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

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 84

Workers Compensation Compensation Injury Workers Comp 84

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

Insurance Journal

OCTOBER 20, 2024

Workers’ compensation medical payments per claim in California were 10% below the median state of a 17-state study sample for claims with experience through March 2023, a study from the Workers Compensation Research Institute shows. The WCRI study, CompScope Medical …

Workers Compensation 147

Workers Compensation Compensation Claim 147

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.

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Workers Compensation Premium Compensation Workers Comp 59

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.

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Injury Workers Compensation Compensation Workers Comp 82

LexisNexis

OCTOBER 10, 2024

Rassp, Presiding Judge, WCAB Los Angeles, California Division of Workers’ Compensation Disclaimer: The material and any opinions contained in this article are solely those of the authors and are not the opinions of the Department of Industrial Relations, Division of Workers’ Compensation, or the WCAB, or any other entity or individual.

Workers Compensation 75

Workers Compensation Compensation Workers Compensation Insurance Injury 75

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

AMAXX

AUGUST 7, 2024

The higher the risk, the higher the workers’ compensation premium for that classification. These rules are established by rating organizations like the National Council on Compensation Insurance (NCCI) in most states, though some states have their own rating bureaus.

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Workers Compensation Compensation Workers Comp Premium 72

LexisNexis

OCTOBER 22, 2024

By Julius Young, Richard Jacobsmeyer, Barry Bloom, Editors-in-Chief for Herlick, California Workers’ Compensation Handbook [Note: This article is excerpted from the upcoming 2025 edition of Herlick, California Workers’ Compensation Handbook. The AI revolution is starting to come to workers’ compensation.

Workers Compensation 40

Workers Compensation Compensation Claim Injury 40

Insurance Journal

NOVEMBER 3, 2024

Workersi compensation medical payments per claim in California were 10% below the median state of a 17-state study sample for claims with experience through March 2023, a study from the Workers Compensation Research Institute shows. The WCRI study, CompScope Medical …

Workers Compensation 147

Workers Compensation Compensation Claim 147

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

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

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 72

New Jersey Workers' Comp

AUGUST 22, 2024

The New Jersey Division of Workers’ Compensation has historically assessed against employers the obligation to pay 60% of the fee of the injured worker. Injured workers pay 40% of the fee of their own attorney in New Jersey. This new counsel fee legislation affects both parties and petitioners’ attorneys.

Workers Compensation 52

Workers Compensation Compensation Claim 52

LexisNexis

SEPTEMBER 9, 2024

Robinson, co-author, Larson’s Workers’ Compensation Law Editorial Note: All section references below are to Larson’s Workers’ Compensation Law, unless otherwise indicated. Iowa’s Private Employer Drug Testing Rules Do Not Apply to Post-Injury Testing in Workers’ Compensation Claims. By Thomas A.

Workers Compensation 40

Workers Compensation Compensation Injury Workers Comp 40

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

LexisNexis

OCTOBER 8, 2024

COMPLEX EMPLOYMENT ISSUES FOR CALIFORNIA WORKERS' COMPENSATION A new softbound supplement to Rassp & Herlick, California Workers’ Compensation Law 284 pages PIN #0006801214509 For current pricing and to order, call 800-543-6862. What constitutes an independent contractor?

Workers Compensation 40

Workers Compensation Compensation Workers Compensation Insurance Liability 40

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.

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Injury Claim Workers Compensation Insurance Claim 279

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 82

Insurance Journal

JULY 30, 2024

Injured Minnesota employees who seek services from the Department of Labor and Industry’s Vocational Rehabilitation unit (VRU) while their disputed workers’ compensation claim goes through the litigation process will soon face new eligibility rules. Effective Aug. 1, 2024, if the …

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Claim Compensation Workers Compensation 254

New Jersey Workers' Comp

JUNE 20, 2024

The employer argued that Lopez could not sue and that his only remedy was in the New Jersey Division of Workers’ Compensation. 449 (2012) for the proposition that a violation of a safety code is just one factor in proving an intentional harm claim. Oakland Bd. of Educ. , The court relied on Van Dunk v. 21cv17366, 2024 U.S.

