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
TPA and Claims Administration
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 …
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 …
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 …
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 …
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 …
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 …
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 …
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 …
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 …
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
