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Displaying Disapproval Of The "Dis" Mentality

Displaying Disapproval Of The "Dis" Mentality

At the California Coalition of Workers' Compensation Conference in Anaheim a couple of weeks back, one of the presenters made a comment that resonated with me. The topic was related to innovative claims management practices and had shifted to discussions of return to work and the role of physicians.
June 24, 2022 Workers' Compensation

Air Ambulance Used For Injured Workers Takes Insurer To Court Over Medical Bills

Air Ambulance Used For Injured Workers Takes Insurer To Court Over Medical Bills

EagleMed, a privately owned and operated air medical transport service, was utilized by four separate employers to transport four separate injured workers.
June 22, 2022 Workers' Compensation

Employer’s Claim Denial Opened Door To Out-Of-Network Costs

Employer’s Claim Denial Opened Door To Out-Of-Network Costs

A teacher who injured her back at work and who had surgery out of state and out of her employer's network is due compensation for her surgery because the school district had originally denied her claim, the Supreme Court of South Dakota unanimously ruled Wednesday.
June 17, 2022 Litigation Workers' Compensation South Dakota

The Injured Worker As A Piggy Bank

The Injured Worker As A Piggy Bank

We have written before about the misaligned incentives often found in workers' compensation. I have referred to it as 'treating injured workers for fun and profit,' reflecting situations where actions and processes are applied that may not be in the best interest of the worker, but financially benefit the people who are supposed to be helping them.
June 13, 2022 Workers' Compensation

Apps Change Dynamics Of Injury Reporting

Apps Change Dynamics Of Injury Reporting

As enthusiasm grows for apps that help injured workers navigate the workers comp claims and recovery processes, the technology is evolving past downloadable programs to include web-based platforms that can be accessed from a wider range of devices.
June 6, 2022 Technology Workers' Compensation

Virginia Court Of Appeals Rejects Attempt To Limit Workers’ Compensation Carrier’s Reimbursement To ‘Like Damages’

Virginia Court Of Appeals Rejects Attempt To Limit Workers’ Compensation Carrier’s Reimbursement To ‘Like Damages’

Trial lawyers in Virginia have been trying for decades to convince that state's courts to rule that a workers' compensation carrier is not subrogated to non-economic damages awarded or recovered in a third-party tort action. On March 29, 2022, the latest such effort was turned away by the Virginia Court of Appeals.
June 2, 2022 Subrogation Workers' Compensation Virginia

Back In Class: CLM’s Claims College Is Right Around The Corner

Back In Class: CLM’s Claims College Is Right Around The Corner

School may be out for summer, but CLM's Claims College is right around the corner. Taking place Sept. 7-10, 2022 in Baltimore, Claims College can help you meet your professional goals while helping you establish great connections and relationships within your cohort.
June 2, 2022 Education & Training Excess & Surplus Lines Liability Litigation Property

7 Of The Wackiest Workplace Injuries

7 Of The Wackiest Workplace Injuries

Workers injured by picking up a bag of French fries, hitting a bowling ball with a sledgehammer and getting a snack out of a vending machine are just three of the wackiest workplace injuries, according to Evotix, which provides health and safety solutions.
May 27, 2022 Weird Workers' Compensation

Michigan Oil Change Lawsuit Is Slick Attempt At Elusive Remedy

Michigan Oil Change Lawsuit Is Slick Attempt At Elusive Remedy

Imagine dropping your vehicle off with a reputable car dealer for an oil change, and then find yourself getting sued for negligence when that vehicle is involved in an accident. As covered on this site and elsewhere, that is exactly what is happening in Michigan right now.
May 27, 2022 Litigation Workers' Compensation Michigan

The Processes And Benefits Of Claims Reviews vs. TPA Audits

The Processes And Benefits Of Claims Reviews vs. TPA Audits

Claims reviews and TPA audits can ensure that third-party administrators (TPAs) utilize efficient and accurate practices to prevent long-term costs from developing when processing high-dollar benefits claims. They can resolve a stagnating claim that is holding up closure and increasing exposure by pinpointing more alarming issues, such as under- or over-reserving, injury patterns and improper staffing.
May 24, 2022 Workers' Compensation

These Two Towers Are Vital, Why Are We Letting Them Crumble?

These Two Towers Are Vital, Why Are We Letting Them Crumble?

The title of this column is not a reference to the second book of J.R.R. Tolkien's Lord of the Rings series, nor does it refer to the terrorist attack that cost so many insurance professionals, and others, their lives on Sept. 11, 2001.
May 20, 2022 Liability Risk Management Workers' Compensation

Cutting Loose Never-Ending Comp Claims

Cutting Loose Never-Ending Comp Claims

We have all been involved in those problematic types of claims where it would appear there is no end in sight: Income or lost-time benefits seem to be never ending, and the medical component of the claim seems to be spiraling, as well.
May 19, 2022 Workers' Compensation Georgia

Three Actuaries And A Data Scientist Walk Into A Conference…

Three Actuaries And A Data Scientist Walk Into A Conference…

I met them at the Tuesday sunset reception held for attendees of NCCI's Annual Insights Symposium. The Orlando weather was picture perfect for the outdoor dinner, perfectly fitting the evening theme, which was 'Florida Nights.'
May 18, 2022 Insurance Industry Workers' Compensation

Coding Error Exposed Personal Info Of 1.8M Texans With Workers’ Compensation Claims

Coding Error Exposed Personal Info Of 1.8M Texans With Workers’ Compensation Claims

The personal information of almost 2 million Texans who filed claims with the Texas Department of Insurance was exposed and publicly available for nearly three years, according to a state audit released last week.
May 17, 2022 Liability Workers' Compensation Texas

Workers’ Comp And The Five(ish) Stages Of Grief

Workers’ Comp And The Five(ish) Stages Of Grief

The Five Stages of Grief are based on a theory developed by psychiatrist Elisabeth Kübler-Ross that suggests people go through five distinct stages of grief after the loss of a loved one. The five stages are denial, anger, bargaining, depression, and eventually, acceptance.
May 11, 2022 Workers' Compensation
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