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

AMAXX

Workers compensation isnt a solo actits a team sport. This article breaks down the major stakeholders involved in workers comp and how collaboration across this ecosystem leads to better outcomesfor both the injured worker and the employer footing the bill. Theyre often the bridge between employers and carriers.

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Mistake: Accepting Every Workers’ Compensation Claim

AMAXX

An effective injury investigation ensures that only valid claims proceed, protecting both the company and legitimate injured workers. Claims Reporting Policy : Require employees to report injuries within a specific timeframe (e.g., You should consult with your insurance broker, attorney, or qualified professional.

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

AMAXX

Eliminate Hidden Disincentives That Undermine RTW In many unionized workplaces, injured workers actually earn more by staying out of work —thanks to supplemental benefits, full wage continuation, or union-funded welfare programs. Monitor Claims and Protect Against Abuse A successful RTW program doesn’t end at policy launch.

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Understanding the Key Parties in Workers’ Compensation

AMAXX

Lets explore the roles of these critical players in a workers’ compensation system. Insurance Company: The Risk Bearer Often referred to as the underwriter, insurer, or carrier, the insurance company provides the workers’ compensation policy and assumes the employers risk.

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

AMAXX

As a result, the workers’ compensation insurance carrier decides not to pay for the treatment until they determine the claim’s compensability. Simultaneously, because the injury was reported as work-related, John’s group health insurance also refuses to cover the treatment.

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Appellate Division Rules That Claimants in Certain Circumstances Do Not Have to Reimburse an Employer’s Lien From a Third Party Recovery Until the End of the Workers’ Compensation Case

New Jersey Workers' Comp

in workers’ compensation medical and temporary disability benefits to petitioner, Darshelle Joseph. The workers’ compensation case had not yet been resolved. Mr. Joseph sued the tortfeasor and recovered $14,000 in settlement with his uninsured motorist insurance policy in December 2021. NJ Transit paid $7,112.90