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Mistake: Accepting Every Workers’ Compensation Claim

AMAXX

An effective injury investigation ensures that only valid claims proceed, protecting both the company and legitimate injured workers. Conduct Regular Claims Reviews : Work closely with your insurance carrier or third-party administrator (TPA) to review open claims and identify inconsistencies.

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

AMAXX

As a result, the workers’ compensation 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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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 remanded the case to the trial court to take steps to protect NJ Transit’s lien.