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 86

Workers Comp Claim Workers Compensation Compensation 86

AMAXX

AUGUST 26, 2024

To better grasp this, let’s walk through a hypothetical scenario that illustrates two different supervisor responses to an employee’s injury and explore the potential consequences of each approach. Oh, by the way, if you file that claim, you know that promotion you were thinking about? Quiz: How Would You Respond?

Injury 91

Injury Workers Comp Workers Compensation Compensation 91

Insurance Journal

SEPTEMBER 5, 2024

award to former Philadelphia Eagles’ special teams player and captain Chris Maragos in his medical malpractice claim alleging that failed treatment of a knee injury ended his National Football League (NFL) career … A Philadelphia appeals court has upheld the $43.5

Injury 264

Injury Claim 264

New Jersey Workers' Comp

JULY 19, 2024

One part is the elective provisions that apply to all claim petitions filed in the Division of Workers’ Compensation. The other part is referred to as the Employer’s Liability section of the policy and pertains to civil lawsuits arising from work injuries filed by employees against their employers. In the civil lawsuit, Ms.

Injury 52

Injury Claim Compensation Liability 52

LexisNexis

SEPTEMBER 17, 2024

A new study conducted by the Workers’ Compensation Research Institute (WCRI) is among a small number of studies to examine the characteristics associated with high-cost claims in workers’ compensation. Factors Associated With High Cost- Claims , Wang, D., Mueller, K.L, D, WCRI, WC-24-23, 8/2024, [link] ).

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Workers Compensation Claim Compensation Injury 74

Insurance Journal

AUGUST 4, 2024

A Connecticut clinical social worker believes her homeowners insurer should defend and indemnify her against claims she violated patients’ privacy by accessing and sharing their private medical information. She says the lawsuit against her triggers her homeowners coverage because the …

Claim 272

Claim Home Insurance Insurance Insurer 272

AMAXX

JULY 29, 2024

In the realm of workers’ compensation, the role of an injury coordinator is pivotal. This position is crucial for managing the complex processes associated with workplace injuries, ensuring both compliance with regulations and the well-being of employees.

Workers Compensation 52

Workers Compensation Injury Compensation Workers Comp 52

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

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. Initially, this policy faced controversy and skepticism.

Workers Compensation 52

Workers Compensation Compensation Claim Workers Comp 52

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. per week for claims with 2025 injury dates.

Workers Comp 70

Workers Comp Workers Compensation Injury Compensation 70

R&R Insurance

FEBRUARY 16, 2024

As the cold weather sets in, it's crucial to be aware of the dangers that come with it, especially the risk of slip and fall injuries. The Cost of Complacency In 2021, the average claim for slip and fall injuries was nearly $50,000.

Injury 52

Injury Risk Claim Insured 52

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

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. Diagnosis and prognosis remain unclear, or the disability period is disproportionate to the injury.

Workers Comp 74

Workers Comp Injury Compensation Workers Compensation 74

Risk Management Monitor

SEPTEMBER 21, 2021

With the cost of insurance for businesses rising across many types of coverage, staying on top of trends in the claims portfolio is more important than ever. For this reason, many insurers and TPAs promise to conduct claims reviews with their business customers on a regular basis, but the rigor can vary greatly.

Claim 75

Claim Injury Workers Compensation Risk 75

Wren Insurance Agency

OCTOBER 17, 2024

At this time of year, typically due to Florida storms causing damage to our homes, there are a larger number of insurance claims than normal. Many adjusters investigate your claim by visiting your property; in person, viewing and documenting losses and damages personally. Read the full article at www.wreninsuranceagency.com

Damage 98

Damage License Insurance Insurer 98

AMAXX

AUGUST 21, 2024

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. However, even the most experienced adjuster can sometimes under-reserve a claim, leading to financial surprises later on. Is the Cost for the Claim for Life?

Workers Compensation 92

Workers Compensation Compensation Workers Comp Injury 92

AMAXX

OCTOBER 8, 2024

Transitional duty allows employees to return to the workplace in a modified capacity while they continue to recover from their injuries. These programs offer significant benefits, not only by speeding up recovery but also by minimizing the financial impact of workers’ compensation claims on employers.

Workers Compensation 78

Workers Compensation Compensation Workers Comp Injury 78

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

Insurance Journal

AUGUST 4, 2024

Just as another potential hurricane bears down on Florida, the child of a central Florida woman is litigating a claim from a previous storm – Hurricane Ian in 2022. This time, though, the plaintiff claims not only breach of contract …

Claim 279

Claim Insurance Policy Policy Injury 279

LexisNexis

OCTOBER 14, 2024

Gao, Limin) Psychiatric Injury—Good Faith Personnel Actions—WCAB, granting reconsideration and rescinding WCJ’s decision in split panel opinion, held that applicant suffered injury AOE/COE to her psyche and that… K&N Engineering v. when WCAB reasoned that… Raya (Geoffrey) v.

Compensation 40

Compensation Injury Workers Compensation Insurance Workers Compensation 40

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. Consideration of the employee’s emotional needs. Work schedule considerations.

Workers Comp 52

Workers Comp Workers Compensation Injury Compensation 52

AMAXX

AUGUST 13, 2024

by Andrea Mills, Chief Client Officer, Ametros Settling a workers’ compensation or liability claim can and should be a win-win for the injured individual and the payer. Fortunately, some experts devote their careers to understanding and alleviating the concerns of injured individuals and helping move claims to settlement.

