AMAXX

JANUARY 21, 2025

By setting clear expectations, these guidelines help manage claims efficiently, promote recovery, and ensure equitable treatment for injured workers. Setting Clear Expectations Injury Duration Guidelines establish realistic recovery timelines for injured workers, employers, and medical providers.

Workers Comp 98

Workers Comp Injury Workers Compensation Compensation 98

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. How do I get paid?”

Workers Comp 66

Workers Comp Claim Workers Compensation Injury 66

AMAXX

MARCH 18, 2025

These errors can have significant consequences, including prolonged recovery times, increased claims costs, and a greater likelihood of litigation. Her frustration led her to hire an attorney, which in turn increased claim costs and reduced her likelihood of returning to work. The only available provider was 70 miles away.

Workers Comp 94

Workers Comp Workers Compensation Injury Compensation 94

AMAXX

FEBRUARY 4, 2025

These assignments help businesses manage claims costs, reduce lost workdays, and maintain workforce productivity. 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 Comp 97

Workers Comp Workers Compensation Injury Compensation 97

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

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

MAY 27, 2025

In reality, workers comp costs are one of the most controllable expenses in your organization. If you’re serious about lowering premiums, reducing claim durations, and improving outcomes for injured workers, start by identifying and correcting these ten common pitfalls.

Workers Comp 59

Workers Comp Workers Compensation Injury Claim 59

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 59

Workers Comp Claim Workers Compensation Injury 59

AMAXX

MAY 26, 2025

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.

Workers Comp 66

Workers Comp Workers Compensation Injury Claim 66

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. This reduces the potential for prolonged indemnity claims continuing after layoffs.

Workers Comp 59

Workers Comp Claim Workers Compensation Injury 59

AMAXX

MAY 21, 2025

In reality, the employer foots the bill for every dollar spent in the workers compensation system. Understanding who truly pays for workers comp is more than a technicalityits a mindset shift that unlocks better program management, smarter spending, and improved outcomes for injured workers.

Workers Comp 66

Workers Comp Workers Compensation Premium Injury 66

AMAXX

MAY 14, 2025

When a workers comp program isnt delivering results, many employers instinctively look outward. If you want a high-performing workers comp programone that reduces claims, controls costs, and supports injured employees you need a rockstar internal team. Step 2: Define Your Internal Team Workers comp is a team sport.

Workers Comp 69

Workers Comp Building Injury Workers Compensation 69

Insurance Journal

JULY 17, 2024

Workers’ compensation claim rates and benefits paid in Minnesota continue to be stable or follow their long-term downward trajectories, a new Department of Labor and Industry (DLI) report shows. The 2024 Minnesota Workers’ Compensation System Report presents trend data regarding …

Workers Comp 263

Workers Comp Compensation Claim Workers Compensation 263

Insurance Journal

JANUARY 15, 2025

A recent decision and concurring opinion by a Florida appeals court may have upset years of practice and could raise costs for workers’ compensation insurers. Some claims that carriers were once ready to close out of due to the statute …

Workers Comp 264

Workers Comp Compensation Claim Workers Compensation 264

Insurance Journal

AUGUST 22, 2024

The West Virginia insurance commissioner’s office has adopted a new policy: It will soon begin destroying workers’ compensation claim files that are 10 years old or older. “Given increasing cybersecurity concerns and the type of information contained in the closed …

Workers Comp 279

Workers Comp Cyber Compensation Risk 279

Insurance Journal

AUGUST 12, 2024

The South Carolina Court of Appeals has signaled that employers who offer on-site health clinics may not be immune from tort claims from injured or sickened workers. It’s the latest twist to a question that has bounced around courts and …

Workers Comp 264

Workers Comp Protection Claim Workers Compensation 264

AMAXX

MAY 13, 2025

Thats as true for workers comp as it is for fitness, finance, or sales. Yet many employers still fly blindunsure where to focus, overwhelmed by options, and frustrated by rising claim costs and stagnant outcomes. Click Link to Access Free PDF Download “Step-By-Step Process To Master Workers Comp In 90 Days” 1.

Workers Comp 59

Workers Comp Injury Workers Compensation Claim 59

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

Insurance Journal

SEPTEMBER 19, 2024

A Washington man who claimed he was too injured to work while operating a metal fabrication shop faces a felony charge in an alleged $340,000 workers’ compensation scam. Travis Lee Johnson, 52, of Spokane Valley, pleaded not guilty recently to …

Workers Comp 264

Workers Comp Compensation Claim Workers Compensation 264

AMAXX

MARCH 24, 2025

Click Link to Access Free PDF Download “Workers’ Comp Claims Review Checklist: 9 Must-Have, Serious-Impact Elements” A common and costly mistake employers make is overlooking allowable payroll deductions. It is crucial to segregate payroll accurately by the correct classification codes.

