A Workers Comp Claim’s Iceberg Effect
Workers in the claims profession and also on the employer side will often only think of claims as costs of wage loss and medical exposure. …
Use Private Investigation to Prosecute Workers Compensation Fraud
By reading adjudicated workers compensation fraud case histories, reviewing state statistics for investigations, prosecutions, restitutions, fines, and imprisonments it quickly becomes clear that the criminal…
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Hire Lawyers, Not Law Firms to Defend Workers’ Comp Claims
Think of your best lawyer joke. I’m going to guess that even though the joke may kill at parties, it probably doesn’t paint attorneys in…
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Timely Reporting Claims Is First Step In Work Comp Management
Reporting a work injury is an essential component of any successful workers’ compensation program. Failure to do so can result in various sanctions and adverse…
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Using Defense Attorneys to Defend Work Comp Cases
Defense attorneys play a crucial and vital role in defending workers’ compensation cases. When used properly, they can reduce workers’ compensation claim costs and provide…
Settle More Workers’ Comp Claims Faster With The Team Approach
There’s an African proverb that says, if you want to go fast, go alone. If you want to go far, go together. Well, my name…
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Simple 3 Prong Approach To Work Comp Cost Control
Employers can save money by following the Best Practices we often recommend in our articles. While there are numerous ways for the employer to reduce…
The Future of COVID-19—Vaccines and the Trajectory of Care
Speakers Michael Choo, MD, FACEP, FAAEM, Chief Medical Officer, Paradigm Kathy Galia, RN, BSN, Senior Vice President & General Manager, Clinical Solutions Lawrence Lottenberg, MD, FACS,…
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How Many Claims is Too Many For Your Adjuster?
There is a regular discussion in the insurance industry on how many workers’ compensation claims an adjuster should handle at one time. There are various…
Peer Review & Peer Matching Central Components Of Work Comp Medical Management
Peer reviews are a central component of a complete medical management program. A peer-to-peer review entails a highly trained, board-certified physician from the medical management…
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Workers Compensation Claim Reserves 101
Reserves are the amount of money that is set aside to pay the cost of a workers’ compensation claim. The reserve amount is the number…
Closing Complex and High Exposure Work Comp Cases Like a Pro
Members of the claim management team face the challenge of closing complex and high exposure workers’ compensation cases. This results in delays in settling other…
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Using Vocational Rehab in Workers’ Comp Return to Work
Vocational rehabilitation is a benefit provided to employees in most jurisdictions to help injured employees recover from their work injuries. Through the assistance of a…
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What If The Doctor Won’t Release My Employee to Work?
When an employee is injured at work, the primary goal of workers’ compensation stakeholders is return that employee to work return that injured employee to…
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Claim Handler Tips to Write Exceptional IME Letters
Claim handlers are sometimes called upon to write cover letters to a medical expert in advance of an independent medical examination (IME). This can be…
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Medicare Secondary Payer: Issues that Will Impact Work Comp in 2021
Medicare Secondary Payer compliance will continue to be a challenge for the claim team members and interested stakeholders. These parties need to continue to stay…
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How Quickly Your Injured Employees Should Return to Work
What percentage of injured employees is realistic to return to work in zero to four days. What percentage of injured employees is realistic to return…
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Reduce Workers’ Comp Costs in a Union Environment
Workers’ compensation programs often run into problems when their workforce comprises members of a labor union. Interested stakeholders should embrace this challenge as an opportunity…
Selecting the Right Service Providers to Reduce Workers’ Comp Costs
Workers’ compensation insurance claim teams rely on many different service providers to perform various functions. While this provides efficiency to the process and reduces program…
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3 Techniques To Gain Workers’ Comp Management Commitment
If senior management is not backing your work comp program reform project, you will not be successful. Hello, my name is Michael Stack. I’m the…
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