AMAXX

MARCH 18, 2025

Many companies operate under an unwritten rule: accept every workers compensation claim, no questions asked. A well-managed workers compensation program should pay 100% of legitimate claimsand 0% of the claims that arent. Employees come to believe that every claim will be accepted, regardless of the circumstances.

Workers Compensation 71

Workers Compensation Compensation Claim Workers Comp 71

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 278

Claim Home Insurance Insured Insurance 278

AMAXX

FEBRUARY 10, 2025

Supervisors in the workplace, much like a championship teams defense, play a pivotal role in injury management. Their response in the first moments after an injury determines whether the process leads to a smooth recovery or spirals into an expensive, drawn-out claim. Research by Scott W.

Injury 66

Injury Workers Comp Workers Compensation Claim 66

AMAXX

MARCH 4, 2025

Research has shown that fear of being fired is one of the top predictors of negative claim outcomes, including increased litigation rates and extended time off work. By understanding the role fear plays in workers compensation claims, employers can implement strategies to foster trust, improve outcomes, and reduce costs. Heres how: 1.

Workers Compensation 82

Workers Compensation Compensation Claim Workers Comp 82

Insurance Journal

MARCH 27, 2025

The Florida House subcommittee on insurance advanced two hotly debated bills Thursday, one supported by insurance agents but another that was opposed by agents and carriers alike. And another subcommittee voted to repeal the auto insurance personal injury protection law …

Auto Insurance 246

Auto Insurance Insurance Agents Insurance Agent Injury 246

Triple-I: Homeowners Insurance

FEBRUARY 13, 2025

Insurance affordability in Georgia is dwindling as claim frequency and insurer costs soar, according to the latest issue brief from Insurance Information Institute (Triple-I), Trends and Insights: Georgia Insurance Affordability. Injury claim severity in the state is slightly higher than in the rest of the country.

Commercial General Liability 89

Commercial General Liability Commercial Umbrella Claim Liability 89

Insurance Journal

MARCH 6, 2025

A Providence Forge, Virginia man has been sentenced to nine years in prison for embezzling funds from his former employer, the Virginia Birth-Related Neurological Injury Compensation Program. According to court documents, John Hunter Raines was the chief financial officer and …

Injury 165

Injury Compensation Claim Insurer 165

AMAXX

FEBRUARY 24, 2025

However, there are times when the NCM doesn’t serve a specific purpose and is assigned to the claim to get it moving. The injury coordinator can evaluate these aspects of both telephonic case management and field-based case management by first emailing the adjuster and stating the above. For all hospitalizations.

Workers Compensation 66

Workers Compensation Workers Comp Compensation Claim 66

AMAXX

JANUARY 27, 2025

Misidentifying the Problem A frequent mistake is attributing WC challenges solely to injury management partners or external factors, such as adjuster turnover or physician behavior. Legacy claims that linger unresolved. Use diagnostic questions to analyze your current WC program: Are claims reported within 24 hours?

Workers Comp 94

Workers Comp Injury Workers Compensation Claim 94

AMAXX

FEBRUARY 17, 2025

However, implementing strong communication strategies can significantly improve claim outcomes and reduce unnecessary legal battles. The 2014 Predictors of Worker Outcomes Study surveyed 4,800 injured workers across 12 states and found that fear of being fired was a major predictor of poor claim outcomes.

Workers Comp 66

Workers Comp Claim Workers Compensation Injury 66

AMAXX

SEPTEMBER 16, 2024

Work-related injuries can occur in any industry, and when they do, the aftermath can be chaotic and stressful for all parties involved. To mitigate confusion, it’s essential for companies to have a clear and consistent post-injury response procedure. One of the most critical aspects of these procedures is consistency.

Injury 105

Injury Workers Compensation Compensation Workers Comp 105

AMAXX

MARCH 18, 2025

When a workplace injury occurs, selecting the right physician is a critical factor in ensuring a smooth recovery and return to work. These errors can have significant consequences, including prolonged recovery times, increased claims costs, and a greater likelihood of litigation. The only available provider was 70 miles away.

