Prosecutors allege a Suffolk County asbestos removal company understated its workforce, payroll and job hazards when obtaining workers’ compensation insurance, resulting in more than $163,000 in unpaid premiums.
Language models can help workers’ comp teams identify claim triggers, recommend routine actions and automate selected tasks while adjusters retain control over higher-risk decisions.
Four contractors are accused of submitting fraudulent workers’ compensation insurance records while seeking Nassau County home improvement licenses. Separate labor enforcement cases have returned nearly $650,000 to 138 workers this year.
Connecticut workers’ compensation records logged 4,264 occupational disease reports in 2024, down 18% from the prior year, while the state’s broader occupational illness rate remained above the national rate. A new prevention guide focuses on ergonomics, infectious disease, chemical exposures and other workplace risks.
A Maryland appellate court found that Curtis Brooks was a covered employee when he tore his Achilles tendon at the Washington Commanders’ Virginia training facility, even though he never played a game or performed work in Maryland.
Florida authorities allege shell construction companies understated payroll and employee counts to obtain workers’ compensation coverage, then provided insurance certificates to uninsured subcontractors. Nearly $100 million in payroll was processed through the companies, according to investigators.
Flooding, landslides, powerful winds and widespread power outages damaged homes and infrastructure across Hawaii, with officials beginning damage assessments as the storm moves away.
A new Travelers analysis of more than 1.2 million workers’ compensation claims shows first-year employees account for more than one-third of workplace injuries, highlighting the need for stronger onboarding, training, and safety leadership.
An appeals court found a factual dispute over whether the Ohio Bureau of Workers’ Compensation properly engaged in the interactive process after a claims specialist sought a reduced caseload due to anxiety and depression. Most of the employee’s discrimination and retaliation claims were dismissed.
A Florida appeals court ruled that injured workers’ statutory right to choose a pharmacy does not extend to physicians who dispense medications. The decision strengthens carriers’ position on prescription reimbursement while setting up a likely legislative fight over workers’ compensation drug benefits.
Investigators allege five family members used shell construction companies to hide payroll, avoid workers’ compensation premiums, and cash millions of dollars in payroll checks through unlicensed money service businesses.
While extreme heat remains a concern during the 2026 FIFA World Cup, workers’ compensation experts say inexperienced seasonal employees and large-scale staffing demands may create greater claim exposure for employers.
Artificial intelligence is giving fraudsters new ways to manipulate claims, but insurers, TPAs, and defense attorneys are responding with AI-powered detection tools and traditional investigative techniques to identify suspicious evidence.
The Massachusetts Supreme Judicial Court upheld regulators’ authority to reject proposed workers’ compensation rates but ruled they must clearly explain how they arrived at a 14.6% statewide rate reduction. The decision sends the 2024 and 2025 rate rulings back for further review.
Triple digit heat, wildfire conditions, severe storms, and a tropical disturbance are creating multiple exposures for insurers and claims professionals as millions of Americans face dangerous weather during the holiday week.
