Insurance Journal

FEBRUARY 20, 2025

When the garbage truck stopped, the worker stepped down from the metal step on the back of the truck to run and retrieve a trash can. When his feet hit the ground, he heard a pop in his leg, felt …

Workers Compensation 259

Workers Compensation Compensation Claim Liability 259

AMAXX

APRIL 23, 2025

Evidence-Based Medicine (EBM) is increasingly recognized as a critical component in workers’ compensation, influencing treatment decisions, recovery outcomes, and cost management. For claims professionals and employers, EBM offers confidence in recovery timelines and interventions, optimizing both recovery and financial outcomes.

Workers Compensation 95

Workers Compensation Compensation Workers Comp Injury 95

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. If you review the insurer’s file notes online and do not see NCM notes, contact the NCM for an update. Ask the following: Do you have any suggestions for when we should use nurses and what types of claims?

Workers Compensation 65

Workers Compensation Workers Comp Compensation Claim 65

Insurance Journal

NOVEMBER 21, 2024

The trend of decreasing rates in Connecticut workers’ compensation insurance will continue as the state’s insurance regulator has approved an industry proposed 6% rate decrease beginning January 1, 2025. The now-approved rate filing submitted by the industry’s National Council on …

Workers Compensation 246

Workers Compensation Compensation Insurer Insured 246

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. One of the most common questions at the time of injury is, How long will my employee be off work?

Workers Compensation 65

Workers Compensation Compensation Workers Comp Injury 65

AMAXX

JANUARY 20, 2025

In the intricate landscape of workers’ compensation, the pursuit of optimal outcomes for injured workers is paramount. Employers, insurers, and healthcare providers face a delicate balance: ensuring injured workers receive appropriate care while effectively managing costs and promoting timely return-to-work.

Workers Compensation 98

Workers Compensation Compensation Workers Comp Injury 98

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 65

Workers Compensation Compensation Workers Comp Injury 65

Insurance Journal

MARCH 18, 2025

An employee who claims he injured his knee while swinging a club during an employer-sponsored TopGolf event has failed to qualify for workers’ compensation benefits. The Virginia Workers’ Compensation Commission (VWCC) recently upheld the denial of benefits for the injured …

Workers Compensation 152

Workers Compensation Compensation Injury Claim 152

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 52

Workers Compensation Injury Compensation Claim 52

Insurance Journal

FEBRUARY 6, 2025

A manufacturer and its workers compensation insurer thought an injured 60-year old service technician employee did not work hard enough to find a suitable replacement job as required to qualify for wage loss benefits. Among other things, he did not …

Workers Compensation 189

Workers Compensation Workers Compensation Insurance Compensation Claim 189

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 …

Insurer 159

Insurer Insurance Insured Claim 159

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. Specifically, how a supervisor or employer responds to the injured worker at the moment of injury sets the tone for everything that follows. They believe their claim was denied.

Injury 98

Injury Workers Comp Workers Compensation Claim 98

AMAXX

NOVEMBER 5, 2024

Successfully settling workers’ compensation (WC) claims can significantly reduce costs and streamline processes for employers and insurers. By adhering to a proven four-step process, organizations can consistently achieve better claim outcomes. One key trigger is the injured worker reaching medical stability.

Workers Compensation 105

Workers Compensation Compensation Claim Workers Comp 105

Insurance Journal

OCTOBER 6, 2024

The impact and surge of long-term COVID on the California workers’ compensation system since 2020 has been prevalent, including long-term impacts on disability and long-term patterns of medical cost and treatment on long COVID claims. That’s from a report by …

Workers Comp 278

Workers Comp Claim Compensation Workers Compensation Insurance 278

Insurance Journal

JULY 23, 2024

But perhaps the Orlando-founded firm has grown too big, too quickly, suggests a proposed class-action lawsuit that claims the firm has botched hundreds of … Morgan & Morgan calls itself the nation’s largest injury law firm, with offices in most states.

Injury 279

Injury Claim Workers Compensation Insurance Claim 279

AMAXX

JANUARY 13, 2025

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.

Workers Compensation 98

Workers Compensation Compensation Workers Comp Broker-Agent 98

Insurance Journal

NOVEMBER 18, 2024

A construction industry captive insurer along with three construction contractors have filed a lawsuit alleging a massive New York fraud scheme involving staged workplace accidents and bogus workers’ compensation and personal injury lawsuits backed by complicit lawyers and medical providers.

Injury 299

Injury Compensation Claim Insurer 299

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.

Workers Compensation 49

Workers Compensation Compensation Injury Claim 49

Insurance Journal

DECEMBER 4, 2024

Claim frequency in California workers’ compensation remains significantly higher in the Los Angeles Basin than in the northern part of the state, a new study shows. The Workers’ Compensation Insurance Rating Bureau of California released its WCIRB Geo Study 2024, …

Workers Comp 245

Workers Comp Claim Compensation Workers Compensation Insurance 245

AMAXX

JANUARY 14, 2025

Exclusivity: Protection Against Lawsuits One of the most significant benefits of workers compensation for employers is the exclusive remedy provision. Under this system, employees who accept workers compensation benefits for a work-related injury or illness forfeit the right to sue their employer for negligence.

