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Long COVID Claims Still Impact California’s Workers Comp System, Report Shows

Insurance Journal

The impact and surge of long-term COVID on the California workers’ compensation system since 2020 has been prevalent, including long-term impacts on disability and long-term patterns of medical cost and treatment on long COVID claims. That’s from a report by …

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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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California Vocational School Owner Charged With Fraud in Workers’ Comp Scheme

Insurance Journal

The owner of a Fresno, California-based for-profit vocational school was charged with engaging in fraudulent billing practices related to workers’ compensation. Paul Steve Ramirez, 59, was charged with 11 felony counts, including insurance fraud. The fraudulent insurance claims could reach …

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Cyber Risk: West Virginia OIC Plans to Dispose of Older Workers’ Comp Files

Insurance Journal

The West Virginia insurance commissioner’s office has adopted a new policy: It will soon begin destroying workers’ compensation claim files that are 10 years old or older. “Given increasing cybersecurity concerns and the type of information contained in the closed …

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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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Employer, Workers’ Comp Insurer, Survivor Join Baltimore Bridge Collapse Litigation

Insurance Journal

The road construction firm that employed six workers who were killed and another who was seriously injured in the collapse of Baltimore’s Key Bridge, along with its workers’ compensation carrier, have filed claims against the owner and operator of the …

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Vocational School Owner Arraigned in $1M Workers’ Comp Fraud Case

Insurance Journal

Los Angeles area vocational school owner, Guillermo Frias, 65, of Paramount, and the school’s accounting manager, Yesid Colon, 54, of Baldwin Park, were arraigned following a California Department of Insurance investigation into allegations they submitted fraudulent claims to receive money …