Claim metrics in workers’ compensation come in many forms including process metrics, vendor metrics, outcome metrics and “our” metrics. Any of these views of our metrics can lead to leakage in our analysis of results.
How do you...
Show me a case with a proper reserve and I will show you an adjuster who knows their claim. There is a blend of intuition and science required in setting reserves for workers' compensation claims. During the entire workers'...
One of the key challenges in 2017 related to Workers’ Compensation is how the insurance industry is going to deal with the insurance talent gap. Within the next 10 years, a large percentage of insurance industry professionals are...
Medical canvassing is an important step in the claim handling process. This is done when an adjuster believes the injured employee’s injury occurred outside their scope of employment. The investigation will determine if the employee...
Are you a small to medium sized regional employer? Do you retain some of your workers’ compensation risk? Are you tired of the same old status-quo regarding your WC claim handling options? Forget the conventional assumption that...
When it comes to determining compensability for workers’ compensation claims in our home state of Illinois, there are certain steps to take during the claim handling process to determine if the claim is compensable or should be...
Employers: You may be missing opportunities to disrupt and re-focus wayward workers’ compensation claims. You can end the usual reality of waiting for your TPA’s adjuster to set a claim handling pace or strategy. Do you feel hesitant...
Every workers’ compensation claim is not preventable when you consider that some are deliberate. With due respect to the art and science of safety, preventing real physical accidents and repetitive traumas is essential. However, we...
Guidelines for filing the First Report of Injury or Illness (FROI) varies state to state. Being able to navigate through this tangled web of rules and regulations can be difficult. The timeline for filing differs, as does the form...
When it comes to the unrelenting fraud cases in California workers’ compensation, the hope for mere restitution after convictions of fraudulent actors is not satisfactory. Insurers, TPAs and employers deserve Exposure-Relief via...
