Insurance Journal

OCTOBER 20, 2024

Workers’ compensation medical payments per claim in California were 10% below the median state of a 17-state study sample for claims with experience through March 2023, a study from the Workers Compensation Research Institute shows. The WCRI study, CompScope Medical …

Workers Compensation 147

Workers Compensation Compensation Claim 147

LexisNexis

SEPTEMBER 17, 2024

Hamilton, Former Assistant Secretary and Deputy Commissioner, California Workers’ Compensation Appeals Board Over the past several decades California has implemented broad legislative changes aimed at lowering the costs associated with workers’ compensation, especially medical expenditures. Mueller, K.L, Mueller, K.L,

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Workers Compensation Claim Compensation Injury 74

LexisNexis

OCTOBER 10, 2024

Rassp, Presiding Judge, WCAB Los Angeles, California Division of Workers’ Compensation 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.

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Workers Compensation Compensation Workers Compensation Insurance Injury 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.

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Workers Compensation Compensation Workers Comp Premium 74

AMAXX

SEPTEMBER 16, 2024

Moreover, a consistent approach allows the employer to control the narrative from the outset, preventing external parties—such as doctors, lawyers, or claims adjusters—from driving the process. Proper documentation not only aids in managing the workers’ compensation claim but also helps protect the employer against potential legal challenges.

Injury 85

Injury Workers Compensation Compensation Workers Comp 85

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

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

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

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 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

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 254

Claim Compensation Workers Compensation 254

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

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.

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Workers Comp Claim Workers Compensation Compensation 86

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.

Workers Compensation 40

Workers Compensation Compensation Injury Theft 40

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

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 147

Claim Compensation Workers Compensation 147

Risk Management Monitor

JULY 26, 2022

Many companies overlook one key way to control costs that can be easily implemented and managed while also improving work culture overall: implementing a safety program to better manage workers compensation costs. There are myriad ways to reduce workers’ compensation costs. Practice Makes Perfect.

Workers Compensation 40

Workers Compensation Compensation Claim Risk 40

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

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.

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Injury Claim Workers Compensation Auto Insurance 279

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 262

Policy Compensation Claim Workers Compensation 262

New Jersey Workers' Comp

MARCH 25, 2024

in workers’ compensation medical and temporary disability benefits to petitioner, Darshelle Joseph. The workers’ compensation case had not yet been resolved. paid in medical and temporary disability benefits but the court also noted that the workers’ compensation case had not yet concluded.

Workers Compensation 40

Workers Compensation Compensation Liability Insurance Carrier 40

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

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

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

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 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.

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Insurance Carrier Compensation Claim Insured 263

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 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

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 83

Workers Comp Workers Compensation Compensation Injury 83

LexisNexis

OCTOBER 14, 2024

CALIFORNIA COMPENSATION CASES Vol. Solakyan Workers’ Compensation Insurance Fraud—Honest-Services Mail Fraud and Health-Care Fraud—Restitution—U.S. All rights reserved. JUST CLICK ON THE CASE NAMES BELOW… Federal Circuit Court Opinion of Related Interest United States of America v. when WCAB reasoned that… Raya (Geoffrey) v.

Compensation 40

Compensation Injury Workers Compensation Insurance Workers Compensation 40

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

LexisNexis

AUGUST 28, 2024

Rassp, Chairman of the Board of Directors, Friends Research Institute (friendsresearch.org) Disclaimers: The opinions expressed in this article are those of the author and are not those of the State of California Department of Industrial Relations, Division of Workers’ Compensation, or the Workers’ Compensation Appeals Board.

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Workers Compensation Compensation Claim Injury 75

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

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. percent and below the 3.5 percent in 2022.

Workers Comp 40

Workers Comp Workers Compensation Compensation Claim 40

LexisNexis

SEPTEMBER 12, 2024

CALIFORNIA COMPENSATION CASES Vol. JUST CLICK ON THE CASE NAMES BELOW… Appellate Court Compensation Case Mayor (Joseph) v. Gorman, who sought either removal or… Digests of WCAB Decision Denied Judicial Review American Claims Management v. All rights reserved. Hoddinott (Steve) v. Orellana (Bernardina) v.

Compensation 40

Compensation Injury License Workers Compensation 40

Triple-I: Workers Compensation

JULY 22, 2024

State guaranty funds make up a privately funded, nonprofit state-based national system that pays covered claims up to a state’s legally allowable limits, protecting policyholders if their insurer becomes insolvent. There are 55 such funds because some states have more than one.

Workers Compensation 52

Workers Compensation Insurance Insurer Insured 52