Remove Injury Remove Insurance Carrier Remove Workers Comp
article thumbnail

Mistake: Accepting Every Workers’ Compensation Claim

AMAXX

This opens the door to exaggerated injuries, unrelated medical issues being attributed to work, and even outright fraudulent claims. To run an effective workers compensation program, companies must take control of the claims process rather than defaulting to automatic acceptance. Transparency is key, and that starts with communication.

article thumbnail

With Unrevealed Previous Injury, Later Claim Cannot be Denied, Georgia Court Says

Insurance Journal

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 …

Injury 165
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Understanding the Key Parties in Workers’ Compensation

AMAXX

TPAs operate independently of the insurance carrier, focusing on streamlined claims handling rather than insurance services. Click Link to Access Free PDF Download “Step-By-Step Process To Master Workers Comp In 90 Days” 3. Contact: mstack@reduceyourworkerscomp.com.

article thumbnail

Avoid 2 Common Pitfalls That Delay Care in Workers’ Compensation Claims

AMAXX

This delay typically occurs when there is uncertainty about whether the injury is work-related, resulting in neither workers’ compensation nor general health insurance covering the initial treatment. Example: Consider John, who reports a shoulder injury first thing on a Monday morning.

article thumbnail

Part 3: Permanent Total Disability – Other Defenses to Consider

AMAXX

When examining this decision, there are several aspects of how the employee changes their economic position following the work injury: Moving within or to another state: There are various factors to consider when analyzing an employee’s move. Never discount the opportunity for the employee to return to the date of injury to the employer.

article thumbnail

Appellate Division Rules That Claimants in Certain Circumstances Do Not Have to Reimburse an Employer’s Lien From a Third Party Recovery Until the End of the Workers’ Compensation Case

New Jersey Workers' Comp

34:15-40(d), which provides that the employer or its carrier may serve notice on the third-party defendant or its insurance carrier of its lien rights as to any third-party recovery arising from the work injury. The Court was referring to N.J.S.A.