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Claim Management

How To Win a Claim Where An Injury is Caused by Intoxication or Drug Use

74.3% of current admitted drug users are employed.  Drug and alcohol use is a workers …

How To Win a Claim Where An Injury is Caused by Intoxication or Drug UseRead More

Ten Things a Medical Doctor Should Review in a Work Comp File

When I begin a consulting project, I like to have an MD review a sampling of files from each claim …

Ten Things a Medical Doctor Should Review in a Work Comp FileRead More

Use Team Building to Reduce Workers Compensation Costs and Chronic Absenteeism

Managing chronic absence through team building Team building is a critical step to building the …

Use Team Building to Reduce Workers Compensation Costs and Chronic AbsenteeismRead More

New York Companies Should Provide Prior Injury Detail in Initial Workers Comp Forms

The C-2 Form (Employers Report of Injury) in New York should be filled out completely with as much …

New York Companies Should Provide Prior Injury Detail in Initial Workers Comp FormsRead More

Controlling Workers’ Compensation Cost and Absenteeism Step 1

This is a four-part mini-series about controlling absence through team-building. As the economy …

Controlling Workers’ Compensation Cost and Absenteeism Step 1Read More

Use Unemployment or Discrimination Claims to Detect Fraudulent Work Comp Claims

If a fraudulent claim is suspected, the employer should ask persons assisting the employer to …

Use Unemployment or Discrimination Claims to Detect Fraudulent Work Comp ClaimsRead More

Try Other Options Before Changing Insurance Company or TPA

MYTH: The best way to reduce workers' compensation costs is to change insurance companies or …

Try Other Options Before Changing Insurance Company or TPARead More

Three Top Reasons to Change Your Insurance Co Claims Administrator or TPA

The top reason you should switch your claims administrator (a TPA or insurance company claims …

Three Top Reasons to Change Your Insurance Co Claims Administrator or TPARead More

5 Ways to Insure Smooth Integration of Third Party Administrators and Vendors

TPA's offer valuable services. The problems I see in workers' compensation cost control …

5 Ways to Insure Smooth Integration of Third Party Administrators and VendorsRead More

6 Things You Can Review To Determine Whether Your Claims Administrator is Doing a Good Job?

What items must you review to determine whether your TPA is doing a good job? What tools should you …

6 Things You Can Review To Determine Whether Your Claims Administrator is Doing a Good Job?Read More

How to Handle Unwitnessed Accidents

What should you do if an employee claims to have been injured at work, yet there are no witnesses, …

How to Handle Unwitnessed AccidentsRead More

Find out the best way to learn about TPA services: gets samples, costs and full explanation

Vendor Day is a concept I invented 10 years ago because I saw numerous instances of when companies …

Find out the best way to learn about TPA services: gets samples, costs and full explanationRead More

What To Do If Your Adjuster Doesn’t Return Your Calls?

"What should I do if the adjuster doesn't return your call or reply to your emails?" This is a …

What To Do If Your Adjuster Doesn’t Return Your Calls?Read More

3 Indicators to Tell if Your Insurance Company is Handling Your Claims Aggressively

The 3 best indicators to help you determine if your insurance company or claims administrator is …

3 Indicators to Tell if Your Insurance Company is Handling Your Claims AggressivelyRead More

Notify claimants of consequences of fraud on check endorsement language on back of indemnity checks

Consider putting anti-fraud language on the back of each check that states cashing a check they are …

Notify claimants of consequences of fraud on check endorsement language on back of indemnity checksRead More

Fraud Investigation Checklist — Get involved, manage the process!

Many employers let the adjuster take charge of the investigation, but the employer should stay …

Fraud Investigation Checklist — Get involved, manage the process!Read More

What is a Third Party Administrator (TPA)?

TPA is a common acronym meaning third-party administrator. There are two types of claims …

What is a Third Party Administrator (TPA)?Read More

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