Workers Compensation 79

Workers Compensation Injury Compensation Workers Comp 79

AMAXX

AUGUST 12, 2024

In workers’ compensation, communication with injured workers is a critical aspect that can significantly influence the outcome of a claim. It helps to build trust between the worker, the employer, and the claims management team. It’s essential to communicate the process clearly and straightforwardly.

Workers Comp 88

Workers Comp Workers Compensation Injury Compensation 88

LexisNexis

OCTOBER 10, 2024

If a PEO or employee leasing company claims to be self-insured, investigate that claim. If payment to the gardener exceeds $100 during the 90 days prior to the date of injury and the gardener worked more than 52 hours during the same 90 days, the gardener is an employee of the homeowner. Labor Code section 3701.9,

Workers Compensation 75

Workers Compensation Compensation Workers Compensation Insurance Injury 75

AMAXX

JULY 9, 2024

Defending Permanent and Total Disability (PTD) cases presents many challenges for the claim management team and other interested stakeholders. Never discount the opportunity for the employee to return to the date of injury to the employer. In addition to a focus on job search issues, there are other defenses to consider.

Workers Compensation 52

Workers Compensation Workers Comp Injury Compensation 52

Hunton Andrews Kurth

FEBRUARY 21, 2024

In recent years, consumers filed a spate of class actions claiming that retailers misrepresented the retail price on discounted goods to mislead consumers into thinking they were obtaining a bargain. The panel split 2-1, however, regarding the plaintiff’s claims for forward-looking injunctive relief. Eddie Bauer LLC , No.

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Injury Claim Damage Protection 100

AMAXX

OCTOBER 9, 2024

This activity ties directly to Paradigm’s key session, Human-Centered Care & Compassion: Real Workers, Groundbreaking Recoveries , where two catastrophically injured workers will share their why, the purpose they have found in the wake of life-changing injuries, and the critical importance of family and a holistic, team-based approach to care.

Workers Compensation 84

Workers Compensation Workers Comp Compensation Injury 84

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. For example, 5% of claims can account for up to 80% of workers’ compensation expenses.

Workers Comp 52

Workers Comp Injury Workers Compensation Compensation 52

AMAXX

SEPTEMBER 10, 2024

” Prompt Appointment Scheduling Time is of the essence when an injury occurs. Efficient Communication of Medical Records Communication is critical, especially when it comes to sharing medical records with insurance claims adjusters or your company. Contact: mstack@reduceyourworkerscomp.com.

Workers Comp 83

Workers Comp Workers Compensation Compensation Injury 83

LexisNexis

AUGUST 27, 2024

2) The respondent’s conviction for attempted injury to a child under sections 15.01(a) "The respondent was convicted in a Texas court of attempted injury to a child and found removable for having committed a crime of child abuse, child neglect, or child abandonment. . § 1227(a)(2)(E)(i) (2018). (2) a) and 22.04(a)(1)

Crime 40

Crime Injury Claim 40

Protect Commercial Insurance

SEPTEMBER 20, 2024

It covers you against claims of property damage, personal injury, or negligence. This type of insurance is designed to cover you if a member of the public suffers an injury or their property is damaged because of your business activities. Yet, it’s essential to protect your hard-earned business from the unexpected.

Liability Insurance 52

Liability Insurance Liability Property Damage Insurance 52

Hunton Andrews Kurth

APRIL 3, 2023

1017 (2021), holding that Ford could be subject to personal jurisdiction in Minnesota and Montana because the suit “related to” the company’s contacts with the states, even though there was not a causal relationship between Ford’s contacts with the forum and plaintiffs’ claims. Superior Ct. of California, San Francisco Cnty. , Yamashita v.

Injury 98

Injury Claim Protection 98

LexisNexis

SEPTEMBER 12, 2024

Gorman, who sought either removal or… Digests of WCAB Decision Denied Judicial Review American Claims Management v. CM24-0008918 (2-13-2024) Prosthetic Limbs—Amputations—Applicant, 36 years old, suffered an industrial injury on 10/28/2019 resulting in a below-the-knee right leg amputation on 5/8/2020. Orellana (Bernardina) v.

Compensation 40

Compensation Injury License Workers Compensation 40

Triple-I: Workers Compensation

JUNE 10, 2024

Moderate severity increases Claim severity remains moderate year over year, at 3 percent in 2023, despite indemnity claim severity at 5 percent. Medical claim severity for 2023 trended at a low 2 percent, in line with the 20-year trend of 1.8 percent and below the 3.5 percent in 2022.

Workers Comp 40

Workers Comp Workers Compensation Compensation Claim 40

AMAXX

SEPTEMBER 3, 2024

Employee Resistance : Sometimes, employees may be hesitant or resistant to returning to work, often due to fear of re-injury, perceived inadequacies in their abilities post-injury, or psychological factors such as anxiety or depression. Contact: mstack@reduceyourworkerscomp.com. All rights reserved under International Copyright Law.

Workers Comp 81

Workers Comp Injury Workers Compensation Compensation 81

Paragon Independent Insurance Agencies

MAY 27, 2024

These events may include property damage, liability claims from work-related injuries, break-ins, or business interruption. Liability Coverage Commercial insurance also includes liability coverage, which protects businesses from legal claims and lawsuits alleging property or physical injury.

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Commercial Insurance Commercial Protection Business Interruption 40