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Report: Long COVID Accounted for Three Quarters of California Comp Virus Claim Payments

Insurance Journal

of the treatment payments on COVID claims and 73.7% of all COVID-19 claim payments in California’s workerscompensation system, according to a study. The study from the California WorkersCompensation Institute shows one-in-21 California … Long COVID cases accounted for 82.1%

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Understanding Classification Rules in Workers’ Compensation

AMAXX

When it comes to managing workerscompensation, understanding classification rules is fundamental. The higher the risk, the higher the workers compensation premium for that classification. Misclassification can lead to costly errors, either by overpaying premiums or by facing penalties for underreporting risk.

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Demystifying Evidence-Based Medicine in Workers’ Compensation

AMAXX

Evidence-Based Medicine (EBM) is increasingly recognized as a critical component in workerscompensation, influencing treatment decisions, recovery outcomes, and cost management. This ensures medical decisions in workerscompensation are guided by the strongest available evidence.

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How Fear Impacts Workers’ Compensation Claims (and What to Do About It)

AMAXX

However, for many workers, an overwhelming fear of losing their jobs adds unnecessary stress to an already difficult situation. Research has shown that fear of being fired is one of the top predictors of negative claim outcomes, including increased litigation rates and extended time off work. Heres how: 1.

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Mistake: Accepting Every Workers’ Compensation Claim

AMAXX

Many companies operate under an unwritten rule: accept every workers compensation claim, no questions asked. A well-managed workers compensation program should pay 100% of legitimate claimsand 0% of the claims that arent. Employers must have a structured approach for evaluating claims.

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Claim Counts Down, Losses up for California Workers’ Comp Private Self-Insureds

Insurance Journal

fewer workerscompensation claims in 2024 than in 2023, pushing private self-insured claim frequency to a four-year low, a new report shows. California’s private self-insured employers reported 7.4% However, for the second straight year, the average paid and incurred losses …

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Only Carrier or Comp Judge Can Determine Compensability, Fla. Appeals Court Says

Insurance Journal

An employee cannot file a tort lawsuit against her employer until after it has been determined that she is not eligible for a workerscompensation claim. And that compensability determination can only be made by an insurer or a compensation