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The higher the risk, the higher the workerscompensation 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. Contact: mstack@reduceyourworkerscomp.com. All state laws vary.
Many companies operate under an unwritten rule: accept every workerscompensation claim, no questions asked. A well-managed workerscompensation program should pay 100% of legitimate claimsand 0% of the claims that arent. Claims Reporting Policy : Require employees to report injuries within a specific timeframe (e.g.,
By understanding the role fear plays in workerscompensation 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 workerscompensation litigation.
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 …
million workerscompensation 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
One of the most effective tools in this endeavor is the use of Injury Duration Guidelines. What Are Injury Duration Guidelines? Injury Duration Guidelines provide evidence-based timelines for recovery from workplace injuries and illnesses. Why Do Injury Duration Guidelines Matter?
Why EBM Matters in Workers’ Compensation Improved Medical Outcomes EBM enables healthcare providers to tailor treatment plans to the specific needs of injured workers, ensuring that interventions are both effective and necessary. By adhering to these recommendations, costs are reduced without compromising care quality.
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 …
Contractors insurance groups say workerinjuries 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 …
Evidence-Based Medicine (EBM) plays a critical role in workerscompensation, guiding both medical professionals and non-medical stakeholders in making informed decisions about injury treatment, recovery time, and return-to-work strategies.
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 …
Contractors insurance groups say workerinjuries 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 …
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 …
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.
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 …
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 …
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 WorkersCompensation, or the WCAB, or any other entity or individual. as in civil actions.
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.
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 …
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.
A forklift driver for Frito-Lay who injured his achilles tendon playing in a company basketball game is not covered by workerscompensation. The Virginia WorkersCompensation Commission (VWCC) upheld the denial of benefits because the employee’s voluntary participation in the …
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.
By Christopher Mahon, LexisNexis Legal Insights Contributing Author A September 2024 study from the WorkersCompensation Research Institute indicates that workers represented by an attorney in workerscompensation claims receive substantially more payments than workers who are not represented by an attorney.
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. Exclusivity: Protection Against Lawsuits One of the most significant benefits of workerscompensation for employers is the exclusive remedy provision.
Employers: The Insured Employers, referred to as the insured or the risk, are the foundation of the workerscompensation system. These benefits include medical coverage, wage replacement, and rehabilitation services for work-related injuries or illnesses.
Managing work-related injuries and illnesses effectively requires a well-coordinated approach. By adhering to best practices, a medical director can significantly enhance the efficiency and outcomes of workplace injury management ( How to Calculate Cost per FTE Metric to Show Workers’ Comp as Profit Center ).
Revamping a workerscompensation (WC) program can transform how companies manage costs and care for injured employees. Below, we explore common errors and provide actionable steps to begin reforming a workers’ comp program. Do supervisors and employees understand their roles in the post-injury process?
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. Contact: mstack@reduceyourworkerscomp.com.
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 …
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. These programs should be tailored to each employee’s capabilities and should align with medical advice to prevent further injury.
These employees, known as “general exclusions,” require their payroll to be reported and calculated separately, directly influencing workerscompensation premiums. He is co-author of the #1 selling comprehensive training guide Your Ultimate Guide to Mastering Workers Comp Costs: Reduce Costs 20% to 50%.
Workplace injuries can have significant financial and operational impacts on businesses, but the cost to the employee is often much greater. From physical pain to financial insecurity, an injury can be life-altering. Despite this, many employers overlook one of the most critical aspects of workplace injury management: rehabilitation.
In the world of workers’ compensation, one of the most powerful strategies for managing costs while helping injured employees return to work is the implementation of a transitional duty (TD) program. Example: Consider a nurse who has suffered a back injury and is unable to perform patient transfers.
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 …
5 Reasons Why Workers’ Compensation Reserves Are Higher Than Expected: 1. Will the Injury Require Future Medical or Surgical Interventions? The need for surgery often signals more serious injuries, which not only have higher immediate costs but also pose substantial risks for future complications.
There are elements in your workerscompensation program that may be creating challenges without you even realizing it. Drivers of Human Behavior in WorkersCompensation The science of human behavior has been studied extensively, and one of the most insightful works on the subject is Drive by Daniel Pink.
Return to Original Position Upon Full Recovery Once the employee reaches maximum medical improvement (MMI) , they return to their pre-injury job. He is co-author of the #1 selling comprehensive training guide Your Ultimate Guide to Mastering Workers Comp Costs: Reduce Costs 20% to 50%. Contact: mstack@reduceyourworkerscomp.com.
Identifying red flag cases involving Medicare considerations early on is essential, especially for catastrophic injuries or workers nearing Medicare eligibility. He is co-author of the #1 selling comprehensive training guide “Your Ultimate Guide to Mastering Workers’ Comp Costs: Reduce Costs 20% to 50%.”
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.
These metrics are fundamental in determining the experience modification factor (often called “mod”), which ultimately influences the cost an employer will pay for workers’ compensation insurance. Stack is the creator of Injury Management Results (IMR) software and founder of Amaxx Workers’ Comp Training Center.
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