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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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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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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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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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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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Part 3: Permanent Total Disability – Other Defenses to Consider

AMAXX

These matters must be considered when seeking to maximize the efficiency of any workers’ compensation program and reduce costs. Never discount the opportunity for the employee to return to the date of injury to the employer. In addition to a focus on job search issues, there are other defenses to consider. Evaluate the various options.