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

AMAXX

But beneath the surface lies an intricate, interconnected web of stakeholders, each playing a unique role in managing the outcome of the claim. Workers compensation isnt a solo actits a team sport. Thats a critical mindset shift: every stakeholder in workers comp is here to support the employee-employer dynamic.

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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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With Unrevealed Previous Injury, Later Claim Cannot be Denied, Georgia Court Says

Insurance Journal

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
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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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Understanding the Key Parties in Workers’ Compensation

AMAXX

Navigating workers’ compensation can be complex, with various parties working together to ensure effective claims management and cost containment. Lets explore the roles of these critical players in a workers’ compensation system. Their expertise enhances the efficiency and accuracy of the claims process.

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

AMAXX

One of the most critical aspects of managing workers’ compensation claims is ensuring that injured employees receive prompt medical treatment. Unfortunately, a common procedural mistake can leave employees in a painful and detrimental limbo: the delay of care due to technicalities in insurance coverage.

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Part 3: Permanent Total Disability – Other Defenses to Consider

AMAXX

Defending Permanent and Total Disability (PTD) cases presents many challenges for the claim management team and other interested stakeholders. These matters must be considered when seeking to maximize the efficiency of any workers’ compensation program and reduce costs. There are many defenses to these claims to consider.