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Claim Management

Contradiction of Famous 100 Yr Old High Court Work Comp Decision

Five weeks ago, a decision was published dealing with a worker who had a severe hand injury …

Contradiction of Famous 100 Yr Old High Court Work Comp DecisionRead More

Opt-Out In Workers Compensation Is Not A New Concept

Currently, there are proposals in some states for allowing workers to “opt out” of workers’ comp. …

Opt-Out In Workers Compensation Is Not A New ConceptRead More

Employer Defenses Against Work Comp Claims Involving Marijuana

Trend Favoring The Employer   So far the judicial trend is favoring the employer in …

Employer Defenses Against Work Comp Claims Involving MarijuanaRead More

Investigating Work Comp Fraud: Concealed Working Off The Books

If an employer has, say, a hundred or more workers who are semi-skilled, sooner or later there will …

Investigating Work Comp Fraud: Concealed Working Off The BooksRead More

Top 10 Employer Complaints About Their Adjuster / Carrier

Over the years I have fielded several complaints from employers about their work comp adjuster or …

Top 10 Employer Complaints About Their Adjuster / CarrierRead More

The Prohibited Acts Doctrine: Do Not Pass GO; Do Not Collect $200

  The Prohibited Acts Doctrine is used in workers’ compensation cases as a primary …

The Prohibited Acts Doctrine: Do Not Pass GO; Do Not Collect $200Read More

Workers Compensation Second Injury Fund Alert

Problem Employers get little to no relief from state workers compensation second injury funds. …

Workers Compensation Second Injury Fund AlertRead More

‘Tis The Season For Claim Reviews

As we start to approach the end of the year, it is a common time for adjusters to be bombarded with …

‘Tis The Season For Claim ReviewsRead More

Know Your Rights In New York Comp Claim Hearings

Employer’s rights in NY comp claims? What might those be?   The NY Workers Comp Board­­ …

Know Your Rights In New York Comp Claim HearingsRead More

Using Medical Record Searches to Stop Fraud

By: Carlos Ayestas, National Sales Director, GCS Investigations   In workers’ …

Using Medical Record Searches to Stop FraudRead More

Work Comp Adjuster Best Practice: Trust But Verify

This was the slogan of an old associate I had way back in the day. I have mentioned it here in …

Work Comp Adjuster Best Practice: Trust But VerifyRead More

Workers Comp Claim Adjuster’s Dream Job

For the most part an adjuster works from day to day. They work in an office or cubicle, and go …

Workers Comp Claim Adjuster’s Dream JobRead More

The Beautiful Face of Workers’ Compensation Fraud

If you could ask employers “what does the workers’ compensation fraudster look like?” they would …

The Beautiful Face of Workers’ Compensation FraudRead More

Never Avoid Your Gut Instinct In Work Comp Claims Handling

From time to time I like to share a file I reviewed on this blog. Not only to point out the good …

Never Avoid Your Gut Instinct In Work Comp Claims HandlingRead More

The Daily Battle Facing Your Work Comp Claim Adjuster

Workers compensation claim adjusters handle a loss from initial reporting through final …

The Daily Battle Facing Your Work Comp Claim AdjusterRead More

The Vital Need for Unit Stat Claim Reviews

All jurisdictions gather statistical data from workers compensation carriers, TPA’s, and …

The Vital Need for Unit Stat Claim ReviewsRead More

Give Your Workers Comp Claims A Check-Up

For the smart man or woman running a business, staying on top of your workers compensation claims …

Give Your Workers Comp Claims A Check-UpRead More

The Death of Workers’ Compensation?

On August 13, 2014, Miami-Dade County Circuit Judge Jorge Cueto issued a declaratory order finding …

The Death of Workers’ Compensation?Read More

Investigating A Work Comp Claim Can Make All The Difference

Investigating a workers’ compensation claim can make all the difference in the outcome of a case. …

Investigating A Work Comp Claim Can Make All The DifferenceRead More

A Delicate Dance With Your Work Comp Claims Adjuster

From time to time I review files. For the most part they are fairly benign and normal insurance …

A Delicate Dance With Your Work Comp Claims AdjusterRead More

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