Insurance Journal

SEPTEMBER 19, 2024

A Washington man who claimed he was too injured to work while operating a metal fabrication shop faces a felony charge in an alleged $340,000 workers’ compensation scam. Travis Lee Johnson, 52, of Spokane Valley, pleaded not guilty recently to …

Workers Comp 264

Workers Comp Compensation Claim Workers Compensation 264

Insurance Journal

JULY 14, 2024

Projected changes to California workers’ comp claims frequency and severity due to industry mix of employment are negligible through 2026, while employment in most industries fully recovered from the initial pandemic related changes by the end of 2022, a new …

Workers Comp 241

Workers Comp Claim 241

Insurance Journal

OCTOBER 24, 2024

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

Workers Comp 264

Workers Comp Compensation Insurance Claim Claim 264

Insurance Journal

AUGUST 29, 2024

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 …

Workers Comp 246

Workers Comp Claim Insured Insurer 246

Insurance Journal

JULY 16, 2024

A Spokane, Washington woman who ran an adult family home while claiming she was too injured to work faces a felony charge in a $60,000 workers’ compensation fraud case. Serah Kamau, 52, reportedly operated her business, Brookhouse Adult Family Home, …

Workers Comp 245

Workers Comp Compensation Claim Workers Compensation 245

Insurance Journal

OCTOBER 8, 2024

California workers’ compensation written premium in 2023 was slightly above 2022, while written premium for the first six months of 2024 is 2% lower than the first six months of 2023, a new report shows. The Workers’ Compensation Insurance Rating …

Premium 277

Premium Workers Comp Compensation Workers Compensation Insurance 277

Insurance Journal

JULY 29, 2024

The California workers’ compensation system has been relatively stable in the post-pandemic era, as premium levels rose by 1% in 2023 and are forecast to increase modestly in 2024—while decreases in average insurer charged rates are moderating, a new report …

Workers Comp 263

Workers Comp Compensation Premium Workers Compensation 263

Insurance Journal

OCTOBER 2, 2024

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 …

Workers Comp 203

Workers Comp Compensation Claim Insured 203

Insurance Journal

AUGUST 21, 2024

A 56-year-old former Washington State meter reader who claimed she was so traumatized from a workplace dog attack that she fainted at the sight of dogs has pleaded guilty in a workers’ compensation fraud case. According to a Washington State …

Workers Comp 200

Workers Comp Compensation Claim Workers Compensation 200

Insurance Journal

JANUARY 16, 2025

Increases in average medical payments and average indemnity payments drove public self-insureds’ total paid losses up last year even though the number of claims fell, a new report shows. The California Workers’ Compensation Institute reviewed the initial report on fiscal …

Workers Comp 130

Workers Comp Claim Compensation Insured 130

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 84

Workers Comp Claim Workers Compensation Compensation 84

Insurance Journal

OCTOBER 20, 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 130

Workers Comp Claim Compensation 130

AMAXX

JANUARY 6, 2025

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.”

Workers Comp 80

Workers Comp Building Workers Compensation Compensation 80

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

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 73

Workers Comp Claim Workers Compensation Compensation 73

AMAXX

SEPTEMBER 10, 2024

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.

Workers Comp 81

Workers Comp Workers Compensation Compensation Injury 81

AMAXX

DECEMBER 19, 2024

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.

Workers Comp 74

Workers Comp Workers Compensation Injury Compensation 74

AMAXX

JANUARY 15, 2025

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.

Workers Comp 66

Workers Comp Workers Compensation Premium Injury 66

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 94

Workers Compensation Compensation Claim Workers Comp 94

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. These discrepancies can lead to unnecessary claims if not identified and addressed by a qualified medical professional.

Workers Comp 73

Workers Comp Injury Compensation Claim 73

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. Their expertise enhances the efficiency and accuracy of the claims process.

Workers Compensation 80

Workers Compensation Compensation Workers Comp Broker-Agent 80

AMAXX

OCTOBER 28, 2024

Every session seemed to touch on AI in some form, particularly in how it’s being used in workers’ comp and claims analysis. However, the principles of workers’ compensation will never change. They will evolve as technology advances.

Workers Comp 85

Workers Comp Workers Compensation Compensation Injury 85

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. The latest wage data from the U.S.

Workers Comp 75

Workers Comp Workers Compensation Injury Compensation 75

Word & Brown

DECEMBER 10, 2024

But do you know that Word & Browns partnership with CompNet Insurance Solutions makes it easy for you to offer Workers Comp coverage? You can expand your service to existing clients and attract new clients by broadening your services to include Workers Compensation Insurance. What Is Workers Comp?

Workers Comp 52

Workers Comp Workers Compensation Workers Compensation Insurance Compensation 52

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 84

Workers Compensation Compensation Workers Comp Injury 84

AMAXX

JULY 30, 2024

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

Workers Comp 52

Workers Comp Risk Workers Compensation Injury 52

AMAXX

JANUARY 14, 2025

By participating in the workers compensation system, employers can avoid these challenges, maintain focus on their business goals, and foster a stable work environment. Click Link to Access Free PDF Download “Step-By-Step Process To Master Workers Comp In 90 Days” 2.

Workers Compensation 67

Workers Compensation Compensation Workers Comp Injury 67

Triple-I: Workers Compensation

JUNE 10, 2024

I recently assumed responsibility for forecast modeling of the property/casualty industry, which includes workers comp. According to NCCI, the success of the workers comp line in recent years represents the convergence of three factors: Payroll increases Moderate severity increases, and Larger-than-expected frequency declines.

Workers Comp 40

Workers Comp Workers Compensation Compensation Claim 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

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 90

Workers Compensation Compensation Workers Comp Injury 90

AMAXX

SEPTEMBER 16, 2024

Click Link to Access Free PDF Download “Step-By-Step Process To Master Workers’ Comp In 90 Days” The Importance of a Consistent Post-Injury Response A well-documented and standardized post-injury response plan offers multiple benefits. This prevents delays and ensures that the process moves forward efficiently.

Injury 83

Injury Workers Compensation Compensation Workers Comp 83

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

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

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 Compensation 86

Workers Compensation Workers Comp Injury Compensation 86

LexisNexis

OCTOBER 8, 2024

of the California workers’ comp Migraine Drug spend and by 2021 it represented 8.8% of California workers’ comp migraine prescriptions but at an average of $617 per prescription it represented 8.6% of workers’ comp Migraine prescriptions, but with an average payment of $1,426 it represented 17.2%

Workers Comp 40

Workers Comp Workers Compensation Compensation Injury 40

Risk Management Monitor

DECEMBER 20, 2022

A chiropractor, for example, conducted illegal medical evaluations and billed these evaluations, claiming that he was approved as a medical legal evaluator. Provider fraud is increasingly prevalent in California and Florida due to each state’s workers comp rules.

Workers Comp 40

Workers Comp Workers Compensation Compensation Claim 40

AMAXX

NOVEMBER 12, 2024

Paradigm’s model goes beyond addressing physical injuries to include medical expertise, behavioral health, and community support, ensuring that the needs of both the injured worker and their family are met. The emotional side of recovery is just as important as the medical, with participants keen to ensure that no injured worker feels alone.

Workers Comp 81

Workers Comp Workers Compensation Injury Compensation 81