Insurance Journal

JULY 20, 2025

In recent years, there has been a surge in mental health awareness across the workers’ compensation landscape. These claims have become a higher priority for insurers, with an estimated one-in-five adults (51.5 million) living with mental illness in the United …

Claim

Insurance Journal

JUNE 1, 2025

By Andrea Wells Workers’ compensation remained a healthy and profitable line in 2024, but claims severity grew with an increase of 6% for medical claim severity and 6% for indemnity claim severity. That’s according to the National Council on Compensation …

Workers Comp

AMAXX

MAY 27, 2025

In the world of workers compensation, few factors have a more immediate and measurable impact on claim outcomes than lag time the delay between when an injury occurs and when it is reported to the carrier or third-party administrator (TPA). Beyond four weeks , claim costs jumped 31%. Here’s what you need to know.

Claim

AMAXX

FEBRUARY 24, 2025

However, there are times when the NCM doesn’t serve a specific purpose and is assigned to the claim to get it moving. Ask your third-party administrator or adjuster to work with you to determine when nurses are needed to resolve claims quickly and ensure good-quality medical care for employees.

Workers Compensation

AMAXX

JULY 1, 2025

If there’s one universal truth in workers’ compensation, it’s this: The best claim is the one that never happens. Here’s how to move from simply collecting injury data to using it to prevent future claims. Reduce Costs Fewer injuries mean lower workers’ compensation premiums, fewer lost workdays, and higher productivity.

Injury

AMAXX

APRIL 28, 2025

In workers’ compensation programs, the conversation often revolves around costs, compliance, and claims management systems. Empathy isnt just a nice to have in workers comp management it’s a proven strategy for reducing claim costs, preventing litigation, and helping injured employees return to work faster.

Workers Compensation

AMAXX

FEBRUARY 24, 2025

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. States mandate different sets of guidelines, which stakeholders must adhere to when managing claims.

Workers Compensation

AMAXX

JUNE 3, 2025

In workers compensation, the moments before an injury ever occurs are just as important if not more so than the moments after. While much attention is given to claims handling, medical coordination, and return-to-work strategies, the foundation of a successful claim is built long before the incident takes place.

Injury

AMAXX

JANUARY 21, 2025

In the complex world of workers’ compensation, achieving optimal outcomes for injured workers requires a blend of precision, consistency, and empathy. By setting clear expectations, these guidelines help manage claims efficiently, promote recovery, and ensure equitable treatment for injured workers.

Workers Comp

AMAXX

JANUARY 20, 2025

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.

Workers Compensation

Mark Jackson Insurance Agency

APRIL 21, 2025

For business owners, preventing injuries is key to protecting employees, maintaining productivity, and minimizing workers compensation claims. Responding quickly and documenting everything helps limit the impact of workplace injuries and supports the workers compensation claims process.

Workers Compensation

LexisNexis

FEBRUARY 5, 2025

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].

Workers Compensation

AMAXX

JULY 14, 2025

When it comes to workers’ compensation, small claims might seem harmless. After all, fewer claims mean fewer red flags on your insurance history—right? Especially in ERA states , choosing not to report those small claims could end up costing far more in the long run. So, a $10,000 medical-only claim? Not always.

Claim

AMAXX

MAY 6, 2025

Employers struggling with first-year injuries, high turnover, or repeat claims often have something in common: a reactive hiring process. This also ensures compliance and reduces liability for wrongful injury claims. Theyre moving fast, skipping steps, and taking on avoidable risk. But what if hiring was treated like risk management?

Workers Comp

AMAXX

MARCH 10, 2025

Mass layoffs or company closures can trigger a significant increase in workers’ compensation claimssome legitimate, others potentially unsubstantiated. Enhance Claims Handling Capacity Prepare for an uptick in claims by adding staff who can handle the additional workload effectively.

Workers Comp

AMAXX

APRIL 23, 2025

Efficient management of workers’ compensation claims significantly impacts both employee recovery outcomes and organizational costs. Intervention Identification: Recognize when additional claims management or medical interventions are necessary.

Injury

AMAXX

FEBRUARY 17, 2025

When a worker is injured, their experience in the workers’ compensation system can have a profound impact on their recovery, return to work, and overall job satisfaction. However, implementing strong communication strategies can significantly improve claim outcomes and reduce unnecessary legal battles.

Workers Comp

Triple-I: Workers Compensation

MAY 20, 2025

William Nibbelin, Senior Research Actuary, Triple-I Economic uncertainty, industry-specific trends, and evolving risks were the focus of the NCCI Annual Insights Symposium (AIS) 2025 a key event for the workers compensation industry. Key Findings Premium: Workers compensation net written premium decreased by 3.2 points in 2024.

Workers Comp

AMAXX

JULY 22, 2025

But buried in those pages are opportunities— opportunities to catch costly errors, curb overcharges, and prevent claim bloat. This is where medical bill review (MBR) becomes an essential part of any effective workers’ compensation cost containment strategy. Contact: mstack@reduceyourworkerscomp.com.

