AI and Value-Based Care Are Transforming Workers’ Comp Claims Management
Artificial intelligence and outcome-focused care models are streamlining workers’ compensation by improving triage, reducing costs, and prioritizing long-term recovery outcomes.
June 24
Life & Health
Risk Management
Technology
Workers' Compensation
Ohio
Court Sides with Asbestos Victim’s Heirs Over Insurance Time-Bar Dispute
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.
June 19
Insurance Industry
Liability
Litigation
Workers' Compensation
Louisiana
Million-Dollar Health Claims Spike as Employers Struggle with Soaring Costs
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.
June 10
Insurance Industry
Life & Health
Risk Management
Workers' Compensation
Food Delivery Giants Resolve Legal Fight Over NYC Wage and Fee Laws
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.
June 9
Insurance Industry
Legislation & Regulation
Risk Management
Workers' Compensation
New York
Long COVID Drives Most Workers’ Comp COVID Costs in California
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.
June 4
Insurance Industry
Life & Health
Risk Management
Workers' Compensation
California
How Artificial Intelligence Enhances Clinical Pharmacists’ Role in Workers’ Comp Care
Clinical pharmacists are using AI to enhance drug therapy oversight, reduce risk, and improve recovery outcomes for injured workers in complex workers’ compensation claims.
June 2
Life & Health
Risk Management
Technology
Workers' Compensation
CMS Expands Section 111 Reporting to Include Voluntary WCMSA Data for 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.
June 2
Insurance Industry
Legislation & Regulation
Risk Management
Workers' Compensation
What the NCCI AIS 2025 Revealed About the Future of Workers Compensation
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.
May 21
Insurance Industry
Risk Management
Technology
Workers' Compensation
Mexican Navy Training Ship Crashes into Brooklyn Bridge Killing Two and Injuring Several
A Mexican Navy training vessel collided with the Brooklyn Bridge during a goodwill tour, leaving two dead, multiple injured, and prompting an ongoing investigation.
May 20
Catastrophe
Marine
Risk Management
Workers' Compensation
New York
Correction Officers Accused of Defrauding NYC Workers’ Comp System Through False Injury Claims
Three current and former Rikers Island correction officers are accused of faking on-duty injuries to claim nearly $1 million in workers’ compensation benefits.
May 20
Fraud
Insurance Industry
Litigation
Workers' Compensation
New York
Connecticut Moves Swiftly to Block Massive Spike in Workers’ Compensation Insurance Rates
Facing a 235% hike in workers’ compensation premiums after a court ruling, Connecticut lawmakers passed urgent legislation to stabilize insurance costs for employers statewide.
May 20
Insurance Industry
Legislation & Regulation
Risk Management
Workers' Compensation
Connecticut
Workers’ Comp Remains Profitable in 2024 as Claim Severity Rises and Premiums Drop
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.
May 20
Insurance Industry
Risk Management
Workers' Compensation
West Virginia Man Charged After Illegally Using Over $20K in Deceased Relative’s Workers’ Comp Payments
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.
May 20
Fraud
Insurance Industry
Litigation
Workers' Compensation
West Virginia
Property and Casualty Insurance Sees Best Underwriting Year Since 2013
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.
May 9
Auto
Liability
Property
Workers' Compensation
Care Facility Worker Wins $40K in Retaliation Penalties After Reporting Safety and Labor Violations
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.
May 8
Legislation & Regulation
Litigation
Risk Management
Workers' Compensation
California
