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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. Claims Reporting Policy : Require employees to report injuries within a specific timeframe (e.g.,

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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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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. Thats a critical mindset shift: every stakeholder in workers comp is here to support the employee-employer dynamic.

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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?

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With Unrevealed Previous Injury, Later Claim Cannot be Denied, Georgia Court Says

Insurance Journal

Defending workerscompensation 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

Third-Party Administrator (TPA): Claims Specialists For employers who are self-insured or insurance companies without an in-house claims department, TPAs play a crucial role. TPAs operate independently of the insurance carrier, focusing on streamlined claims handling rather than insurance services.

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Avoid 2 Common Pitfalls That Delay Care in Workers’ Compensation Claims

AMAXX

This delay typically occurs when there is uncertainty about whether the injury is work-related, resulting in neither workerscompensation nor general health insurance covering the initial treatment. Example: Consider John, who reports a shoulder injury first thing on a Monday morning.