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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 should know upfront that all claims will be reviewed, and only legitimate injuries will be covered.

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Why Reporting Small Claims Pays Off in ERA States

AMAXX

When it comes to workers’ compensation, small claims might seem harmless. Many employers wonder: “Why report a $1,000 medical bill to the insurance carrier if we can just pay it ourselves and keep our experience mod low?” After all, fewer claims mean fewer red flags on your insurance history—right? Not always.

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Why We’re Still Talking About the J&J Class Action ERISA Lawsuit

R&R Insurance

The court found the plaintiffs first claim, that she paid more in premiums due to the defendants purported breach of fiduciary duty during the plans negotiation process, did not sufficiently show evidence of an injury and was at best, speculative and hypothetical.

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

AMAXX

When a workplace injury occurs, most people think of two parties: the injured worker and the employer. Workers compensation isnt a solo actits a team sport. Insurance Carrier The carrier underwrites the policy and carries the financial risk for claims (in guaranteed cost programs).

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Working With Unions on Return-to-Work: 8 Steps for Gaining Support and Avoiding Conflict

AMAXX

Return-to-work (RTW) programs are one of the most effective strategies for reducing workers’ compensation costs and improving recovery outcomes. Ongoing claim monitoring helps identify patterns of abuse, prevent fraud, and maintain credibility with both the union and your insurance carrier. The good news? All state laws vary.

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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 …

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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.