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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. Employees come to believe that every claim will be accepted, regardless of the circumstances.

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Why Reporting Small Claims Pays Off in ERA States

AMAXX

When it comes to workers’ compensation, small claims might seem harmless. Many employers wonder: “Why report a $1,000 medical bill to the insurance carrier if we can just pay it ourselves and keep our experience mod low?” After all, fewer claims mean fewer red flags on your insurance history—right? Not always.

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When No One’s Home: Understanding Roleof Vacancy Insurance

Triple-I: Homeowners Insurance

If a home will be vacant for an extended period, whether due to a sale, relocation, inheritance, or renovation, its essential to inform your insurance carrier and review your coverage options. Injuries on vacant property can lead to significant financial losses.

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Why We’re Still Talking About the J&J Class Action ERISA Lawsuit

R&R Insurance

In dismissing the two fiduciary breach claims, the court ruled that the plaintiff (an employee of J&J) lacked standing to bring a lawsuit. The J&J case should serve as a reminder to employers of the importance of adhering to their ERISA fiduciary duties when managing their health plans.

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Workers’ Comp Is a Team Sport: Understanding the Puzzle of Stakeholders

AMAXX

When a workplace injury occurs, most people think of two parties: the injured worker and the employer. But beneath the surface lies an intricate, interconnected web of stakeholders, each playing a unique role in managing the outcome of the claim. They may handle claims in-house or hire a third-party administrator (TPA).

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Working With Unions on Return-to-Work: 8 Steps for Gaining Support and Avoiding Conflict

AMAXX

Audit your policies for: Wage continuation programs that exceed pre-injury earnings (especially since workers’ comp is tax-free) Accrual of vacation/sick time during time off Seniority rules that reward time away from work Other “perk continuations” like gym memberships or car allowances Work with union leadership to address these disincentives.

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Three Charged With Auto Insurance Fraud in Miami After False Injury Claims

Insurance Journal

Florida authorities have charged a Miami-area nurse practitioner and two others with creating false medical reports and attempting to defraud an auto insurance carrier out of more than $47,000. Local news reports said that investigators with the state Department of …