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Claim Management

ILLINOIS Workers Comp Act Amendments Propose Significant Changes

The proposed changes to the Illinois Workers Comp Act were initially filed last Wednesday (Jan 5) …

ILLINOIS Workers Comp Act Amendments Propose Significant ChangesRead More

British Landscaping Firm Fined for Not Buying Insurance for Employees

Well, I guess the UK has some of the same type of workers compensaion problems we do here in the …

British Landscaping Firm Fined for Not Buying Insurance for EmployeesRead More

Transporting Injured Postal Workers to Non-Existent Medical Appointments

Two Burbank, Calif. brothers face a total of 600 years in prison if convicted of defrauding at …

Transporting Injured Postal Workers to Non-Existent Medical AppointmentsRead More

Heart Claims Require Direct Link Between Unusual Exertion and Heart Attack

Washington State’s Labor & Industry Department issued a statement involving the death of a …

Heart Claims Require Direct Link Between Unusual Exertion and Heart AttackRead More

How to Handle Workers Comp Hearing Loss Claims

Employees who are subjected to high level of noises on the job without proper hearing protection …

How to Handle Workers Comp Hearing Loss ClaimsRead More

Washington DC Illegal Immigrant Injured at Work Can Receive Workers Comp

An illegal immigrant injured while employed is permitted to receive workers compensation, the …

Washington DC Illegal Immigrant Injured at Work Can Receive Workers CompRead More

Ohio BWC Finds 66 Million in Workers Compensation Fraud

The Ohio Bureau of Workers Compensation (BWC) Board of Directors recently received a report on the …

Ohio BWC Finds 66 Million in Workers Compensation FraudRead More

New Zealand Work Comp Insurance Scheme Posts Solid Performance

The New South Wales (Australia) Workers Compensation Scheme’s long-term investments place it …

New Zealand Work Comp Insurance Scheme Posts Solid PerformanceRead More

Anatomy of an Employer Dispute with Their Third-Party Administrator

Success Story: A large transportation company thought their claims were not handled aggressively …

Anatomy of an Employer Dispute with Their Third-Party AdministratorRead More

Success Story: How Employers and Their TPAs Resolve Service Disputes

An Interview with Rebecca Shafer about how to resolve problems with TPAs and Insurance …

Success Story: How Employers and Their TPAs Resolve Service DisputesRead More

Implementing a Clinically Driven Pharmacy Benefits Program

In speaking with Danielle Lisenbey, Chief Operating Officer of Broadspire's Medical …

Implementing a Clinically Driven Pharmacy Benefits ProgramRead More

Comorbidity and Workers Compensation

Among the most difficult workers compensation claims for the adjuster to resolve are the situations …

Comorbidity and Workers CompensationRead More

New York Man Sentenced for Role in Workers Compensation Scam

A Schenectady man was sentenced in federal court to pay over $20,000 in restitution and five years …

New York Man Sentenced for Role in Workers Compensation ScamRead More

Pizza Shop Owner Could Be Sentenced to Four Years for Workers Comp Fraud

Employers as well as employees have been known to commit workers compensation fraud... The …

Pizza Shop Owner Could Be Sentenced to Four Years for Workers Comp FraudRead More

Legal Concept of “By Accident” is Breakage vs. Generalized Conditions

The majority of jurisdictions would disagree with the holding of the North Carolina court in Shay …

Legal Concept of “By Accident” is Breakage vs. Generalized ConditionsRead More

Meaning of the Phrase – By Accident

Many injured workers and not a few attorneys forget that under the workers compensation statutes of …

Meaning of the Phrase – By AccidentRead More

Georgia Court Orders Employer to Pay Heirs of Killed Worker $5.4 Million

A Georgia court ruling means a trucking company will pay the heirs of a worker $5.4 …

Georgia Court Orders Employer to Pay Heirs of Killed Worker $5.4 MillionRead More

Metroliner Crash Leads to Proposed Increase in Railroad Accident Liability Cap

A California congressman recently introduced a bill that could change liability in train accident …

Metroliner Crash Leads to Proposed Increase in Railroad Accident Liability CapRead More

Underreporting Payroll Leads to Workers Comp Fraud Charges

A Memphis businessman was recently indicted on criminal fraud charges of underreporting his payroll …

Underreporting Payroll Leads to Workers Comp Fraud ChargesRead More

Curtailing the Somethin’ for Nothin’ Attitude

Nothing is free. There is no free lunch. Someone is paying for it; it just might not be you. There …

Curtailing the Somethin’ for Nothin’ AttitudeRead More

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