Workers Compensation 98

Workers Compensation Compensation Workers Comp Injury 98

AMAXX

MARCH 18, 2025

These errors can have significant consequences, including prolonged recovery times, increased claims costs, and a greater likelihood of litigation. While using an approved network is necessary for insurance and cost-control reasons, not all doctors within the network are equally effective at managing workplace injuries.

Workers Comp 93

Workers Comp Workers Compensation Injury Compensation 93

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

Insurance Journal

JANUARY 9, 2025

If insurance carriers want to have dibs on a company’s assets as premium security or collateral, they had better specify that those assets include potential tort-claim settlements, a federal appeals court said Wednesday. In a case that involved a Florida …

Claim 246

Claim Insurance Carrier Premium Workers Compensation 246

AMAXX

OCTOBER 15, 2024

One of the most significant challenges for employers today is managing the rising costs of workers’ compensation claims. The price tag associated with these claims can severely impact a company’s bottom line if not controlled effectively.

Workers Compensation 105

Workers Compensation Compensation Workers Comp Injury 105

AMAXX

AUGUST 21, 2024

Reserves are the funds set aside by an insurer to cover the future costs of a claim, including medical expenses, lost wages, and other associated costs. However, even the most experienced adjuster can sometimes under-reserve a claim, leading to financial surprises later on. Is the Cost for the Claim for Life?

Workers Compensation 105

Workers Compensation Compensation Workers Comp Injury 105

Insurance Journal

MAY 7, 2025

Oregon worker’s compensation claims fell in 2023 from the previous two years, a report from the Oregon Department of Consumer and Business Services shows. The department received notification of 22,994 accepted disabling claims for occupational injuries and diseases in 2023, …

Claim 209

Claim Injury Compensation Workers Compensation 209

Insurance Journal

JULY 30, 2024

Injured Minnesota employees who seek services from the Department of Labor and Industry’s Vocational Rehabilitation unit (VRU) while their disputed workers’ compensation claim goes through the litigation process will soon face new eligibility rules. Effective Aug. 1, 2024, if the …

Claim 264

Claim Compensation Workers Compensation 264

AMAXX

FEBRUARY 17, 2025

A lack of clear communication often leads to confusion, frustration, and even litigation , increasing costs for both the employer and the injured worker. However, implementing strong communication strategies can significantly improve claim outcomes and reduce unnecessary legal battles. “Whos going to pay for my medical bills?”

Workers Comp 65

Workers Comp Claim Workers Compensation Injury 65

AMAXX

AUGUST 7, 2024

Classification rules are guidelines used by rating bureaus and insurance companies to categorize businesses based on the type of work they perform. The higher the risk, the higher the workers’ compensation premium for that classification. Instead of dreading these audits, be proactive in your approach.

Workers Compensation 102

Workers Compensation Compensation Workers Comp Premium 102

Insurance Journal

DECEMBER 12, 2024

Mega claims in workers’ compensation represent far less than 1% of total workers’ comp claims yet account for more than 2% of total loss dollars, and total in excess of $1 billion each year, a new study from 10 state …

Workers Comp 236

Workers Comp Claim Compensation Workers Compensation 236

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. Timely processing prevents claims from becoming unnecessarily expensive and ensures each case receives the attention it deserves.

Workers Comp 58

Workers Comp Claim Workers Compensation Injury 58

AMAXX

DECEMBER 2, 2024

At the heart of this process is the medical director, medical department, or consultant, who plays a pivotal role in interpreting medical jargon and facilitating smooth communication between medical professionals, injured employees, and the workers’ compensation team.

Workers Compensation 93

Workers Compensation Compensation Injury Workers Comp 93

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

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

Workers Comp 45

Workers Comp Workers Compensation Compensation Claim 45

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 89

Workers Comp Injury Workers Compensation Claim 89

AMAXX

OCTOBER 8, 2024

These programs offer significant benefits, not only by speeding up recovery but also by minimizing the financial impact of workers’ compensation claims on employers. He is co-author of the #1 selling comprehensive training guide “Your Ultimate Guide to Mastering Workers’ Comp Costs: Reduce Costs 20% to 50%.”

Workers Compensation 104

Workers Compensation Compensation Workers Comp Injury 104

AMAXX

SEPTEMBER 23, 2024

When it comes to calculating workers’ compensation premiums, two critical factors play a significant role: the frequency and severity of claims. Frequency: The Stronger Driver of Premiums In the world of workers’ compensation, frequency refers to how often claims are filed.

Workers Compensation 91

Workers Compensation Premium Compensation Workers Comp 91