A claims auditor was brought in because a self-insured employer was seeing an acceleration …
19 Points to Cover in a Proper Workers’ Comp Claim InvestigationRead More
Claim Management
What Is A Workers’ Comp Vocational Consultant?
Vocational consultants are not needed on most of your worker’s compensation claims; just the severe …
Five Factors to Review in Your Workers’ Comp Claim Files
While every workers’ compensation claim is unique, every claim contains certain key …
Five Factors to Review in Your Workers’ Comp Claim FilesRead More
Your Adjuster Has a Critical Role in Legal Defense Management
With the public bombardment of attorney advertisements, it is becoming harder for the …
Your Adjuster Has a Critical Role in Legal Defense ManagementRead More
6 Strategies to Determine Workers’ Comp Causation
Causation is one of the most challenging concepts in the claims community. Causes of low …
Seven Sections of Documentation For A Properly Organized Workers’ Comp Claim File
The workers’ compensation claim file should have Seven Sections of documentation that relates to …
Seven Sections of Documentation For A Properly Organized Workers’ Comp Claim FileRead More
Avoid High Cost of Denied Claims With Solid Investigation Strategy
There are many reasons for members of the workers’ compensation claim management team to …
Avoid High Cost of Denied Claims With Solid Investigation StrategyRead More
Advocacy and Engagement: 4 Reasons Why and 7 Ways to Do It
‘Advocacy and engagement’ is much more than a buzz term in the workers’ compensation …
Advocacy and Engagement: 4 Reasons Why and 7 Ways to Do ItRead More
Use These 16 Tips To Plug Work Comp Claim Leakage
The failure by the self insured's third party administrator (TPA) or in-house staff adjusters to …
7 Reasons A Workers’ Comp Claim Should NOT Be Closed
A few years ago a large national third party administrator (TPA) got into a lot of trouble when a …
7 Reasons A Workers’ Comp Claim Should NOT Be ClosedRead More
7 Ways Your TPA May Be Underpaying Your Company Workers’ Comp Payments
If you ask any workers' compensation adjuster how to calculate the amount of the temporary total …
7 Ways Your TPA May Be Underpaying Your Company Workers’ Comp PaymentsRead More
7 Types of Workers’ Comp Claims That Raise Questionable Red Flags
Most workers compensation claims are legitimate. Unfortunately, there will be times when …
7 Types of Workers’ Comp Claims That Raise Questionable Red FlagsRead More
5 Tips – How to Use Surveillance to Prove Workers’ Comp Fraud
There are jurisdictions where workers comp is very employee-friendly, and it seems the employee can …
5 Tips – How to Use Surveillance to Prove Workers’ Comp FraudRead More
Top 8 Considerations When Selecting Your Workers’ Comp Claims Adjuster
If you are the risk manager or workers’ compensation claims coordinator for a large company where …
Top 8 Considerations When Selecting Your Workers’ Comp Claims AdjusterRead More
20 Workers’ Comp Claims Handling Best Practices
Often you see references to “Best Practices” in the handling of workers' compensation …
7 Questions the Self-Administered Company Should Ask When Hiring a Workers Compensation Adjuster
If you ask an adjuster candidate if s/he knows how to handle a work comp file, you will get an …
6 Ways to Make Workers’ Comp Claims Audits/Reviews Impactful
Looking to reduce your workers’ compensation costs, improve outcomes, lower your ex-mod? Plan and …
6 Ways to Make Workers’ Comp Claims Audits/Reviews ImpactfulRead More
5 Scenarios to Use Surveillance to Stop Workers’ Comp Fraud
Surveillance is expensive. The cost of a private investigator (PI) to establish the …
5 Scenarios to Use Surveillance to Stop Workers’ Comp FraudRead More
Work Comp Adjuster Case Study: 10 Mistakes That Resulted in Unintended Consequences
It seemed like a simple enough claim. The employee, a truck driver, was driving along when a car …
Work Comp Adjuster Case Study: 10 Mistakes That Resulted in Unintended ConsequencesRead More
The First 6 Items Adjusters Look at When Receiving a New Claim
Workers Compensation Adjusters get new claims every day. Most days they receive many claims, …
The First 6 Items Adjusters Look at When Receiving a New ClaimRead More