Workers Comp 71

Workers Comp Premium Injury Workers Compensation 71

Insurance Journal

JULY 14, 2024

Projected changes to California workers’ comp claims frequency and severity due to industry mix of employment are negligible through 2026, while employment in most industries fully recovered from the initial pandemic related changes by the end of 2022, a new …

Workers Comp 243

Workers Comp Claim 243

Insurance Journal

OCTOBER 24, 2024

The owner of a Fresno, California-based for-profit vocational school was charged with engaging in fraudulent billing practices related to workers’ compensation. The fraudulent insurance claims could reach … Paul Steve Ramirez, 59, was charged with 11 felony counts, including insurance fraud.

Workers Comp 264

Workers Comp Compensation Insurance Claim Claim 264

AMAXX

JUNE 9, 2025

When it comes to workers’ compensation litigation, fear is the unspoken force driving many claims into the courtroom. It’s not necessarily bad injuries, bad actors, or even bad faith that sends injured workers searching for an attorney. Who their point of contact will be (adjuster, claims coordinator, etc.).

Workers Comp 66

Workers Comp Workers Compensation Injury Compensation 66

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

Insurance Journal

JUNE 4, 2025

Workers’ compensation benefits are not available to a worker injured when he was chased and hit by a golf cart driven by a co-worker who claimed he was just horsing around. The Virginia Court of Appeals ruled that Dennis Ocasio’s …

Workers Comp 236

Workers Comp Compensation Claim Workers Compensation 236

Insurance Journal

AUGUST 29, 2024

Los Angeles area vocational school owner, Guillermo Frias, 65, of Paramount, and the school’s accounting manager, Yesid Colon, 54, of Baldwin Park, were arraigned following a California Department of Insurance investigation into allegations they submitted fraudulent claims to receive money …

Workers Comp 237

Workers Comp Claim Workers Compensation Insurance 237

AMAXX

APRIL 10, 2025

In the complex world of workers compensation, risk managers play a vital role in aligning strategic oversight with day-to-day claims operations. Far from being a behind-the-scenes figure, a successful risk manager serves as the linchpin between claims administration, adjusters, and injury management teams.

Workers Comp 59

Workers Comp Risk Workers Compensation Injury 59

AMAXX

MAY 12, 2025

Its a funny sceneuntil you realize its exactly how most employers manage their workers compensation programs. The Bugs Bunny Trap is a perfect metaphor for how workers comp can spiral out of control without a strategic framework. So how do you escape the chaos and build a streamlined, high-performance comp program?

Workers Comp 59

Workers Comp Workers Compensation Injury Compensation 59

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

Triple-I: Workers Compensation

MAY 20, 2025

Workers compensation is a product where compassion and analytics work hand-in-hand protecting and caring for employees, while also leveraging data to make the entire system more effective and sustainable, Ryan said. Continued strong results Workers comp remains financially fit, according to NCCI Chief Actuary Donna Glenn, FCAS, MAAA.

Workers Comp 45

Workers Comp Workers Compensation Compensation Claim 45

Insurance Journal

OCTOBER 8, 2024

California workers’ compensation written premium in 2023 was slightly above 2022, while written premium for the first six months of 2024 is 2% lower than the first six months of 2023, a new report shows. The Workers’ Compensation Insurance Rating …

Premium 277

Premium Workers Comp Compensation Workers Compensation Insurance 277

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

Insurance Journal

JULY 16, 2024

A Spokane, Washington woman who ran an adult family home while claiming she was too injured to work faces a felony charge in a $60,000 workers’ compensation fraud case. Serah Kamau, 52, reportedly operated her business, Brookhouse Adult Family Home, …

Workers Comp 241

Workers Comp Compensation Claim Workers Compensation 241

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

JUNE 3, 2025

In workers compensation, the moments before an injury ever occurs are just as important if not more so than the moments after. While much attention is given to claims handling, medical coordination, and return-to-work strategies, the foundation of a successful claim is built long before the incident takes place.

Injury 88

Injury Workers Comp Workers Compensation Compensation 88

AMAXX

MARCH 24, 2025

This post is one in a 3-part series: Part 1: Workers Comp Independent Premium Audits Explained Part 2: Workers Comp Independent Premium Audits Explained Part 3: Workers Comp Independent Premium Audits Explained To qualify for this treatment, construction employers must keep meticulous records specifying exact hours worked per classification code.

Workers Comp 59

Workers Comp Premium Workers Compensation Compensation 59

Insurance Journal

JULY 29, 2024

The California workers’ compensation system has been relatively stable in the post-pandemic era, as premium levels rose by 1% in 2023 and are forecast to increase modestly in 2024—while decreases in average insurer charged rates are moderating, a new report …

Workers Comp 263

Workers Comp Compensation Premium Workers Compensation 263