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.

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Workers Comp Injury Workers Compensation Compensation 98

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. How do I get paid?”

Workers Comp 66

Workers Comp Claim Workers Compensation Injury 66

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 …

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Workers Comp Claim Compensation Workers Compensation Insurance 278

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

FEBRUARY 24, 2025

However, there are times when the NCM doesn’t serve a specific purpose and is assigned to the claim to get it moving. Ask your third-party administrator or adjuster to work with you to determine when nurses are needed to resolve claims quickly and ensure good-quality medical care for employees.

Workers Compensation 66

Workers Compensation Workers Comp Compensation Claim 66

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. This reduces the potential for prolonged indemnity claims continuing after layoffs.

Workers Comp 59

Workers Comp Claim Workers Compensation Injury 59

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, …

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Workers Comp Claim Compensation Workers Compensation Insurance 245

AMAXX

JANUARY 20, 2025

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%.

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Workers Compensation Compensation Workers Comp Injury 98

Insurance Journal

DECEMBER 12, 2024

Mega claims in workers’ compensation represent far less than 1% of total workers’ comp claims yet account for more than 2% of total loss dollars, and total in excess of $1 billion each year, a new study from 10 state …

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Workers Comp Claim Compensation Workers Compensation 237

AMAXX

FEBRUARY 24, 2025

Evidence-Based Medicine (EBM) plays a critical role in workers compensation, guiding both medical professionals and non-medical stakeholders in making informed decisions about injury treatment, recovery time, and return-to-work strategies. One of the most common questions at the time of injury is, How long will my employee be off work?

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Workers Compensation Compensation Workers Comp Injury 66

AMAXX

APRIL 10, 2025

In the complex world of workers compensation, risk managers play a vital role in aligning strategic oversight with day-to-day claims operations. Far from being a behind-the-scenes figure, a successful risk manager serves as the linchpin between claims administration, adjusters, and injury management teams.

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Workers Comp Risk Workers Compensation Injury 59

AMAXX

MARCH 24, 2025

Click Link to Access Free PDF Download “Workers’ Comp Claims Review Checklist: 9 Must-Have, Serious-Impact Elements” A common and costly mistake employers make is overlooking allowable payroll deductions. It is crucial to segregate payroll accurately by the correct classification codes.

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Workers Comp Premium Injury Workers Compensation 71

Insurance Journal

JULY 17, 2024

Workers’ compensation claim rates and benefits paid in Minnesota continue to be stable or follow their long-term downward trajectories, a new Department of Labor and Industry (DLI) report shows. The 2024 Minnesota Workers’ Compensation System Report presents trend data regarding …

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Workers Comp Compensation Claim Workers Compensation 263

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 …

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Workers Comp Cyber Compensation Risk 279

Insurance Journal

JANUARY 15, 2025

A recent decision and concurring opinion by a Florida appeals court may have upset years of practice and could raise costs for workers’ compensation insurers. Some claims that carriers were once ready to close out of due to the statute …

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Workers Comp Compensation Claim Workers Compensation 264

AMAXX

FEBRUARY 25, 2025

Once employers and adjusters understand the value of evidence-based medicine (EBM) in workers’ compensation claims, the next challenge is applying it effectively. EBM helps ensure that medical treatments align with standardized recovery timelines, reducing unnecessary disability durations and claim costs.

Workers Comp 80

Workers Comp Injury Workers Compensation Claim 80

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 …

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Workers Comp Protection Claim Workers Compensation 264

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

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 …

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Workers Comp Compensation Claim Workers Compensation 264

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.

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Workers Comp Compensation Insurance Claim Claim 264

Mark Jackson Insurance Agency

APRIL 21, 2025

For business owners, preventing injuries is key to protecting employees, maintaining productivity, and minimizing workers compensation claims. Responding quickly and documenting everything helps limit the impact of workplace injuries and supports the workers compensation claims process.

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Workers Compensation Injury Compensation Claim 52

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 …

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Workers Comp Claim Workers Compensation Insurer 246

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.

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Workers Comp Claim Workers Compensation Injury 52

AMAXX

MARCH 24, 2025

This post is one in a 3-part series: Part 1: Workers Comp Independent Premium Audits Explained Part 2: Workers Comp Independent Premium Audits Explained Part 3: Workers Comp Independent Premium Audits Explained To qualify for this treatment, construction employers must keep meticulous records specifying exact hours worked per classification code.

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Workers Comp Premium Workers Compensation Compensation 59

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.

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Workers Comp Claim Workers Compensation Compensation 105

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.

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Workers Compensation Compensation Workers Comp Broker-Agent 98

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 …

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Premium Workers Comp Compensation Workers Compensation Insurance 277

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, …

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Workers Comp Compensation Claim Workers Compensation 245

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 …

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Workers Comp Compensation Premium Workers Compensation 263

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.

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Workers Comp Claim Workers Compensation Compensation 102

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

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.

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Workers Compensation Compensation Workers Comp Injury 105

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.”

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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.

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Triple-I: Workers Compensation

FEBRUARY 14, 2025

By William Nibbelin, Senior Research Actuary, Triple-I The workers compensation insurance industry experienced its second-best underwriting result in the past 20 years in 2023, with a net combined ratio of 87, according to Triple-Is latest Issues Brief. A combined ratio under 100 indicates a profit. A ratio above 100 indicates a loss.

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Workers Comp Premium Workers Compensation Workers Compensation Insurance 40

AMAXX

JANUARY 27, 2025

Click Link to Access Free PDF Download “Step-By-Step Process To Master Workers Comp In 90 Days” Start With Goal of Where You Want to Go We start with a goal of where we want to go. It might be too many claims. It might be too many open claims. This is where we start. We start with a vision.

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Workers Comp Workers Compensation Injury Compensation 92

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 …

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