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Understanding the Key Parties in Workers’ Compensation

AMAXX

Third-Party Administrator (TPA): Claims Specialists For employers who are self-insured or insurance companies without an in-house claims department, TPAs play a crucial role. TPAs operate independently of the insurance carrier, focusing on streamlined claims handling rather than insurance services.

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

AMAXX

As a result, the workerscompensation insurance carrier decides not to pay for the treatment until they determine the claim’s compensability. Simultaneously, because the injury was reported as work-related, John’s group health insurance also refuses to cover the treatment.

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Part 3: Permanent Total Disability – Other Defenses to Consider

AMAXX

These matters must be considered when seeking to maximize the efficiency of any workers’ compensation program and reduce costs. Consider Vocational Retraining Retraining is a dirty word in workers’ compensation, given the expenses associated with the process. Evaluate the various options. All state laws vary.

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Increase Your Commissions by Selling Disability Insurance

Word & Brown

Work-related disability is covered by Workers Compensation insurance. A person cannot generally qualify for both Workers Compensation and STD for the same incident. The California SDI program is administered by the states Employment Development Department (EDD).