Workers Comp 94

Workers Comp Workers Compensation Injury Compensation 94

AMAXX

MARCH 10, 2025

Proper layoff planning isn’t just about handling employment transitions; it’s crucial for controlling claims costs and ensuring that resources are available to support genuinely injured workers. Enhance Claims Handling Capacity Prepare for an uptick in claims by adding staff who can handle the additional workload effectively.

Workers Comp 59

Workers Comp Claim Workers Compensation Injury 59

Insurance Journal

DECEMBER 17, 2024

It’s a question that has cropped up in state courts only on rare occasions: If the owner or officer of a subcontractor firm opts out of workers’ compensation coverage for himself, can he then sue the general contractor for negligence …

Injury 246

Injury Compensation Workers Compensation Claim 246

AMAXX

MARCH 10, 2025

In the first part of our series, we emphasized the importance of thoughtful layoff planning to mitigate the risk of increased workers’ compensation claims following a workforce reduction or facility closure. Be meticulous in updating personnel files, health insurance documentation, and records of sick leave.

Workers Comp 59

Workers Comp Claim Workers Compensation Injury 59

Insurance Journal

MARCH 20, 2025

North Carolina authorities charged a woman with insurance fraud after learning that she made slip-and-fall claims at multiple grocery stores in the area. Jackie Kay Lynch, 61, of Wilson, east of Raleigh, filed a $1,000 claim in August 2024 with …

Claim 147

Claim Insured Insurance Insurer 147

AMAXX

AUGUST 27, 2024

Supervisors play a critical role in the management of workplace injuries. They are often the first to respond when an employee is hurt and are responsible for guiding both the injured employee and the organization through the post-injury process. First Responder Role: When an injury occurs, the supervisor is often the first to know.

Injury 105

Injury Workers Comp Workers Compensation Compensation 105

AMAXX

FEBRUARY 25, 2025

Once employers and adjusters understand the value of evidence-based medicine (EBM) in workers’ compensation claims, the next challenge is applying it effectively. EBM helps ensure that medical treatments align with standardized recovery timelines, reducing unnecessary disability durations and claim costs.

Workers Comp 80

Workers Comp Injury Workers Compensation Claim 80

AMAXX

MARCH 24, 2025

FREE DOWNLOAD: “Workers’ Comp Claims Review Checklist: 9 Must-Have, Serious-Impact Elements” To effectively manage this process, detailed record-keeping is essential. Stack is the creator of Injury Management Results (IMR) software and founder of Amaxx Workers Comp Training Center. All state laws vary.

Workers Comp 104

Workers Comp Premium Workers Compensation Compensation 104

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 105

Injury Workers Comp Workers Compensation Compensation 105

AMAXX

MARCH 24, 2025

Payroll serves as a primary measure of the employer’s exposure to potential workplace injury and thus significantly impacts premium costs. Accurate payroll accounting reflecting these deductions helps maintain appropriate premium charges aligned with actual exposure to injury risk. However, strict rules apply.

Workers Comp 71

Workers Comp Premium Injury Workers Compensation 71

AMAXX

MARCH 11, 2025

Effectively managing workers compensation requires careful oversight and proactive measures to identify and prevent fraudulent or exaggerated claims. Surveillance serves as a powerful tool in validating claims, protecting your organizations financial health, and ensuring resources are dedicated to genuinely injured employees.

Workers Comp 52

Workers Comp Claim Workers Compensation Injury 52

AMAXX

FEBRUARY 18, 2025

Achieving a 90% return-to-work rate within 0-4 days is the gold standard for managing workers’ compensation claims, with best-in-class organizations reaching 95%+. Consider Psychosocial Factors Recovery from work injuries is often influenced by psychological and social barriers that go beyond physical healing.

