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Claim Management

8 Tips to Investigate Work Comp Claims Like a Rock Star

8 Tips to Investigate Work Comp Claims Like a Rock Star

Members of the claim management team wear many hats. One of these includes the need to investigate …

8 Tips to Investigate Work Comp Claims Like a Rock StarRead More

Prepare To Effectively Manage Workplace Death Claims – And Hope You Never Have To

Prepare To Effectively Manage Death Claims – And Hope You Never Have To

  It is a horrible tragedy when an employee is killed at work. While we hope this never …

Prepare To Effectively Manage Death Claims – And Hope You Never Have ToRead More

16 Point Checklist To Determine If You Need A Workers’ Comp Claim Audit

Self-insured employers can have a good safety program, an established return-to-work program and …

16 Point Checklist To Determine If You Need A Workers’ Comp Claim AuditRead More

Proper Claim Reporting Parameters for Self-Insured Employers

Self-insured employers (SIE) for workers compensation take on the role of claims management in …

Proper Claim Reporting Parameters for Self-Insured EmployersRead More

How To Get the Most From A Workers Compensation Claim File Audit

How To Get the Most From A Workers Compensation Claim File Audit

Self-insured employers, insurers, third party administrators, and government entities all use …

How To Get the Most From A Workers Compensation Claim File AuditRead More

Proper Claim Management Requires a Strategic Plan of Action

Proper Claim Management Requires a Strategic Plan of Action

Keeping track of everything the workers’ compensation adjuster needs to do is not easy! Every …

Proper Claim Management Requires a Strategic Plan of ActionRead More

Effective Workers’ Comp Claim Investigation Techniques

Effective Workers’ Comp Claim Investigation Techniques

Members of the claims management team are called upon to investigate claims and make determinations …

Effective Workers’ Comp Claim Investigation TechniquesRead More

Powerful Work Comp Claim Strategy Because You DO NOT Know Everything

You don't know everything about workers' compensation. You do not know everything about workers' …

Powerful Work Comp Claim Strategy Because You DO NOT Know EverythingRead More

Surveillance Can Be Very Beneficial Tool for Workers Comp When Used Properly

10 Red Flags Indicating Need For Surveillance in Workers’ Comp

  When fraud is suspected, or the injured employee appears to be malingering, surveillance …

10 Red Flags Indicating Need For Surveillance in Workers’ CompRead More

19 Points to Cover in a Proper Workers’ Comp Claim Investigation

  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

What Is A Workers’ Comp Vocational Consultant?

Vocational consultants are not needed on most of your worker’s compensation claims; just the severe …

What Is A Workers’ Comp Vocational Consultant?Read More

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

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