Can an employee be denied a workers’ compensation claim if they are not following safety procedures established by their employer?
Many companies are making claim decisions without closely following all the state-specific guidelines....
There are consequences when employers attempt to manipulate the system in place for workers’ compensation premiums. When employers try to manipulate by moving payroll from class codes with higher rates into class codes with lower...
Repetitive trauma injuries can develop over a period of time in the workplace and typically are not the result of a specific accident or event. When determining compensability of a repetitive trauma claim, an extensive investigation...
Many employees are under the impression anything that occurs at work, is covered by a Workers’ Compensation claim. These employees may also be under the impression if an accident occurs during their commute going and coming into work,...
An uncooperative claimant or unresponsive legal counsel can stop a claim in its tracks. Here’s how to get it moving again.
We all know that workers' compensation claims can become drawn out and cumbersome. However, it is our duty as...
When determining the compensability of an occupational disease claim, an extensive investigation is required. In addition to determining the immediate cause of a disease, a thorough investigation should include identifying any...
Many times when it comes to workers’ compensation claims, it may be easier for some adjusters to just pay the claim. After all, when it comes to your employees or the employees of your policyholders, you want a favorable outcome for...
At the start of any investigation, the preferred method of obtaining a detailed statement from every involved party is to record the statement. In addition to the benefits of capturing more detail than with a written statement, the...
There are many reasons why companies change or bring on new TPA firms: mergers and acquisitions, performance related issues, cost, and poor adjuster service among other reasons. This is not a pleasant task and presents many challenges...
Dealing with legacy workers’ compensation and liability legacy claims has been a growing challenge for many organizations who carry open reserve dollars on older or “churning” claims. Old-program claims get limited attention and no...
