News  »  Workers' Comp  »  Page 38
Medical Daily - Eugene Rakow, 58, has a lot to be thankful for after he inadvertently shot himself in the heart with a 3.5-inch nail and survived. According to heart surgeon Dr. Louis Louis, a couple millimeters deeper and it would have been the final nail in the Minnesota carpenter’s coffin. "The sternum acted like a 2x4 in that it caught the nail and prevented the nail from going any deeper," Dr. Louis told MyFox9. "Once we were able to get a hold of it, we were able to work it out very carefully and then it was a simple two stitches to repair the injury in the heart."
Friday, October 04, 2013
Ohio BWC - An Athens (Athens County) man owes the Ohio Bureau of Workers’ Compensation (BWC) more than $40,000 after he was discovered working while receiving workers’ comp benefits. Dominic Musarra, who was working as a satellite cable installer in Point Pleasant, West Virginia, pleaded to theft and fraud. “BWC works hard to make it clear that working while receiving certain workers’ comp benefits is not permissible,” said BWC Administrator/CEO Steve Buehrer. “It’s unfortunate Mr. Musarra didn’t make the connection that violating the work rules can have serious consequences.” BWC’s Special Investigations Department (SID) opened an investigation after receiving an anonymous allegation that Musarra was working for McDish Satellite in Point Pleasant, while receiving Temporary Total Disability benefits. Temporary Total Disability is for injured workers who are totally disabled from work for a short period of time due to a work-related injury or occupational disease. An injured worker cannot work while receiving these payments.
Wednesday, October 02, 2013
WNWO - Burning flares inside the trunk of a police vehicle are to blame for a burnt out cruiser. Toledo Police Sgt. Edward Mohr stated in a report that he was driving his cruiser on White near Idaho around 4:30 a.m. Friday when he began to smell an odor of burning sulfur. He noticed smoke pouring into his vehicle from the backseat and then stopped and exited the vehicle. Sgt. Mohr moved a distance away from the cruiser and waved off other vehicles from passing too close. He describes seeing the bright red glow from a flare as the flare burned through the bottom of the trunk and onto the pavement.
Monday, September 30, 2013
Insurance Networking News - The total number of workers’ comp claims has been decreasing, but the percentage deemed “questionable” has been rising, according to the National Insurance Crime Bureau (NICB). In 2011, 3,349,925 workers’ comp claims were found in the Insurance Services Office (ISO) ClaimSearch database. That number decreased to 3,244,679 in 2012 and is on track to decrease again in 2013 based on the 1,498,725 claims received in the first half of 2013.Through analysis of workers’ comp questionable claims (QC) referrals submitted from January 1, 2011 through June 30, 2013, NICB discovered that number of workers’ comp QCs submitted increased from 3,474 in 2011, to 4,460 in 2012, and with 2,325 in the first half of 2013 the number of workers’ comp QCs is on course to increase again in 2013.
Wednesday, September 25, 2013
Ohio BWC - A New Philadelphia man pleaded guilty to theft and was sentenced in connection with working while receiving workers’ comp benefits. A judge in the Franklin County Court of Common Pleas ordered Cecil Ball to repay nearly $10,000. “Mr. Ball was attempting to take advantage of a benefit that is reserved for injured workers who cannot work,” said Steve Buehrer, administrator/CEO for the Ohio Bureau of Workers’ Compensation (BWC). “Our investigators use a number of tools to track down fraud and in this case, a wage cross-match with the Ohio Department of Job and Family Services helped us put an end to this ruse.” BWC’s Cambridge Special Investigations Unit (SIU) started investigating Ball after receiving information from the SIU Intelligence Unit that the wage cross-match revealed that Ball earned wages in 2010 and 2011 while receiving temporary total benefits.
Tuesday, September 24, 2013
Ohio BWC - The owners/operators of Triple Star Home Improvement and Roofing in Northwood (Wood County) have been sentenced to two and a half years of prison and ordered to pay more than $200,000 in restitution after they were convicted of workers’ compensation fraud. Michelle Scaggs and Frederick Diebert operated their construction business advertising they only used employees, not subcontractors, and they were insured through the Ohio Bureau of Workers’ Compensation (BWC). The defendants even included a copy of the their BWC certificate of coverage with the contracts they provided to their clients while at the same time reporting to the BWC that they did not have any employees. BWC’s Special Investigations Department (SID) attempted to work with Scaggs and Diebert without success. An audit showed the couple owned outstanding premiums in excess of $200,000 during the indictment period.
Monday, September 23, 2013
Workers' Compensation Institute - A new National Council on Compensation Insurance (NCCI) research report shows that claim frequency for workers compensation injuries increased 3.8 percent in Accident Year 2010, marking the first increase since 1997. The report provides the latest frequency change estimate for Accident Year 2012 and examines the effect of the recession on frequency changes by various claim and employer characteristics. The Great Recession of 2007—2009 was the most serious and long lasting economic contraction since the Great Depression. The recession and its modest recovery had a considerable influence on workers compensation claim frequency.
Thursday, September 19, 2013
WWLTV - A house being lifted under the state’s home elevation grant program collapsed this morning near Mound Avenue and Catina Street, leaving at least two workers with significant injuries and sending five to the hospital. The building collapsed around 11:30 a.m. in the 100 block of Mound Avenue. The home had been lifted about six feet in the air and crews were finishing the process when it collapsed. Brian Martinez with AVN Construction, the lead contractor for the elevation job, says that the foundation and the walls were completed Wednesday and the house was ready to be set down on its foundation. He also said that due to the collapse, the house will likely have to be demolished and is a total loss.
Friday, September 13, 2013
Ohio BWC - A Toledo (Lucas County) man must return nearly $4,000 to the Ohio Bureau of Workers’ Compensation (BWC) after investigators caught him on camera demolishing homes when he was supposed to be off work recovering from a workplace injury. John Perkins was sentenced Sept. 6 in the Franklin County Court of Common Pleas. “Mr. Perkins wasn’t honest about his employment while receiving workers’ comp benefits,” said BWC Administrator/CEO Steve Buehrer. “We’re pleased our investigators were able to capture this video to uncover his fraudulent activity, and the money he improperly received will be returned to the State Insurance Fund.”
Thursday, September 12, 2013
Insurance Networking News - More than half of insurers (57 percent) expect to see an increase in fraud losses this year on personal insurance lines, according to a survey of U.S. and Canadian insurers by FICO, an analytics, credit scoring and decision making services company. One in three said when it comes to premium leakage and new applications, they are not adequately protected against fraud; 5 percent said they expect to see a decline in dollar fraud losses on personal lines.When asked about how to fight the rise in fraud, the greatest portion of respondents (20 percent) cited predictive analytics. Insurers also noted anti-fraud teams for specific books of business (17 percent), link analysis for detecting fraud (8 percent), and business rules for stopping known fraud types (7 percent) as viable approaches for fighting fraud.
Wednesday, September 11, 2013
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