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Contractors insurance groups say worker injuries are being faked at an unprecedented rate across New York’s construction sites in hopes of receiving workers’ compensation benefits and liability insurance payouts, according to court filings and an ABC News report. Worker advocates …
Contractors insurance groups say worker injuries are being faked at an unprecedented rate across New York’s construction sites in hopes of receiving workers’ compensation benefits and liability insurance payouts, according to court filings and an ABC News report. Worker advocates …
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.
A workers’ compensation insurer is entitled to continue to receive reimbursements from the Massachusetts second injury fund even after it stops writing business in the state, the state’s high court has ruled in an opinion reversing itself on the issue.
The Texas Department of Insurance, Division of Workers’ Compensation this month released a report on fatal occupational injuries in Texas for the 2023 year, finding that fatal injuries were slightly down compared to the year prior. There were 564 fatal …
An Amazon distribution center worker in Virginia whose job entailed repetitive lifting and stowing of items every day and who suffered rotator cuff tears has been denied workers’ compensation benefits because she failed to prove her injury resulted from an …
Not all accidents are compensable merely because they happen at work, the Virginia Workers’ Compensation Commission (WCC) reminded in denying workers’ compensation benefits to a school bus driver for an injury that happened while he was simply walking from his …
When it comes to managing workers’ compensation, understanding classification rules is fundamental. The higher the risk, the higher the workers compensation premium for that classification. Misclassification can lead to costly errors, either by overpaying premiums or by facing penalties for underreporting risk.
In the complex world of workers’ compensation, achieving optimal outcomes for injured workers requires a blend of precision, consistency, and empathy. One of the most effective tools in this endeavor is the use of Injury Duration Guidelines. What Are Injury Duration Guidelines? Why Do Injury Duration Guidelines Matter?
A Virginia student assistant who suffered injuries in both knees after being kicked 25 times over a period of 11 days is not entitled to workers’ compensation benefits. The Virginia Workers’ Compensation Commission (WCC) upheld a deputy commissioner’s denial of …
exposed warehouse workers to injuries has been dismissed for lack of evidence, the company said in a statement Thursday. A case alleging that Amazon.com Inc. The Washington state Department of Labor and Industries cited the e-commerce giant for setting rapid …
A Providence Forge, Virginia man has been sentenced to nine years in prison for embezzling funds from his former employer, the Virginia Birth-Related Neurological InjuryCompensation Program. According to court documents, John Hunter Raines was the chief financial officer and …
An employee who claims he injured his knee while swinging a club during an employer-sponsored TopGolf event has failed to qualify for workers’ compensation benefits. The Virginia Workers’ Compensation Commission (VWCC) recently upheld the denial of benefits for the injured …
Many companies operate under an unwritten rule: accept every workers compensation claim, no questions asked. A well-managed workers compensation program should pay 100% of legitimate claimsand 0% of the claims that arent. Employees should know upfront that all claims will be reviewed, and only legitimate injuries will be covered.
Morgan & Morgan calls itself the nation’s largest injury law firm, with offices in most states. 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 …
Various media outlets have reported shots were fired into the home of the head of Oregon worker’s compensation insurer SAIF Corp. The outlets are reporting that the early-morning Feb. 21 shooting occurred at the Lake Oswego home of the SAIF …
In the intricate landscape of workers’ compensation, the pursuit of optimal outcomes for injured workers is paramount. In the context of workers’ compensation, EBM seeks to streamline care pathways and promote recovery by basing treatment plans on standardized guidelines and peer-reviewed evidence.
By understanding the role fear plays in workers compensation claims, employers can implement strategies to foster trust, improve outcomes, and reduce costs. The Link Between Fear and Litigation Studies have consistently identified fear as a major driver of workers compensation litigation.
million workers compensation claims reveals the costliest claims are driven by the most common workplace accidents, according to Travelers 2024 Injury Impact Report. The data also shows first-year employees are still among those most vulnerable to injury. Analysis of 1.2
The trend of decreasing rates in Connecticut workers’ compensation insurance will continue as the state’s insurance regulator has approved an industry proposed 6% rate decrease beginning January 1, 2025. The now-approved rate filing submitted by the industry’s National Council on …
A Virginia man pled guilty to embezzling funds from his former employer, a fund that provides financial assistance to families of infants who suffer from brain or spinal cord injuries, reports the U.S. Attorney for Eastern Virginia. According to court …
Defending workers’ compensation claims from employees who have not disclosed previous injuries may have just become a little more complicated for employers and insurance carriers in Georgia. The Georgia Court of Appeals last week found that a long-standing defense against …
Work-related injuries can occur in any industry, and when they do, the aftermath can be chaotic and stressful for all parties involved. To mitigate confusion, it’s essential for companies to have a clear and consistent post-injury response procedure. One of the most critical aspects of these procedures is consistency.
