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Claim Management

Part 3: Workers’ Comp Independent Premium Audits Explained

In this final part of our series exploring the nine elements of independent premium audits, we turn …

Part 3: Workers’ Comp Independent Premium Audits ExplainedRead More

Part 2: Workers’ Comp Independent Premium Audits Explained

In this three-part series, we are examining nine elements of independent premium audits to help you …

Part 2: Workers’ Comp Independent Premium Audits ExplainedRead More

Part 1: Workers’ Comp Independent Premium Audits Explained

When an employer receives a revised workers' compensation premium bill, the accuracy of the bill …

Part 1: Workers’ Comp Independent Premium Audits ExplainedRead More

Important Times to Use Surveillance in Workers’ Comp Claims

Effectively managing workers’ compensation requires careful oversight and proactive measures to …

Important Times to Use Surveillance in Workers’ Comp ClaimsRead More

How to Tell If You Need a Nurse Case Manager for Your Workers’ Compensation Claim

Nurse case managers (NCMs) coordinate medical care and determine the extent of disability. …

How to Tell If You Need a Nurse Case Manager for Your Workers’ Compensation ClaimRead More

Workers’ Comp Claims Audit: Initial Action Plan Checklist

Claims audits and reviews are one of the most commonly used tactics by companies to control …

Workers’ Comp Claims Audit: Initial Action Plan ChecklistRead More

Best Practices to Prepare for a Workers’ Comp Claim Audit or Review

When managing workers’ compensation, a claim audit or review is a crucial opportunity for …

Best Practices to Prepare for a Workers’ Comp Claim Audit or ReviewRead More

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

One of the most critical aspects of managing workers' compensation claims is ensuring that injured …

Avoid 2 Common Pitfalls That Delay Care in Workers’ Compensation ClaimsRead More

Part 3: Permanent Total Disability – Other Defenses to Consider

Defending Permanent and Total Disability (PTD) cases presents many challenges for the claim …

Part 3: Permanent Total Disability – Other Defenses to ConsiderRead More

Part 2: Permanent Total Disability – Focus in On Job Search

Courts in many jurisdictions focus on the nature and extent of an employee’s job search before …

Part 2: Permanent Total Disability – Focus in On Job SearchRead More

Part 1: Permanent Total Disability in Workers’ Compensation: Now What?

Issues concerning permanent total disability (PTD) benefits are a significant cost driver in …

Part 1: Permanent Total Disability in Workers’ Compensation: Now What?Read More

Part 2: Discontinuing Workers’ Comp Temporary Total Disability Benefits

Once a claim has been admitted, the claim handler assumes a pivotal role in managing the file and …

Part 2: Discontinuing Workers’ Comp Temporary Total Disability BenefitsRead More

Part 1: Discontinuing Workers’ Comp Temporary Total Disability Benefits

Part of reducing workers’ compensation program costs is being aware of and developing defenses for …

Part 1: Discontinuing Workers’ Comp Temporary Total Disability BenefitsRead More

4 Items Claims Handlers Want From Their Defense Attorney

Workers’ compensation defense attorneys may lay awake at night wondering what their claims handler …

4 Items Claims Handlers Want From Their Defense AttorneyRead More

The Reality of the Biggest Myth Regarding Your Third Party Administrator

The Reality of the Biggest Myth Regarding Your Third Party Administrator

MYTH: The best way to reduce workers' compensation costs is to change insurance companies or …

The Reality of the Biggest Myth Regarding Your Third Party AdministratorRead More

Maximize Your Third Party Administrator (TPA) Relationship With A Vendor Day

Maximize Your Third Party Administrator (TPA) Relationship With A Vendor Day

If your company is a large organization with many locations and numerous open claims at each …

Maximize Your Third Party Administrator (TPA) Relationship With A Vendor DayRead More

11 Ways to Manage Employer, Provider, and Employee Fraud in Workers’ Compensation

11 Ways to Manage Employer, Provider, and Employee Fraud in Workers’ Compensation

Workers’ compensation fraud by workers gets the most publicity. But additional fraud is committed …

11 Ways to Manage Employer, Provider, and Employee Fraud in Workers’ CompensationRead More

Avoid Ethical and Legal Pitfalls In Workers’ Comp Surveillance

Surveillance can be an effective tool to reduce costs in a workers’ compensation program. While …

Avoid Ethical and Legal Pitfalls In Workers’ Comp SurveillanceRead More

6 Elements To Review In Your Adjuster’s Action Plan

The old adage “Time is Money” definitely applies to the handling of workers' compensation claims. …

6 Elements To Review In Your Adjuster’s Action PlanRead More

Two Very Important Steps When Managing A Catastrophic Injury Claim

When you say catastrophic injury, many people in the insurance field think of brain injuries, …

Two Very Important Steps When Managing A Catastrophic Injury ClaimRead More

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