Workers Compensation 52

Workers Compensation Compensation Injury Claim 52

LexisNexis

NOVEMBER 7, 2024

Colleen Casey, Former Commissioner, California Workers’ Compensation Appeals Board The battle of the bill review experts is on! in fees for dental services and appliances admittedly provided to the injured worker, Donate Russell. claiming that $5,499.07 Earned the Self-insurance Claims Examiner Certificate.

Workers Compensation 40

Workers Compensation Compensation Injury Claim 40

New Jersey Workers' Comp

MAY 6, 2024

I had the pleasure of Speaking on Law Day in Plainfield Workers’ Compensation Court on May 1, 2024 and wanted to share with readers part of the discussion in our session, namely the discussion of the New Jersey authorized vehicle rule contained in N.J.S.A. I also want to thank my co-presenter Rick Rubenstein, Esq.,

Workers Compensation 40

Workers Compensation Compensation Injury Theft 40

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.

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Injury Compensation Claim Insured 252

Risk Management Monitor

JULY 26, 2022

Many companies overlook one key way to control costs that can be easily implemented and managed while also improving work culture overall: implementing a safety program to better manage workers compensation costs. There are myriad ways to reduce workers’ compensation costs. Practice Makes Perfect.

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Workers Compensation Compensation Claim Building 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. to $1,680.29

Workers Comp 75

Workers Comp Workers Compensation Injury Compensation 75

Insurance Journal

OCTOBER 17, 2024

A worker injured when he fell from a ladder is entitled to workers’ compensation benefits despite the fact he was intoxicated at the time of the accident. An appellate court in New York has upheld a decision of the Workers’ …

Claim 264

Claim Compensation Workers Compensation 264

New Jersey Workers' Comp

MARCH 25, 2024

in workers’ compensation medical and temporary disability benefits to petitioner, Darshelle Joseph. The workers’ compensation case had not yet been resolved. paid in medical and temporary disability benefits but the court also noted that the workers’ compensation case had not yet concluded.

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Workers Compensation Compensation Liability Insurance Carrier 40

AMAXX

OCTOBER 9, 2024

This activity ties directly to Paradigm’s key session, Human-Centered Care & Compassion: Real Workers, Groundbreaking Recoveries , where two catastrophically injured workers will share their why, the purpose they have found in the wake of life-changing injuries, and the critical importance of family and a holistic, team-based approach to care.

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Workers Compensation Compensation Workers Comp Injury 81

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.

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Workers Comp Workers Compensation Compensation Injury 79

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.

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Workers Compensation Workers Comp Injury Compensation 84

LexisNexis

AUGUST 28, 2024

Rassp, Chairman of the Board of Directors, Friends Research Institute (friendsresearch.org) Disclaimers: The opinions expressed in this article are those of the author and are not those of the State of California Department of Industrial Relations, Division of Workers’ Compensation, or the Workers’ Compensation Appeals Board.

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Workers Compensation Compensation Claim Injury 75

Triple-I: Workers Compensation

JUNE 10, 2024

William Nibbelin, Senior Research Actuary, Triple-I The recent National Council on Compensation Insurance (NCCI) Annual Insights Symposium (AIS) in Orlando, Fla., provided important context and clarity around the state of the workers compensation line of business. percent and below the 3.5 percent in 2022.

Workers Comp 40

Workers Comp Workers Compensation Compensation Claim 40

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.

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Claim Injury Workers Compensation Risk 75

Triple-I: Workers Compensation

JULY 22, 2024

State guaranty funds make up a privately funded, nonprofit state-based national system that pays covered claims up to a state’s legally allowable limits, protecting policyholders if their insurer becomes insolvent. There are 55 such funds because some states have more than one.

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Workers Compensation Insured Insurance Insurer 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.

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Workers Comp Workers Compensation Compensation Injury 83