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Claim Management

Breakdown in Communication and Expectation Leads to Claim Disasters

Pretend for a second that this is a headline/title of an article in a …

Breakdown in Communication and Expectation Leads to Claim DisastersRead More

Undocumented Workers Eligible for Workers’ Comp Benefits

In November, 2013 the Iowa Supreme Court ruled in the case of Staff Management v. Jimenez that …

Undocumented Workers Eligible for Workers’ Comp BenefitsRead More

You Caught ‘Em Red Handed, Now Take Action On Fraudulent Work Comp Claim

It is a fact that most workers compensation claims are legitimate. However, workers compensation …

You Caught ‘Em Red Handed, Now Take Action On Fraudulent Work Comp ClaimRead More

Little Used Federal Laws Give Employer Disability Management Control

Employers interact with employee disability through a number of laws. Until now, there has been …

Little Used Federal Laws Give Employer Disability Management ControlRead More

Never Give Up – The Mantra of an All Star Work Comp Adjuster

Too often adjusters will perform a background check, medical record sweep, or run an ISO sweep* …

Never Give Up – The Mantra of an All Star Work Comp AdjusterRead More

Poor Documentation Makes Claims Handling 100x More Difficult

File notes and goals are becoming extinct.   Realistically, the only way to move a file …

Poor Documentation Makes Claims Handling 100x More DifficultRead More

Your IME Doctor Selection Can Make or Break Your Case

A common error I notice in work comp files are adjusters choosing the wrong IME doctor. Sure …

Your IME Doctor Selection Can Make or Break Your CaseRead More

Make Sure Injury Is Work Related Before Approving Treatment

The wise workers’ compensation adjuster during the initial investigation of the claim ties down the …

Make Sure Injury Is Work Related Before Approving TreatmentRead More

Does Your Adjuster’s Opinion Flip-Flop Like A Bad Politician?

It has been said time and time again that successful adjusters and claims professionals will have …

Does Your Adjuster’s Opinion Flip-Flop Like A Bad Politician?Read More

You Are Busted…Discovering Work Comp Fraud on Facebook

Social networking through electronic means such as Facebook, Twitter, and YouTube are increasing in …

You Are Busted…Discovering Work Comp Fraud on FacebookRead More

Why Train New Hires When They Will Just Quit Anyway?

To date, I have yet to meet anyone that planned on being a claims adjuster. Think about that for a …

Why Train New Hires When They Will Just Quit Anyway?Read More

We Are Getting Worse at Dealing with Back Pain

I was reviewing an article that was of no surprise to me: Insurance companies are getting even …

We Are Getting Worse at Dealing with Back PainRead More

Is Your Workers Comp Claims Supervisor Being Held Accountable?

In a perfect world, everyone is held accountable for their actions. Not only in life outside of …

Is Your Workers Comp Claims Supervisor Being Held Accountable?Read More

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 Compensability Investigation Stops Claim Before It Starts

Many rookie adjusters get ahead of themselves. This probably should not be seen as a surprise, …

Proper Compensability Investigation Stops Claim Before It StartsRead More

NY Decision May Lower Construction & Transportation Workers Comp Costs

A case still being argued in NY’s highest court (Auqui v. Seven Thirty One, Ltd. Partnership.) may …

NY Decision May Lower Construction & Transportation Workers Comp CostsRead More

Self-Insured Employer Must Confirm TPA Has Customer Service Guide

Every self-insured employer should confirm their third party administrator (TPA) has a Customer …

Self-Insured Employer Must Confirm TPA Has Customer Service GuideRead More

Tips to Avoid Workers’ Compensation Fraud

Although you want to trust your employees, unfortunately, fraud does happen. Some employees may …

Tips to Avoid Workers’ Compensation FraudRead More

How to Tell If You Need A Workers Compensation Claims Audit

Employers frequently wonder if their workers’ compensation claims are being handled properly and/or …

How to Tell If You Need A Workers Compensation Claims AuditRead More

NY, Affordable Health Care, Work Comp and Employers

Since WWII, work comp has had growing complexity of interactions with other laws and plans offering …

NY, Affordable Health Care, Work Comp and EmployersRead More

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