A Century of Workers’ Comp Data: Here’s What the NCCI Has Learned Along the Way

From its inception in 1923, the National Council on Compensation Insurance (NCCI) has provided a wealth of data and information on the workers’ comp space. Now, as NCCI celebrates its 100th year, it looks to note the changes and advancements the workers’ comp system encountered throughout the past century.
June 29, 2023 Workers' Compensation

Doubling Down on Damages: As MAP Enrollment Gains Momentum, So Does the Risk for a Private Cause of Action

Medicare Advantage Plans (MAPs), also known as Medicare Part C, are private insurance plans that provide for a Medicare beneficiary’s Part A and Part B benefits. Beneficiaries can choose to enroll in a MAP rather than traditional Medicare. There also are Medicare drug plans (Part D) that provide for a beneficiary’s prescription drugs.
June 23, 2023 Auto Liability Workers' Compensation

Why Do Claimants Lie?

The courtroom was impassioned, to say the least, and downright angry at what they were hearing. In our post-COVID-19 reality, the claimant in a workers’ compensation case was presenting lengthy testimony by video. The judge sat calmly as the claimant spoke about a seemingly horrific injury.
June 15, 2023 Fraud Workers' Compensation

Texas Comp Division Releases COVID-19 Claims Data

Workers compensation insurers in Texas reported nearly 100,000 COVID-19 claims and 472 fatalities between March 2020 and April of this year, and more than half of both involved first responders and correctional officers, according to new data made public by the Texas Department of Insurance, Division of Workers’ Compensation.
June 6, 2023 Workers' Compensation Texas

Dollar General Stores Cited Again for Safety Failures: $3.4M in Proposed Fines

In recent inspections conducted by the U.S. Department of Labor, unsafe working conditions were once again discovered at Dollar General and Dolgencorp discount stores across multiple states.
June 5, 2023 Workers' Compensation Maine North Dakota Ohio Wisconsin

Positive Marijuana Test Results Following Workplace Accidents Reaches 25-year High

Workforce positive marijuana test results after accidents have reached a 25-year high, according to the recently published results of the Quest Diagnostics Drug Testing Index.
June 2, 2023 Workers' Compensation

Mitigating Chronic Pain Issues in Workers’ Comp Cases

Injured workers often feel lost in the complex workers’ compensation benefit delivery systems. Difficult to understand, these systems leave injured workers confused, disbelieved and disrespected, which feeds a sense of hopelessness and abandonment. This can potentially contribute to the development or instigation of chronic pain perceptions and a poor outcome.
May 31, 2023 Workers' Compensation

Maximizing the Value of Loss Adjustment Expenses

Inflation, supply chain issues, increased catastrophic losses from climate change, and higher and higher nuclear verdicts mean that insurance carriers are facing higher loss costs and loss ratios to their premium dollar.
May 16, 2023 Insurance Industry Litigation Workers' Compensation

At RISKWORLD 2023: Experts Say The Future Of Workplace Safety Hinges Upon Partnerships and Proactive Use Of Data

Susan Shemanski leads a team responsible for managing the safety of 70,000 workers across 6,000 U.S. job sites. Fatigue is perhaps the most pressing worker health issues on her mind, and one she emphasized at this year’s RISKWORLD in Atlanta during her session, ‘The Future of Workplace Safety: A Case Study.’
May 9, 2023 Workers' Compensation

At RISKWORLD 2023: Training Is Vital For Active Shooter Survival

One week before their May 1st presentation at RIMS’ 2023 RISKWORLD event in Atlanta, Ike Jenkins and Marc Vincent updated their slides with the latest figures on U.S. mass shootings. By the time they’d checked into their hotels, the figures were already outdated.
May 9, 2023 Risk Management Workers' Compensation

Medical Marijuana Coverage Creates Uncertainty For Comp Insurers

The six states where courts or legislatures have said insurers must reimburse for medical marijuana for injured workers have yet to provide guidance on how to do so, putting payers in the position of not being able to use the federal banking system to cover costs for a federally illegal substance.
May 5, 2023 Liability Workers' Compensation

Under The Influence Of The Intoxication Defense

According to the U.S. Department of Labor, the use of drugs or alcohol at work significantly increases the the risk of workplace accidents. With this in mind, sooner or later every major employer will inevitably need to address a workers’ compensation claim involving some kind of intoxication.
April 24, 2023 Workers' Compensation

Identifying And Preventing Provider Fraud In Workers Comp Cases

Claimant fraud and premium fraud are two of the most well-known types of workers compensation fraud. In these cases, a worker may intentionally fake an injury (claimant fraud) or a business owner may misrepresent their employee headcount or incorrectly classify employees to obtain lower insurance premiums. Now, a lesser-known type is occurring with greater frequency: provider fraud.
April 20, 2023 Fraud Workers' Compensation

Medicare Set-Asides: Fundamentals On Protecting Medicare’s Interest

Medicare’s federal funds assist in covering a wide range of healthcare costs for adults age 65 and older, as well as for younger persons with specific needs and applicable benefits.
April 19, 2023 Workers' Compensation

Why Contest Mental Health Claims In Workers’ Comp When You Can Prevent Them To Begin With?

Mental illness touches the lives of many in our society, whether personally or through a friend, family member or colleague. Data from the Center for Disease Control shows that one in five Americans will experience a mental illness during a given year.
March 29, 2023 Workers' Compensation

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