Insurance Journal

AUGUST 12, 2024

The South Carolina Court of Appeals has signaled that employers who offer on-site health clinics may not be immune from tort claims from injured or sickened workers. It’s the latest twist to a question that has bounced around courts and …

Workers Comp 264

Workers Comp Protection Claim Workers Compensation 264

Insurance Journal

AUGUST 22, 2024

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 …

Workers Comp 279

Workers Comp Cyber Compensation Risk 279

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

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 Insurance Insured 246

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 Insurer 203

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

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 260

Workers Comp Compensation Claim Workers Compensation 260

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

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

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 79

Workers Comp Workers Compensation Compensation Injury 79

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

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 72

Workers Comp Injury Compensation Workers Compensation 72

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 92

Workers Compensation Compensation Claim Workers Comp 92

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

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

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 83

Workers Comp Workers Compensation Compensation Injury 83

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

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

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

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 82

Workers Compensation Compensation Workers Comp Injury 82

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

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 80

Workers Comp Workers Compensation Injury Compensation 80

Triple-I: Workers Compensation

JULY 27, 2023

Combined ratio represents the difference between claims and expenses paid and premiums collected by insurers. While the broader industry has suffered due to replacement cost trends , the most recent Triple-I Issues Brief shows how workers compensation has benefited from a generally strong economy and, in particular, strong growth in payrolls.

Workers Comp 40

Workers Comp Workers Compensation Workers Compensation Insurance Compensation 40

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 82

Injury Workers Compensation Compensation Workers Comp 82

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 88

Workers Compensation Compensation Workers Comp Injury 88

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 84

Workers Compensation Workers Comp Injury Compensation 84

Triple-I: Workers Compensation

SEPTEMBER 23, 2022

“The pandemic brought new occupational illnesses into the system, but it was offset by a reduction of other types of claims back in 2020.” She noted that the workers comp industry was in a strong position before the pandemic and, consequently, in its aftermath. When workers returned, claims activity came back.

Workers Comp 52

Workers Comp Workers Compensation Compensation Claim 52

AMAXX

JULY 29, 2024

Claims Management Oversee the workers’ compensation claims process, ensuring timely filing and follow-up. Work with insurance adjusters and third-party administrators to manage and resolve claims efficiently. For additional resources and training, visit WCManual.com.

Workers Compensation 52

Workers Compensation Injury Compensation Workers Comp 52

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 59

Workers Compensation Premium Compensation Workers Comp 59

New Jersey Workers' Comp

JULY 19, 2024

As the readers know, there are two parts to a workers’ compensation policy. One part is the elective provisions that apply to all claim petitions filed in the Division of Workers’ Compensation. She filed both workers’ compensation claims for these injuries. 74 Industries , A-2643-021 (App.

Injury 52

Injury Claim Compensation Liability 52

AMAXX

JULY 1, 2024

Issues concerning permanent total disability (PTD) benefits are a significant cost driver in workers’ compensation claims. When facing these claims, members of the claim management team and other interested stakeholders need to identify the issues early on, evaluate and develop defenses, and avoid costly mistakes.

Workers Compensation 52

Workers Compensation Compensation Workers Comp Injury 52

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. Stack is the creator of Injury Management Results (IMR) software and founder of Amaxx Workers’ Comp Training Center.

Workers Compensation 84

Workers Compensation Compensation Injury Workers Comp 84

AMAXX

NOVEMBER 11, 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.

Policy 75

Policy Workers Comp Workers Compensation Injury 75

AMAXX

JULY 9, 2024

Defending Permanent and Total Disability (PTD) cases presents many challenges for the claim management team and other interested stakeholders. These matters must be considered when seeking to maximize the efficiency of any workers’ compensation program and reduce costs. There are many defenses to these claims to consider.

Workers Compensation 52

Workers Compensation Workers Comp Injury Compensation 52

AMAXX

NOVEMBER 19, 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 76

Workers Comp Workers Compensation Injury Building 76

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 75

Workers Compensation Compensation Workers Comp Injury 75