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Claim Management

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

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

6 Strategies to Determine Workers’ Comp Causation

  Causation is one of the most challenging concepts in the claims community. Causes of low …

6 Strategies to Determine Workers’ Comp CausationRead More

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: 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 …

Use These 16 Tips To Plug Work Comp Claim LeakageRead More

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

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

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 …

20 Workers’ Comp Claims Handling Best PracticesRead More

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 …

7 Questions the Self-Administered Company Should Ask When Hiring a Workers Compensation AdjusterRead More

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

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

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

5 Ways to Break Down Organizational Silos to Reduce Workers’ Comp Costs

6 Ways to Break Down Organizational Silos to Reduce Workers’ Comp Costs

Competition can be a great motivator. Companies that compete effectively can find ways to offer …

6 Ways to Break Down Organizational Silos to Reduce Workers’ Comp CostsRead More

Understanding SSDI and Its Impact on Workers’ Compensation Claims

Understanding SSDI and Its Impact on Workers’ Compensation Claims

It is important for attorneys and members of the claims management team to understand the impact …

Understanding SSDI and Its Impact on Workers’ Compensation ClaimsRead More

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