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TPA and Claims Administration

Seven Sections of Documentation For A Properly Organized Workers’ Comp Claim File

The workers’ compensation claim file should have Seven Sections of documentation that relates to …

Seven Sections of Documentation For A Properly Organized Workers’ Comp Claim FileRead More

Items To Consider When Valuing Catastrophic Work Comp Claims

Catastrophic injury claims make up less than 1% of all workers compensation claims, but different …

Items To Consider When Valuing Catastrophic Work Comp ClaimsRead More

Is A Pre-Existing Condition In Play?

When the Affordable Care Act became the law of the land, the term “pre-existing condition” was …

Is A Pre-Existing Condition In Play?Read More

Selecting Right Claims Aministration Partner Critical To Sustaining Financial Responsibility

In most states, employers who have over five employees are required to insure workers who may be …

Selecting Right Claims Aministration Partner Critical To Sustaining Financial ResponsibilityRead More

Small Percent Of Claims Create Large Percent Of Costs

Twenty percent of all workers’ compensation cost is incurred on less than one percent of the …

Small Percent Of Claims Create Large Percent Of CostsRead More

Reduce Exposure in Liability Cases With Work Comp Best Practices

One of the main functions of any claims management team is to evaluate the exposure of a …

Reduce Exposure in Liability Cases With Work Comp Best PracticesRead More

Dealing With Illegal Aliens in Workers’ Compensation

Over the last several years, many states have confronted the issue of whether illegal aliens are …

Dealing With Illegal Aliens in Workers’ CompensationRead 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

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

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

Avoid Penalties in Work Comp Claim Denials and Errors

Over the last several years, states have taken a proactive approach to penalizing “frivolous” …

Avoid Penalties in Work Comp Claim Denials and ErrorsRead More

TPA Best Practice: Accountable Facilitator Of Claims Outcomes

Regardless of the employer’s size and operational locations, the complexity of navigating all …

TPA Best Practice: Accountable Facilitator Of Claims OutcomesRead More

Why Under Reserving Can Lead to Problems

Running a business in today’s economic world involves various factors that can keep even the best …

Why Under Reserving Can Lead to ProblemsRead More

Watch For Warning Sign On Head Injury Claims

I had lunch with a nurse case manager not too long ago and we were discussing misdiagnosed …

Watch For Warning Sign On Head Injury ClaimsRead More

Important Points to Include in Account Handling Instructions

Account handling instructions inform insurance adjusters on how to handle a company’s workers’ …

Important Points to Include in Account Handling InstructionsRead More

Ethics In Insurance Claims Negotiations

In the fast-paced world of workers’ compensation claim management, we are challenged on a daily …

Ethics In Insurance Claims NegotiationsRead More

What Is Your Workers Compensation Claim Worth?

Risk managers frequently ask “what is the claim worth” when trying to get an idea of the long term …

What Is Your Workers Compensation Claim Worth?Read More

Why A Simple Slip And Fall Claim Is Not So Simple

I think a lot of adjusters believe that a slip and fall injury is an open/closed kind of case. The …

Why A Simple Slip And Fall Claim Is Not So SimpleRead More

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

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