AMAXX

JANUARY 21, 2025

One of the most effective tools in this endeavor is the use of Injury Duration Guidelines. What Are Injury Duration Guidelines? Injury Duration Guidelines provide evidence-based timelines for recovery from workplace injuries and illnesses. Why Do Injury Duration Guidelines Matter?

Workers Comp 98

Workers Comp Injury Workers Compensation Compensation 98

Insurance Journal

SEPTEMBER 4, 2024

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 …

Auto Insurance 264

Auto Insurance Injury Insurance Carrier Claim 264

AMAXX

APRIL 23, 2025

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

Injury 83

Injury Workers Comp Workers Compensation Claim 83

Insurance Journal

MARCH 3, 2025

Defending workers’ compensation claims from employees who have not disclosed previous injuries may have just become a little more complicated for employers and insurance carriers in Georgia. The Georgia Court of Appeals last week found that a long-standing defense against …

Injury 165

Injury Claim Insurance Carrier Compensation 165

Insurance Journal

AUGUST 4, 2024

A Connecticut clinical social worker believes her homeowners insurer should defend and indemnify her against claims she violated patients’ privacy by accessing and sharing their private medical information. She says the lawsuit against her triggers her homeowners coverage because the …

Claim 278

Claim Home Insurance Insured Insurer 278

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 71

Claim Workers Comp Injury Workers Compensation 71

AMAXX

MARCH 18, 2025

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.

Workers Compensation 71

Workers Compensation Compensation Claim Workers Comp 71

AMAXX

FEBRUARY 10, 2025

Supervisors in the workplace, much like a championship teams defense, play a pivotal role in injury management. Their response in the first moments after an injury determines whether the process leads to a smooth recovery or spirals into an expensive, drawn-out claim. Research by Scott W.

Injury 66

Injury Workers Comp Workers Compensation Claim 66

AMAXX

MARCH 4, 2025

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. By understanding the role fear plays in workers compensation claims, employers can implement strategies to foster trust, improve outcomes, and reduce costs. Heres how: 1.

Workers Compensation 82

Workers Compensation Compensation Claim Workers Comp 82

AMAXX

JUNE 5, 2025

After all, theyre the ones who manage the paperwork, coordinate with insurance, and navigate the return-to-work process. But heres the truth: Effective injury response isnt just an HR task its a company-wide culture shift. Why a Culture of Support Matters Injury response is more than just reporting forms and claims handling.

Injury 66

Injury Workers Comp Workers Compensation Claim 66

Mark Jackson Insurance Agency

APRIL 21, 2025

Crutches leaning against a wall by Anna Shvets Workplace injuries affect more than just your team. For business owners, preventing injuries is key to protecting employees, maintaining productivity, and minimizing workers compensation claims. Training is another effective tool for injury prevention.

Workers Compensation 52

Workers Compensation Injury Compensation Claim 52

AMAXX

MAY 6, 2025

Hiring is more than finding the right resume or filling a seatits the first and most important line of defense in preventing workplace injuries and reducing workers comp costs. Employers struggling with first-year injuries, high turnover, or repeat claims often have something in common: a reactive hiring process.

Workers Comp 84

Workers Comp Claim Injury Workers Compensation 84

Triple-I: Homeowners Insurance

FEBRUARY 13, 2025

Insurance affordability in Georgia is dwindling as claim frequency and insurer costs soar, according to the latest issue brief from Insurance Information Institute (Triple-I), Trends and Insights: Georgia Insurance Affordability. Injury claim severity in the state is slightly higher than in the rest of the country.

Commercial General Liability 89

Commercial General Liability Commercial Umbrella Claim Liability 89

AMAXX

MAY 6, 2025

But whats often missed is that onboarding is one of the most critical safety tools in a companys injury prevention strategy. Injury rates dont spike after years on the jobthey surge within the first few days and weeks of employment. For instance: 52% of restaurant industry claims happen in the first 12 months.

Injury 59

Injury Workers Comp Workers Compensation Claim 59

Insurance Journal

MARCH 6, 2025

A Providence Forge, Virginia man has been sentenced to nine years in prison for embezzling funds from his former employer, the Virginia Birth-Related Neurological Injury Compensation Program. According to court documents, John Hunter Raines was the chief financial officer and …

Injury 165

Injury Compensation Claim Insured 165

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. The injury coordinator can evaluate these aspects of both telephonic case management and field-based case management by first emailing the adjuster and stating the above. For all hospitalizations.

Workers Compensation 66

Workers Compensation Compensation Workers Comp Claim 66

AMAXX

JANUARY 27, 2025

Misidentifying the Problem A frequent mistake is attributing WC challenges solely to injury management partners or external factors, such as adjuster turnover or physician behavior. Legacy claims that linger unresolved. Use diagnostic questions to analyze your current WC program: Are claims reported within 24 hours?

Workers Comp 94

Workers Comp Injury Workers Compensation Claim 94

Insurance Journal

MARCH 27, 2025

The Florida House subcommittee on insurance advanced two hotly debated bills Thursday, one supported by insurance agents but another that was opposed by agents and carriers alike. And another subcommittee voted to repeal the auto insurance personal injury protection law …

Auto Insurance 246

Auto Insurance Insurance Agent Insurance Agents Injury 246

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. When injuries occurred, the only recourse available to the worker was to sue their employer for negligence. Thus, the Grand Bargain was born.

Workers Comp 89

Workers Comp Injury Workers Compensation Claim 89

AMAXX

SEPTEMBER 16, 2024

Work-related injuries can occur in any industry, and when they do, the aftermath can be chaotic and stressful for all parties involved. To mitigate confusion, it’s essential for companies to have a clear and consistent post-injury response procedure. One of the most critical aspects of these procedures is consistency.

