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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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Get Started Building Your NEW Workers’ Comp Program in 2025

AMAXX

When embarking on the journey to master workers compensation, the road is well-traveled and marked by proven strategies. Our three components to achieve workers comp mastery are: Framework , Employer Controls , and External Controls. ” “I asked for surveillance on that claim, and they refused.”

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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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The Spaghetti Tower Study: Kindergarteners Can Teach Us About Reducing Workers’ Comp Costs

AMAXX

In a workers compensation context, this openness encourages employees to report injuries promptly, identify hazards, and suggest transitional-duty opportunities. Early reporting and hazard mitigation are key to preventing costly claims and minimizing downtime. Hire the Right People: Autonomy thrives on trust. All state laws vary.

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Fundamental #1 to Understand the Experience Mod in Workers’ Comp

AMAXX

This is the actual costs of the claims that were legitimate claims for workers’ compensation. He is co-author of the #1 selling comprehensive training guide Your Ultimate Guide to Mastering Workers Comp Costs: Reduce Costs 20% to 50%. So that’s what goes here. This is comes right from your loss run.

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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.