Most workers’ compensation programs are built on a simple assumption:Fix the injury, and the claim …
Biomedical vs. Biopsychosocial: The Real Reason Claims SpiralRead More
Claim Management
Not All Catastrophic Claims Start Catastrophic
When employers think about catastrophic workers’ compensation claims, they usually picture dramatic …
The Three Cs of Great Treating Physicians
One of the most overlooked drivers of workers’ compensation outcomes isn’t the network, the …
If You Fail To Plan Your Account Instructions, You Plan To Fail
Planning to Succeed at the Start of the Year Today, I wanna talk about, as we’re kicking off this …
If You Fail To Plan Your Account Instructions, You Plan To FailRead More
Building Partnerships, Not Transactions: The Secret to Better Claims Outcomes
Workers’ comp has evolved dramatically over the past 20 years—virtual staffing, remote adjusters, …
Building Partnerships, Not Transactions: The Secret to Better Claims OutcomesRead More
Turning Around a Claim Before It Goes Off the Rails
Every claims manager knows the feeling. A routine injury — maybe a shoulder strain, a twisted knee, …
Turning Around a Claim Before It Goes Off the RailsRead More
When Shoulder Strains Behave Like Spinal Cord Injuries
In workers’ compensation, we’re used to thinking of “catastrophic claims” as the worst of the worst …
When Shoulder Strains Behave Like Spinal Cord InjuriesRead More
The Hidden Power of Culture in Fighting Workers’ Comp Fraud
When people think about workers’ compensation fraud, the first image that comes to mind is often an …
The Hidden Power of Culture in Fighting Workers’ Comp FraudRead More
Avoiding the “Good Day/Bad Day” Defense: Why Long-Term Investigations Matter
Workers’ compensation fraud doesn’t always involve elaborate schemes or staged injuries. Sometimes, …
Avoiding the “Good Day/Bad Day” Defense: Why Long-Term Investigations MatterRead More
Fraud or Legitimate Claim? A Guide for Employers on Knowing When to Act
Most workers’ compensation claims are legitimate, and as an employer, you’re committed to ensuring …
Fraud or Legitimate Claim? A Guide for Employers on Knowing When to ActRead More
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