Workers Comp 91

Workers Comp Injury Workers Compensation Compensation 91

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 105

Workers Comp Claim Workers Compensation Compensation 105

AMAXX

FEBRUARY 24, 2025

Evidence-Based Medicine (EBM) plays a critical role in workers compensation, guiding both medical professionals and non-medical stakeholders in making informed decisions about injury treatment, recovery time, and return-to-work strategies. This ensures that EBM guidelines reflect a comprehensive, well-rounded approach to injury treatment.

Workers Compensation 66

Workers Compensation Compensation Workers Comp Injury 66

AMAXX

APRIL 10, 2025

In the complex world of workers compensation, risk managers play a vital role in aligning strategic oversight with day-to-day claims operations. Far from being a behind-the-scenes figure, a successful risk manager serves as the linchpin between claims administration, adjusters, and injury management teams.

Workers Comp 59

Workers Comp Risk Workers Compensation Injury 59

AMAXX

FEBRUARY 4, 2025

These assignments help businesses manage claims costs, reduce lost workdays, and maintain workforce productivity. Return to Original Position Upon Full Recovery Once the employee reaches maximum medical improvement (MMI) , they return to their pre-injury job. This is often categorized as voluntary withdrawal from the workforce.

Workers Comp 97

Workers Comp Workers Compensation Injury Compensation 97

AMAXX

MARCH 17, 2025

When applied to workers compensation, understanding these behavioral drivers can reveal how well-intended policies may be unintentionally encouraging behaviors that increase claims, prolong recovery times, or inflate costs. Small injuries go unaddressed, leading to more severe claims down the road. The unintended consequence?

Workers Comp 66

Workers Comp Workers Compensation Injury Compensation 66

AMAXX

FEBRUARY 18, 2025

Classification rules are guidelines used by rating bureaus and insurance companies to categorize businesses based on the type of work they perform. These rules are established by rating organizations like the National Council on Compensation Insurance (NCCI) in most states, though some states have their own rating bureaus.

Workers Compensation 103

Workers Compensation Compensation Workers Comp Premium 103

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 105

Workers Compensation Compensation Claim Workers Comp 105

Mark Jackson Insurance Agency

MARCH 19, 2025

From property protection to liability coverage, ensuring your business insurance policies align with your expansion is critical. Without the right coverage, unforeseen challenges—such as property damage, employee injuries, or legal issues—could put your investment at risk. This coverage is required in most states.

Workers Compensation 52

Workers Compensation Liability Property Damage Inland Marine Insurance 52

AMAXX

JANUARY 27, 2025

It might be too many claims. It might be too many open claims. Stack is the creator of Injury Management Results (IMR) software and founder of Amaxx Workers Comp Training Center. Workers’ Comp Roundup Blog: [link] Injury Management Results (IMR) Software: [link] 2024 Amaxx LLC. It might be reducing fraud.

Workers Comp 92

Workers Comp Workers Compensation Injury Compensation 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. Unfortunately, a common procedural mistake can leave employees in a painful and detrimental limbo: the delay of care due to technicalities in insurance coverage.

Workers Compensation 83

Workers Compensation Compensation Claim Workers Comp 83

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 102

Workers Comp Claim Workers Compensation Compensation 102

AMAXX

JANUARY 20, 2025

Employers, insurers, and healthcare providers face a delicate balance: ensuring injured workers receive appropriate care while effectively managing costs and promoting timely return-to-work. Enhancing Accessibility Employers and insurers can support EBM by providing resources that make evidence-based guidelines more accessible.

Workers Compensation 98

Workers Compensation Compensation Workers Comp Injury 98

AMAXX

FEBRUARY 11, 2025

On occasion, work injuries arise for employees traveling in motor vehicles. As a general rule, workers compensation insurance is the primary insurance, which requires the claim team to investigate and make determinations regarding compensability and subrogation rights.

Workers Compensation 59

Workers Compensation Workers Comp Injury Compensation 59

Distinguished

MARCH 20, 2025

From devastating floods to slip-and-fall lawsuits, insuring apartment buildings is no simple task. And with rising property values, more frequent catastrophic weather events, and emerging risks like habitability claims, its never been more critical to help your clients navigate their insurance options.

Building 52

Building Protection Damage Liability 52