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Million-Dollar Health Claims Spike as Employers Struggle with Soaring Costs

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, 2025 Insurance Industry Life & Health Risk Management Workers' Compensation

Food Delivery Giants Resolve Legal Fight Over NYC Wage and Fee Laws

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, 2025 Insurance Industry Legislation & Regulation Risk Management Workers' Compensation New York

Long COVID Drives Most Workers’ Comp COVID Costs in California

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, 2025 Insurance Industry Life & Health Risk Management Workers' Compensation California

How Artificial Intelligence Enhances Clinical Pharmacists’ Role in Workers’ Comp Care

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, 2025 Life & Health Risk Management Technology Workers' Compensation

CMS Expands Section 111 Reporting to Include Voluntary WCMSA Data for Workers’ Compensation Claims

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, 2025 Insurance Industry Legislation & Regulation Risk Management Workers' Compensation

What the NCCI AIS 2025 Revealed About the Future of 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, 2025 Insurance Industry Risk Management Technology Workers' Compensation

Mexican Navy Training Ship Crashes into Brooklyn Bridge Killing Two and Injuring Several

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, 2025 Catastrophe Marine Risk Management Workers' Compensation New York

Correction Officers Accused of Defrauding NYC Workers’ Comp System Through False Injury Claims

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, 2025 Fraud Insurance Industry Litigation Workers' Compensation New York

Connecticut Moves Swiftly to Block Massive Spike in Workers’ Compensation Insurance Rates

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, 2025 Insurance Industry Legislation & Regulation Risk Management Workers' Compensation Connecticut

Workers’ Comp Remains Profitable in 2024 as Claim Severity Rises and Premiums Drop

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, 2025 Insurance Industry Risk Management Workers' Compensation

West Virginia Man Charged After Illegally Using Over $20K in Deceased Relative’s Workers’ Comp Payments

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, 2025 Fraud Insurance Industry Litigation Workers' Compensation West Virginia

Property and Casualty Insurance Sees Best Underwriting Year Since 2013

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, 2025 Auto Liability Property Workers' Compensation

Care Facility Worker Wins $40K in Retaliation Penalties After Reporting Safety and Labor Violations

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, 2025 Legislation & Regulation Litigation Risk Management Workers' Compensation California

Solving the Adjuster Shortage with Agentic AI and Digital Coworkers

Solving the Adjuster Shortage with Agentic AI and Digital Coworkers

As the insurance industry faces a wave of retirements among claims adjusters, Agentic AI offers a scalable, efficient solution to maintain service levels and preserve expertise.
May 6, 2025 Insurance Industry Property Technology Workers' Compensation

Early Behavioral Health Support Significantly Shortens Workers’ Comp Claim Duration

Early Behavioral Health Support Significantly Shortens Workers’ Comp Claim Duration

New Sedgwick research shows that addressing mental health within the first 90 days of a claim can reduce recovery time by up to 70%, improving return-to-work outcomes.
May 6, 2025 Education & Training Life & Health Risk Management Workers' Compensation California New York
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