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Workers’ Comp Claims Audit: Initial Action Plan Checklist

AMAXX

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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Best Practices to Prepare for a Workers’ Comp Claim Audit or Review

AMAXX

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.

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Eleven Considerations for Selecting Your Workers’ Comp Company Doctor

AMAXX

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.

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4 Step Process to Successfully Settle More Workers’ Compensation Claims

AMAXX

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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5 Proven Strategies for Physician Oversight to Contain Workers’ Comp Medical Costs

AMAXX

Medical cost containment is an essential aspect of managing workers’ compensation claims effectively. Employers and insurance companies face the challenge of controlling medical costs while ensuring that injured employees receive the care they need. A timely review could have prevented an unnecessary claim.

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Workers’ Comp Cost Formula To Accurately Assess Your Risk

AMAXX

He is co-author of the #1 selling comprehensive training guide “Your Ultimate Guide to Mastering WorkersComp Costs: Reduce Costs 20% to 50%.” Stack is the creator of Injury Management Results (IMR) software and founder of Amaxx WorkersComp Training Center. All state laws vary.

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One AI Takeaway from 2024 National Comp in Las Vegas

AMAXX

Every session seemed to touch on AI in some form, particularly in how it’s being used in workerscomp and claims analysis. However, the principles of workers’ compensation will never change. You should consult with your insurance broker, attorney, or qualified professional.