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TPA and Claims Administration

5 Things Your Broker Won’t Tell You About the Insurance Company

Great broker/agents are like magicians. They listen to your insurance issues, and with a sweep of …

5 Things Your Broker Won’t Tell You About the Insurance CompanyRead More

7 Things Claim Office Supervisors Wish Adjusters Did Better

Every adjuster has an individual style when it comes to handling claims. Just like snowflakes, no …

7 Things Claim Office Supervisors Wish Adjusters Did BetterRead More

8 Keys to WINNING Work Comp Claims in Litigation

Some litigation can drag on forever. As time goes by, the expense of litigation keeps piling up and …

8 Keys to WINNING Work Comp Claims in LitigationRead More

Lower Your Workers Comp Premiums – Do Reserve Audits Before This Secret Date

Each workers compensation file has a reserve set on it. A reserve is an estimated amount of …

Lower Your Workers Comp Premiums – Do Reserve Audits Before This Secret DateRead More

Turnaround of a Bad Claims Office Where Adjusters Fail Work Comp Audit

A third party administrator's (TPA) office in a large city was consistently performing poorly on …

Turnaround of a Bad Claims Office Where Adjusters Fail Work Comp AuditRead More

Include Physical Therapy, Nurse Triage and Occupational Clinics in Account Instructions

A company on top of its workers compensation costs implements Account Servicing Instructions …

Include Physical Therapy, Nurse Triage and Occupational Clinics in Account InstructionsRead More

Four Possible Ways to Reduce the Potential Large Dollar Injury Claim

When the workers compensation adjusters receive certain types of indemnity claims, they know …

Four Possible Ways to Reduce the Potential Large Dollar Injury ClaimRead More

Three Ways Indemnity Payments Are Delivered, or Not

The employee has presented the workers compensation claim and the medical provider has confirmed …

Three Ways Indemnity Payments Are Delivered, or NotRead More

Proposal to Make Medicare Set-Aside Approval by CMS Optional

While proposed amendments to Maryland workers compensation regulations represent an improvement …

Proposal to Make Medicare Set-Aside Approval by CMS OptionalRead More

What You Need to Know About Employers First Report of Injury (FROI)

A recent item in the news about the Missouri Attorney General's office levying fines totaling over …

What You Need to Know About Employers First Report of Injury (FROI)Read More

Three Cools Ways to Improve Your Workers Compensation Program

There are many ways for an injured employee to benefit from an injury. Pension overlap, accrued …

Three Cools Ways to Improve Your Workers Compensation ProgramRead More

Over Reserving — Or How to Impress the Boss

The claims quality control auditor noticed something unusual on the first file of the workers …

Over Reserving — Or How to Impress the BossRead More

Include These 5 Things In Your Account Handling Instructions

Account Servicing Instructions (ASIs) is the way smart companies manage workers compensation claims …

Include These 5 Things In Your Account Handling InstructionsRead More

Pick the Right Adjuster to Negotiate and Settle Your Claims

Often the Risk Manager or the employer's workers compensation claims coordinator who is …

Pick the Right Adjuster to Negotiate and Settle Your ClaimsRead More

Rising Healthcare Costs and How Medical Bill Review Can Save Employers Money

  Rising healthcare costs are a key problem in workers compensation. Medical costs have …

Rising Healthcare Costs and How Medical Bill Review Can Save Employers MoneyRead 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

Return to Work Using Workers on Loan to Increase Productivity

I am a big fan of return to work in alternate situations when no on-site opportunites are …

Return to Work Using Workers on Loan to Increase ProductivityRead More

No News is NOT Good News, When Managing Work Comp Claims

Work comp operates under certain presumptions, one of which is that unless an employer provides …

No News is NOT Good News, When Managing Work Comp ClaimsRead More

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