

Workers Comp Workers Compensation Premium Injury 66

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 73

Workers Comp Injury Compensation Claim 73

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 83

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 85

Workers Comp Workers Compensation Compensation Injury 85

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 87

Workers Compensation Compensation Injury Workers Comp 87

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

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 73

Workers Compensation Compensation Workers Comp Premium 73

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

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 76

Workers Compensation Compensation Workers Comp Injury 76

Word & Brown

DECEMBER 10, 2024

All businesses with workers in California and Nevada are required to have Workers Compensation Insurance. But do you know that Word & Browns partnership with CompNet Insurance Solutions makes it easy for you to offer Workers Comp coverage? What Is Workers Comp? Nevada followed in 1913.

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Workers Comp Workers Compensation Workers Compensation Insurance Compensation 52

AMAXX

DECEMBER 9, 2024

Some claims do not benefit from having a nurse assigned to the file because the role of educating, advocating, or ensuring compliance with medical treatment is already fulfilled in another manner. He is co-author of the #1 selling comprehensive training guide Your Ultimate Guide to Mastering Workers Comp Costs: Reduce Costs 20% to 50%.

Workers Compensation 70

Workers Compensation Compensation Workers Comp Injury 70

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 64

Workers Compensation Premium Compensation Workers Comp 64

AMAXX

DECEMBER 2, 2024

At the heart of this process is the medical director, medical department, or consultant, who plays a pivotal role in interpreting medical jargon and facilitating smooth communication between medical professionals, injured employees, and the workers’ compensation team.

Workers Compensation 63

Workers Compensation Compensation Workers Comp Injury 63

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

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

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