AMAXX

JANUARY 20, 2025

In the intricate landscape of workers’ compensation, the pursuit of optimal outcomes for injured workers is paramount. 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.

Workers Compensation 98

Workers Compensation Compensation Workers Comp Injury 98

AMAXX

APRIL 23, 2025

Evidence-Based Medicine (EBM) is increasingly recognized as a critical component in workers’ compensation, influencing treatment decisions, recovery outcomes, and cost management. For claims professionals and employers, EBM offers confidence in recovery timelines and interventions, optimizing both recovery and financial outcomes.

Workers Compensation 52

Workers Compensation Compensation Workers Comp Injury 52

Insurance Journal

FEBRUARY 6, 2025

A manufacturer and its workers compensation insurer thought an injured 60-year old service technician employee did not work hard enough to find a suitable replacement job as required to qualify for wage loss benefits. Among other things, he did not …

Workers Compensation 200

Workers Compensation Workers Compensation Insurance Compensation Claim 200

AMAXX

APRIL 28, 2025

In workers’ compensation programs, the conversation often revolves around costs, compliance, and claims management systems. Empathy isnt just a nice to have in workers comp management it’s a proven strategy for reducing claim costs, preventing litigation, and helping injured employees return to work faster.

Workers Compensation 52

Workers Compensation Compensation Workers Comp Injury 52

Insurance Journal

FEBRUARY 9, 2025

million fine and take action to improve claims handling and prevent balance billing for out-of-network treatment after a state Department of Insurance investigation detailed multiple allegations. UnitedHealthcare of North Carolina has agreed to pay a $3.4 “Patients receiving emergency room …

Insurer 165

Insurer Insured Insurance Claim 165

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 106

Workers Compensation Compensation Claim Workers Comp 106

AMAXX

JANUARY 13, 2025

Navigating workers’ compensation can be complex, with various parties working together to ensure effective claims management and cost containment. Lets explore the roles of these critical players in a workers’ compensation system.

Workers Compensation 98

Workers Compensation Compensation Workers Comp Broker-Agent 98

Insurance Journal

OCTOBER 6, 2024

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 …

Workers Comp 278

Workers Comp Claim Compensation Workers Compensation Insurance 278

Insurance Journal

JULY 23, 2024

But perhaps the Orlando-founded firm has grown too big, too quickly, suggests a proposed class-action lawsuit that claims the firm has botched hundreds of … Morgan & Morgan calls itself the nation’s largest injury law firm, with offices in most states.

Injury 279

Injury Claim Workers Compensation Insurance Claim 279

LexisNexis

FEBRUARY 5, 2025

By Christopher Mahon, LexisNexis Legal Insights Contributing Author A September 2024 study from the Workers Compensation Research Institute indicates that workers represented by an attorney in workers compensation claims receive substantially more payments than workers who are not represented by an attorney.

Workers Compensation 49

Workers Compensation Compensation Injury Claim 49

Insurance Journal

NOVEMBER 18, 2024

A construction industry captive insurer along with three construction contractors have filed a lawsuit alleging a massive New York fraud scheme involving staged workplace accidents and bogus workers’ compensation and personal injury lawsuits backed by complicit lawyers and medical providers.

Injury 299

Injury Compensation Claim Insurer 299

Insurance Journal

DECEMBER 4, 2024

Claim frequency in California workers’ compensation remains significantly higher in the Los Angeles Basin than in the northern part of the state, a new study shows. The Workers’ Compensation Insurance Rating Bureau of California released its WCIRB Geo Study 2024, …

Workers Comp 245

Workers Comp Claim Compensation Workers Compensation Insurance 245

AMAXX

JANUARY 14, 2025

Exclusivity: Protection Against Lawsuits One of the most significant benefits of workers compensation for employers is the exclusive remedy provision. Under this system, employees who accept workers compensation benefits for a work-related injury or illness forfeit the right to sue their employer for negligence.

Workers Compensation 98

Workers Compensation Compensation Workers Comp Injury 98

AMAXX

MARCH 18, 2025

These errors can have significant consequences, including prolonged recovery times, increased claims costs, and a greater likelihood of litigation. While using an approved network is necessary for insurance and cost-control reasons, not all doctors within the network are equally effective at managing workplace injuries.

Workers Comp 94

Workers Comp Workers Compensation Injury Compensation 94

AMAXX

OCTOBER 15, 2024

One of the most significant challenges for employers today is managing the rising costs of workers’ compensation claims. The price tag associated with these claims can severely impact a company’s bottom line if not controlled effectively.

Workers Compensation 105

Workers Compensation Compensation Workers Comp Injury 105

Insurance Journal

JANUARY 9, 2025

If insurance carriers want to have dibs on a company’s assets as premium security or collateral, they had better specify that those assets include potential tort-claim settlements, a federal appeals court said Wednesday. In a case that involved a Florida …

Claim 246

Claim Insurance Carrier Premium Workers Compensation 246

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 106

Workers Compensation Compensation Workers Comp Injury 106

AMAXX

FEBRUARY 17, 2025

A lack of clear communication often leads to confusion, frustration, and even litigation , increasing costs for both the employer and the injured worker. However, implementing strong communication strategies can significantly improve claim outcomes and reduce unnecessary legal battles. “Whos going to pay for my medical bills?”

