Remove Claim Remove Insurance Remove Workers Compensation
article thumbnail

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%

article thumbnail

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

Insurance Journal

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

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Understanding Classification Rules in Workers’ Compensation

AMAXX

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.

article thumbnail

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.

article thumbnail

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.

article thumbnail

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. For claims professionals and employers, EBM offers confidence in recovery timelines and interventions, optimizing both recovery and financial outcomes.

article thumbnail

How to Tell If You Need a Nurse Case Manager for Your Workers’ Compensation Claim

AMAXX

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?