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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. Conduct Regular Claims Reviews : Work closely with your insurance carrier or third-party administrator (TPA) to review open claims and identify inconsistencies.

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

AMAXX

To defend changes: Clarify that your new program is a proactive improvement, not a unilateral change in working conditions Emphasize how it protects employees, preserves jobs, and keeps costs down for everyone—including the union’s welfare funds Document any previous efforts at transitional duty, even if informal 5.

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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

34:15-40(d), which provides that the employer or its carrier may serve notice on the third-party defendant or its insurance carrier of its lien rights as to any third-party recovery arising from the work injury. The Court remanded the case to the trial court to take steps to protect NJ Transit’s lien.