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Mitigating Chronic Pain Issues in Workers’ Comp Cases

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

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

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

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 By the time they'd checked into their hotels, the figures were already outdated.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

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

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

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 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?

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

As The CDC Relaxes Its Opioid Guidance, Workers’ Comp Experts Are Keeping An Eye Out For Red Flags

As The CDC Relaxes Its Opioid Guidance, Workers’ Comp Experts Are Keeping An Eye Out For Red Flags

After years of tightening limits, new federal guidelines are giving doctors greater leeway in prescribing opioids. Unveiled in November by the Centers for Disease Control and Prevention, the voluntary guidelines update more restrictive advice issued in 2016 -- advice that triggered a regulatory crackdown on opioids at the state and federal level.
March 29, 2023 Workers' Compensation

Pennsylvania Chocolate Factory Explosion Kills Seven

Pennsylvania Chocolate Factory Explosion Kills Seven

Four more people have been found dead following a chocolate factory explosion in West Reading, Pennsylvania, last week, raising the death toll to seven, officials said Sunday night. All previously missing persons had been accounted for as of Sunday night.
March 27, 2023 Property Workers' Compensation Pennsylvania

Medicare Set-Asides: To Submit Or Not To Submit

Medicare Set-Asides: To Submit Or Not To Submit

A Medicare Set-Aside (MSA) is a financial agreement that reserves a portion of a workers' compensation settlement to cover future treatment and prescription costs of an injury, illness, or disease.
March 23, 2023 Workers' Compensation

CWCI Study: More Mental Health Services, But Decline In Comp Surgeries

CWCI Study: More Mental Health Services, But Decline In Comp Surgeries

Since 2014, the percentage of indemnity claims involving a major surgery in the first two years has declined one percentage point per year, falling from 28% of the 2014 claims to 23% of the 2019 claims, according to a study released Monday by the California Workers' Compensation Institute.
March 23, 2023 Workers' Compensation California

Attention Risk Managers: Long COVID Is Real And It’s Impacting Workers’ Comp Claims

Attention Risk Managers: Long COVID Is Real And It’s Impacting Workers’ Comp Claims

Long COVID is an on-going, worrying and costly illness affecting workers and the workplace even as some people question if it is real.
March 23, 2023 Workers' Compensation

Independent Medical Examinations Are Judged by Their Covers. How To Make Sure You Get It Right

Independent Medical Examinations Are Judged by Their Covers. How To Make Sure You Get It Right

The old adage 'You can't judge a book by its cover' may be true when it comes to reading the latest novel from your favorite author, but when it comes to independent medical examinations (IME), the cover letter means everything.
March 14, 2023 Workers' Compensation
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