It’s a question that has cropped up in state courts only on rare occasions: If the owner or officer of a subcontractor firm opts out of workers’ compensation coverage for himself, can he then sue the general contractor for negligence …
million workers’ compensation claims reveals the costliest claims are driven by the most common workplace accidents, according to Travelers 2024 Injury Impact Report. The data also shows first-year employees are still among those most vulnerable to injury. Analysis of 1.2
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?
Worker misclassification in Maryland is widespread, leaving thousands of workers without injury protection and depriving insurance companies of more than $58 million in workers’ compensation premiums each year, according to a report from a state task force. Maryland’s Joint Enforcement …
Supervisors in the workplace, much like a championship teams defense, play a pivotal role in injury management. Their response in the first moments after an injury determines whether the process leads to a smooth recovery or spirals into an expensive, drawn-out claim. Research by Scott W. Heres a step-by-step guide for supervisors: 1.
BTW Solutions bills itself as a drug wholesaler and billing service and as a way for physicians to maximize profits on workers’ compensation and personal-injury-protection patients through the use of topical creams and durable medical equipment. The Benton, Arkansas-based …
The Texas Department of Insurance, Division of Workers’ Compensation (DWC) is accepting public comments on revised static forms: DWC Form-005, Non-Subscriber Notice to Division of Workers’ Compensation. DWC Form-007, Employer’s Report of Non-Covered Employee’s Work-Related Injury or Illness.
The injury coordinator can evaluate these aspects of both telephonic case management and field-based case management by first emailing the adjuster and stating the above. Also, the injury coordinator should know whether your NCM is an RN or a Licensed Practical Nurse (LPN). When an employee is missing medical appointments.
When a workplace injury occurs, selecting the right physician is a critical factor in ensuring a smooth recovery and return to work. 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.
Rassp, Presiding Judge, Los Angeles WCAB 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. Below you will find 10 of them as a sneak preview.
Worker misclassification in Maryland is widespread, leaving thousands of workers without injury protection and depriving insurance companies of more than $58 million in workers’ compensation premiums each year, according to a new report from a state task force. Maryland’s Joint …
A forklift driver for Frito-Lay who injured his achilles tendon playing in a company basketball game is not covered by workers compensation. The Virginia Workers Compensation Commission (VWCC) upheld the denial of benefits because the employee’s voluntary participation in the …
Revamping a workers compensation (WC) program can transform how companies manage costs and care for injured employees. Misidentifying the Problem A frequent mistake is attributing WC challenges solely to injury management partners or external factors, such as adjuster turnover or physician behavior. Avoiding Common Errors 1.
In this three-part series, we are examining nine elements of independent premium audits to help you better understand and control your workers’ compensation premiums. Understanding these areas will further empower you to identify premium savings opportunities and maintain precise control over your workers’ compensation costs.
Supervisors play a critical role in the management of workplace injuries. They are often the first to respond when an employee is hurt and are responsible for guiding both the injured employee and the organization through the post-injury process. First Responder Role: When an injury occurs, the supervisor is often the first to know.
Annual workers’ compensation rate cuts in the double digits have become routine in almost every U.S. That trend may have now come to an end in Florida, where the National Council on Compensation Insurance is recommending … state in recent years.
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. See [link].
To better grasp this, let’s walk through a hypothetical scenario that illustrates two different supervisor responses to an employee’s injury and explore the potential consequences of each approach. Then, we’ll talk about how we can work together to accommodate your injury and help you return to the team as soon as possible.”
Workers’ compensation programs are a cornerstone of workplace safety and risk management. While their primary purpose is to ensure employees receive medical and wage replacement benefits for work-related injuries, they also offer critical advantages to employers.
A structured Return-to-Work (RTW) program is one of the most effective ways to reduce workers’ compensation costs and improve employee recovery outcomes. Return to Original Position Upon Full Recovery Once the employee reaches maximum medical improvement (MMI) , they return to their pre-injury job.
One of the most significant challenges for employers today is managing the rising costs of workers’ compensation claims. This post will dive into the two primary reasons why workers’ compensation costs are often higher than they should be, and how employers can take charge of the process to reduce those expenses.
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