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

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.

Workers Compensation 75

Workers Compensation Compensation Workers Compensation Insurance Injury 75

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

AMAXX

AUGUST 7, 2024

The higher the risk, the higher the workers’ compensation premium for that classification. 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. Contact: mstack@reduceyourworkerscomp.com.

Workers Compensation 74

Workers Compensation Compensation Workers Comp Premium 74

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

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.

Workers Comp 86

Workers Comp Claim Workers Compensation Compensation 86

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 87

Injury Workers Comp Workers Compensation Compensation 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 70

Workers Comp Workers Compensation Injury Compensation 70

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

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. The court noted that even an injury stemming from gross negligence is insufficient to satisfy the intentional wrong exception. The court reasoned that not all fires lead to injury or death.

Workers Compensation 52

Workers Compensation Compensation Injury Claim 52

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

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

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

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.

Workers Comp 83

Workers Comp Workers Compensation Compensation Injury 83

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 Comp 88

Workers Comp Workers Compensation Injury Compensation 88

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

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.

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Workers Comp Injury Compensation Workers Compensation 74

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

JULY 9, 2024

Defending Permanent and Total Disability (PTD) cases presents many challenges for the claim management team and other interested stakeholders. These matters must be considered when seeking to maximize the efficiency of any workers’ compensation program and reduce costs. Ensure this is a requirement in all Plans.

Workers Compensation 52

Workers Compensation Workers Comp Injury Compensation 52

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

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

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

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

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.

Workers Compensation 75

Workers Compensation Compensation Claim Injury 75

LexisNexis

OCTOBER 14, 2024

Solakyan Workers’ Compensation Insurance Fraud—Honest-Services Mail Fraud and Health-Care Fraud—Restitution—U.S. Lexis+ Online Subscribers: You can link to your account on Lexis+ to read the complete headnotes and court decisions, en banc decisions, writ denied summaries, panel decisions and IMR decisions.

Compensation 40

Compensation Injury Workers Compensation Insurance Workers Compensation 40

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. times the direct costs. However, this probability dropped to 55.4%

Workers Comp 52

Workers Comp Injury Workers Compensation Compensation 52

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. Addressing these concerns with empathy and support is crucial to facilitating a smoother transition.

Workers Comp 81

Workers Comp Injury Workers Compensation Compensation 81

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% Although the CWCI study notes that Migraine Drugs represented only 0.7% in 2018 to 4.7%

Workers Comp 40

Workers Comp Workers Compensation Compensation Injury 40

AMAXX

JULY 30, 2024

And this is by documentation, by risk control systems, by your return to work plans, by your completed first reports of injury, by your injury reports, etcetera, your communication, your protocols, how you’re doing it, what’s your system, why is your mod, you know, at a 1.7, Contact: mstack@reduceyourworkerscomp.com.

Workers Comp 52

Workers Comp Risk Workers Compensation Injury 52

Zywave

SEPTEMBER 25, 2024

But beyond just the employee benefits, the workers’ compensation and general liability markets are also feeling the pinch of increased medical costs. These nuclear verdicts often are seen as a result of social inflation, which refers to the rising cost of insurance claims influenced by societal trends.

General Liability 52

General Liability Workers Compensation Commercial Commercial Property 52

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. The court agreed that the fact that the inspector was not traveling at the time of his injury was not controlling. Workers’ Comp.

Workers Compensation 40

Workers Compensation Compensation Injury Workers Comp 40

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

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 12, 2024

Balfour Beatty Construction (4th—G062471, G062965) Interplay Between Contractor Licensing Requirements and Workers’ Compensation Law—Court of Appeal, affirming trial court’s judgment, held that subcontractor’s suit against general contractor on construction… Appeals Board En Banc Decision. Hoddinott (Steve) v. Orellana (Bernardina) v.

Compensation 40

Compensation Injury License Workers Compensation 40

New Jersey Workers' Comp

JUNE 3, 2024

34:15-8 provides that workers’ compensation is the exclusive remedy for an injured employee. She claimed that she only learned through discovery years later that Synergy was her actual employer and that Winchester was only the managing company of Synergy. An employee can work for two companies at the same time.

Workers Compensation 52

Workers Compensation Compensation Injury Claim 52