Workers Comp

AMAXX

MAY 22, 2025

In the high-stakes world of workers compensation, the moments following a workplace injury can define the entire outcome of a claim. Claims cost, duration, employee trust, litigation riskit all hinges on whats said (or not said) in those first few minutes. The average claim duration also plummeted: Negative response: 33.5

Injury

AMAXX

APRIL 30, 2025

When a workers compensation claim spirals into a costly, prolonged, or litigated nightmare, most people instinctively look for a technical failure: late paperwork, a coverage issue, or a misstep by the claims adjuster. The real reason many workers comp claims go off the rails? And guess what?

Workers Comp

AMAXX

MAY 19, 2025

The workers compensation system may feel like a complex web of insurance premiums, claims adjusters, and legal disputesbut at its core, its rooted in one simple idea: a compromise. Small companies especially found themselves at risk of being put out of operation entirely after just one major injury claim.

Workers Comp

AMAXX

MARCH 10, 2025

In the first part of our series, we emphasized the importance of thoughtful layoff planning to mitigate the risk of increased workers’ compensation claims following a workforce reduction or facility closure. This reduces the potential for prolonged indemnity claims continuing after layoffs.

Workers Comp

AMAXX

JULY 17, 2025

When it comes to workers’ compensation costs, many employers focus on claims management, safety programs, and return-to-work initiatives. Your experience mod is essentially your company’s credit score for workers’ compensation. means fewer-than-expected claims and lower premiums. A mod of 1.00 A mod below 1.00

Workers Comp

AMAXX

MARCH 18, 2025

These errors can have significant consequences, including prolonged recovery times, increased claims costs, and a greater likelihood of litigation. She was given a list of four medical providers but found that: Two providers did not accept workers compensation patients. The only available provider was 70 miles away.

Workers Comp

AMAXX

MAY 27, 2025

Workers compensation is often misunderstood as a fixed cost of doing businesssomething employers have to accept, manage passively, and simply write checks for. If you’re serious about lowering premiums, reducing claim durations, and improving outcomes for injured workers, start by identifying and correcting these ten common pitfalls.

Workers Comp

Insurance Journal

FEBRUARY 9, 2025

million fine and take action to improve claims handling and prevent balance billing for out-of-network treatment after a state Department of Insurance investigation detailed multiple allegations. UnitedHealthcare of North Carolina has agreed to pay a $3.4 “Patients receiving emergency room …

Claim

R&R Insurance

FEBRUARY 20, 2025

On October 1, 2024 Wisconsin continued its trend entering a ninth consecutive year of reduced workers compensation insurance rates. Workers compensation rates are state mandated in Wisconsin, meaning all insurance carriers must use the same rates resulting in premiums from one carrier to another are basically the same.

Workers Compensation

AMAXX

JUNE 17, 2025

When it comes to managing workers’ compensation claims, many employers focus on lagging indicators—things like claim count, indemnity costs, and days lost. And more importantly, it predicts future claims costs, experience modification factors (mods), and employee outcomes better than almost any other metric.

Workers Comp

AMAXX

JANUARY 27, 2025

Revamping a workers compensation (WC) program can transform how companies manage costs and care for injured employees. Employers must recognize that effective workers comp management requires proactive employer involvement and robust internal processes to support external partners, emphasizing teamwork in workers’ compensation programs.

Workers Comp

AMAXX

MAY 13, 2025

Yet many employers still fly blindunsure where to focus, overwhelmed by options, and frustrated by rising claim costs and stagnant outcomes. With just five core metrics , you can quickly diagnose the health of your workers compensation program , prioritize where to act, and measure your progress over time.

Workers Comp

AMAXX

JULY 15, 2025

When it comes to workers’ compensation costs, few topics spark more debate—and confusion—than the question: Which is worse for my experience mod: many small injuries or one big one? It compares your actual workers’ compensation losses to the losses expected for similar businesses in your industry. Let’s break it down. is average.

Workers Comp

AMAXX

FEBRUARY 4, 2025

A structured Return-to-Work (RTW) program is one of the most effective ways to reduce workers’ compensation costs and improve employee recovery outcomes. These assignments help businesses manage claims costs, reduce lost workdays, and maintain workforce productivity. Contact: mstack@reduceyourworkerscomp.com.

Workers Comp

AMAXX

JUNE 24, 2025

Sometimes, the smallest gestures make the biggest difference—especially in workers’ compensation. Not a legal maneuver, not a claims system overhaul—just a sincere, timely, personal note from a supervisor or team member that tells the injured employee: We see you. Fear their claim was denied (or ignored). Yes, a card.

Workers Comp

Shield Insurance Agency

JUNE 19, 2025

Business insurance protects you/your business against various risks and potential financial losses that can arise from unexpected events or claims.

Business Insurance

AMAXX

MAY 6, 2025

But when it comes to the workers compensation system, a rushed or poorly evaluated hire can be far more costly than leaving a role vacant for a few extra weeks. First-Year Employees Drive Claims and Costs Beyond poor performance, bad hires can quickly become workplace injury liabilities.

Workers Comp

Protect Commercial Insurance

MAY 9, 2025

Here are some ways insurance protects your business: – Coverage for Damages : Whether it’s damage to property or compensation for injury claims, insurance can cover these costs, ensuring your cash flow isn’t disrupted. This insurance protects against claims related to defects in the products you sell or supply.

Liability Insurance