Workers Comp 66

Workers Comp Claim Workers Compensation Injury 66

AMAXX

AUGUST 7, 2024

Classification rules are guidelines used by rating bureaus and insurance companies to categorize businesses based on the type of work they perform. The higher the risk, the higher the workers’ compensation premium for that classification. Instead of dreading these audits, be proactive in your approach.

Workers Compensation 102

Workers Compensation Compensation Workers Comp Premium 102

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. Timely processing prevents claims from becoming unnecessarily expensive and ensures each case receives the attention it deserves.

Workers Comp 59

Workers Comp Claim Workers Compensation Injury 59

AMAXX

DECEMBER 2, 2024

At the heart of this process is the medical director, medical department, or consultant, who plays a pivotal role in interpreting medical jargon and facilitating smooth communication between medical professionals, injured employees, and the workers’ compensation team.

Workers Compensation 93

Workers Compensation Compensation Injury Workers Comp 93

AMAXX

SEPTEMBER 23, 2024

When it comes to calculating workers’ compensation premiums, two critical factors play a significant role: the frequency and severity of claims. Frequency: The Stronger Driver of Premiums In the world of workers’ compensation, frequency refers to how often claims are filed.

Workers Compensation 92

Workers Compensation Premium Compensation Workers Comp 92

AMAXX

OCTOBER 8, 2024

These programs offer significant benefits, not only by speeding up recovery but also by minimizing the financial impact of workers’ compensation claims on employers. He is co-author of the #1 selling comprehensive training guide “Your Ultimate Guide to Mastering Workers’ Comp Costs: Reduce Costs 20% to 50%.”

Workers Compensation 104

Workers Compensation Compensation Workers Comp Injury 104

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 24, 2024

Click Link to Access Free PDF Download “8 ‘Think Outside the Box’ Tactics to Settle Workers’ Comp Claims” Take, for instance, an employee who tears their medial meniscus. He is co-author of the #1 selling comprehensive training guide “Your Ultimate Guide to Mastering Workers’ Comp Costs: Reduce Costs 20% to 50%.”

Workers Compensation 106

Workers Compensation Compensation Injury Workers Comp 106

AMAXX

SEPTEMBER 16, 2024

Moreover, a consistent approach allows the employer to control the narrative from the outset, preventing external parties—such as doctors, lawyers, or claims adjusters—from driving the process. Proper documentation not only aids in managing the workers’ compensation claim but also helps protect the employer against potential legal challenges.

Injury 105

Injury Workers Compensation Compensation Workers Comp 105

AMAXX

MARCH 24, 2025

These employees, known as “general exclusions,” require their payroll to be reported and calculated separately, directly influencing workers compensation premiums. ” Stay tuned to complete your understanding and gain further control over your workers’ compensation premiums. All state laws vary.

Workers Comp 104

Workers Comp Premium Workers Compensation Compensation 104

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

AMAXX

JANUARY 21, 2025

By setting clear expectations, these guidelines help manage claims efficiently, promote recovery, and ensure equitable treatment for injured workers. Setting Clear Expectations Injury Duration Guidelines establish realistic recovery timelines for injured workers, employers, and medical providers.

Workers Comp 98

Workers Comp Injury Workers Compensation Compensation 98

LexisNexis

SEPTEMBER 17, 2024

Hamilton, Former Assistant Secretary and Deputy Commissioner, California Workers’ Compensation Appeals Board Over the past several decades California has implemented broad legislative changes aimed at lowering the costs associated with workers’ compensation, especially medical expenditures. Mueller, K.L, Mueller, K.L,

Workers Compensation 74

Workers Compensation Claim Compensation Injury 74

AMAXX

JANUARY 27, 2025

Revamping a workers compensation (WC) program can transform how companies manage costs and care for injured employees. Below, we explore common errors and provide actionable steps to begin reforming a workers’ comp program. Legacy claims that linger unresolved. What is the status of open or legacy claims?

Workers Comp 94

Workers Comp Injury Workers Compensation Claim 94

AMAXX

FEBRUARY 4, 2025

These assignments help businesses manage claims costs, reduce lost workdays, and maintain workforce productivity. Michael Stack, CEO of Amaxx LLC, is an expert in workers compensation cost containment systems and provides education, training, and consulting to help employers reduce their workers compensation costs by 20% to 50%.

Workers Comp 97

Workers Comp Workers Compensation Injury Compensation 97

AMAXX

MARCH 17, 2025

There are elements in your workers compensation program that may be creating challenges without you even realizing it. Drivers of Human Behavior in Workers Compensation The science of human behavior has been studied extensively, and one of the most insightful works on the subject is Drive by Daniel Pink.

Workers Comp 66

Workers Comp Workers Compensation Injury Compensation 66

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

Insurance Journal

MARCH 3, 2025

Florida insurance regulators have asked companies to hand over extensive amounts of data on people’s pharmacy claims, including personal information and prescription drug usage, an unusual move for a state regulator that’s raising privacy concerns. An eight-page request went out …

Claim 334

Claim Workers Compensation Insured Insurer 334

AMAXX

DECEMBER 9, 2024

Some claims do not benefit from having a nurse assigned to the file because the role of educating, advocating, or ensuring compliance with medical treatment is already fulfilled in another manner. He is co-author of the #1 selling comprehensive training guide Your Ultimate Guide to Mastering Workers Comp Costs: Reduce Costs 20% to 50%.

Workers Compensation 97

Workers Compensation Compensation Workers Comp Injury 97

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