The Louisiana 4th Circuit held that ambiguous policy definitions and lack of proof bar insurers from enforcing a 36-month exclusion on a mesothelioma wrongful death claim.
A 29% rise in million-dollar medical claims over the past year is squeezing self-funded employers, with cancer remaining the top cost driver, Sun Life’s data reveals.
DoorDash, Grubhub, and Uber Eats settled lawsuits over New York City laws boosting delivery worker pay and capping restaurant fees, paving the way for legal revisions.
A new study reveals that although Long COVID made up just 4.7% of California workers’ comp COVID claims, it accounted for nearly three-quarters of total claim costs from 2020 to 2022.
Clinical pharmacists are using AI to enhance drug therapy oversight, reduce risk, and improve recovery outcomes for injured workers in complex workers’ compensation claims.
Beginning April 4, 2025, CMS requires Responsible Reporting Entities to include available WCMSA data in Section 111 reports for workers’ compensation settlements involving Medicare beneficiaries.
The NCCI AIS 2025 conference revealed how workers comp is staying strong amid economic uncertainty, with trends in claim frequency, medical use, and emerging industry risks.
A Mexican Navy training vessel collided with the Brooklyn Bridge during a goodwill tour, leaving two dead, multiple injured, and prompting an ongoing investigation.
Three current and former Rikers Island correction officers are accused of faking on-duty injuries to claim nearly $1 million in workers’ compensation benefits.
Facing a 235% hike in workers’ compensation premiums after a court ruling, Connecticut lawmakers passed urgent legislation to stabilize insurance costs for employers statewide.
Despite a 3% drop in premiums and rising claim severity, the workers’ comp sector posted an 86% combined ratio in 2024, marking 11 straight years of underwriting gains.
A Salt Rock resident faces multiple felony charges after admitting to using more than $20,000 in workers’ comp benefits sent in error to his deceased relative’s account.
The U.S. property and casualty insurance industry posted a 96.5% combined ratio in 2024, driven by a sharp recovery in personal lines and improved property performance.
A San Jose care facility worker was awarded over $40,000 in penalties after being unlawfully fired for reporting unsafe conditions and labor violations to California authorities.
As the insurance industry faces a wave of retirements among claims adjusters, Agentic AI offers a scalable, efficient solution to maintain service levels and preserve expertise.