Injury 105

Injury Workers Compensation Compensation Workers Comp 105

AMAXX

FEBRUARY 17, 2025

However, implementing strong communication strategies can significantly improve claim outcomes and reduce unnecessary legal battles. The 2014 Predictors of Worker Outcomes Study surveyed 4,800 injured workers across 12 states and found that fear of being fired was a major predictor of poor claim outcomes.

Workers Comp 66

Workers Comp Claim Workers Compensation Injury 66

AMAXX

MARCH 10, 2025

Proper layoff planning isn’t just about handling employment transitions; it’s crucial for controlling claims costs and ensuring that resources are available to support genuinely injured workers. Enhance Claims Handling Capacity Prepare for an uptick in claims by adding staff who can handle the additional workload effectively.

Workers Comp 59

Workers Comp Claim Workers Compensation Injury 59

Insurance Journal

DECEMBER 17, 2024

It’s a question that has cropped up in state courts only on rare occasions: If the owner or officer of a subcontractor firm opts out of workers’ compensation coverage for himself, can he then sue the general contractor for negligence …

Injury 246

Injury Compensation Workers Compensation Claim 246

Triple-I: Homeowners Insurance

JUNE 3, 2025

From burst pipes and property theft to liability and squatter intrusion, a home left unoccupied for an extended period is exposed to a unique set of hazards, many of which may not be covered by a standard homeowners’ insurance policy. Injuries on vacant property can lead to significant financial losses.

Theft 71

Theft Damage Liability Insurer 71

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. Be meticulous in updating personnel files, health insurance documentation, and records of sick leave.

Workers Comp 59

Workers Comp Claim Workers Compensation Injury 59

AMAXX

APRIL 23, 2025

Understanding EBM helps stakeholdersfrom medical professionals to claims managersmake informed decisions grounded in high-quality research and best practices. Its crucial for stakeholders, particularly medical professionals and claims managers, to understand and comply with state-specific guideline requirements. All state laws vary.

Workers Compensation 95

Workers Compensation Compensation Workers Comp Injury 95

AMAXX

MAY 6, 2025

In fact, bad hires aren’t just a performance issuethey are a financial and legal liability , particularly in industries where physical labor increases the risk of injury. First-Year Employees Drive Claims and Costs Beyond poor performance, bad hires can quickly become workplace injury liabilities.

Workers Comp 85

Workers Comp Risk Injury Workers Compensation 85

AMAXX

MARCH 18, 2025

When a workplace injury occurs, selecting the right physician is a critical factor in ensuring a smooth recovery and return to work. These errors can have significant consequences, including prolonged recovery times, increased claims costs, and a greater likelihood of litigation. The only available provider was 70 miles away.

Workers Comp 94

Workers Comp Workers Compensation Injury Compensation 94

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 59

Workers Comp Claim Workers Compensation Injury 59

AMAXX

AUGUST 27, 2024

Supervisors play a critical role in the management of workplace injuries. They are often the first to respond when an employee is hurt and are responsible for guiding both the injured employee and the organization through the post-injury process. First Responder Role: When an injury occurs, the supervisor is often the first to know.

Injury 105

Injury Workers Comp Workers Compensation Compensation 105

AMAXX

FEBRUARY 25, 2025

Once employers and adjusters understand the value of evidence-based medicine (EBM) in workers’ compensation claims, the next challenge is applying it effectively. EBM helps ensure that medical treatments align with standardized recovery timelines, reducing unnecessary disability durations and claim costs.

Workers Comp 80

Workers Comp Injury Workers Compensation Claim 80

AMAXX

AUGUST 26, 2024

To better grasp this, let’s walk through a hypothetical scenario that illustrates two different supervisor responses to an employee’s injury and explore the potential consequences of each approach. Oh, by the way, if you file that claim, you know that promotion you were thinking about? Quiz: How Would You Respond?

Injury 105

Injury Workers Comp Workers Compensation Compensation 105

Insurance Journal

MARCH 20, 2025

North Carolina authorities charged a woman with insurance fraud after learning that she made slip-and-fall claims at multiple grocery stores in the area. Jackie Kay Lynch, 61, of Wilson, east of Raleigh, filed a $1,000 claim in August 2024 with …

Claim 147

Claim Insurer Insured Insurance 147

AMAXX

MARCH 11, 2025

Effectively managing workers compensation requires careful oversight and proactive measures to identify and prevent fraudulent or exaggerated claims. Surveillance serves as a powerful tool in validating claims, protecting your organizations financial health, and ensuring resources are dedicated to genuinely injured employees.

Workers Comp 52

Workers Comp Claim Workers Compensation Injury 52

AMAXX

MARCH 24, 2025

FREE DOWNLOAD: “Workers’ Comp Claims Review Checklist: 9 Must-Have, Serious-Impact Elements” To effectively manage this process, detailed record-keeping is essential. Stack is the creator of Injury Management Results (IMR) software and founder of Amaxx Workers Comp Training Center. All state laws vary.

Workers Comp 104

Workers Comp Premium Workers Compensation Compensation 104

AMAXX

OCTOBER 7, 2024

Claims audits and reviews are one of the most commonly used tactics by companies to control workers’ compensation costs. In fact, according to the RIMS 2009 Annual Benchmark Survey, 90% of companies had conducted a claim audit or review of at least some of their claims within the previous six months.

Workers Comp 105

Workers Comp Claim Workers Compensation Compensation 105

AMAXX

FEBRUARY 18, 2025

Achieving a 90% return-to-work rate within 0-4 days is the gold standard for managing workers’ compensation claims, with best-in-class organizations reaching 95%+. Consider Psychosocial Factors Recovery from work injuries is often influenced by psychological and social barriers that go beyond physical healing.

Workers Comp 91

Workers Comp Injury Workers Compensation Compensation 91