Authorities in California have charged four individuals in a $100 million workers’ compensation fraud scheme involving illegal referrals, fraudulent billing, and medical providers, following a three-year investigation.

A New York appellate court upheld workers’ compensation benefits for an intoxicated employee who fell from a ladder, ruling that intoxication was not the sole cause of the accident.

A second minor league umpire claims wrongful termination in a lawsuit against Major League Baseball, alleging retaliation after he reported being sexually assaulted by a female colleague.

As heatwaves and air pollution intensify, employers must adopt protective measures to ensure the health and safety of outdoor workers, reducing accidents and costly business interruptions.

The California Supreme Court ruled that public employers are not subject to civil penalties under the Private Attorneys General Act (PAGA) and are exempt from certain wage and break laws unless explicitly stated.

Carpe Data uses AI and analytics to enhance fraud detection in insurance claims, reducing loss expenses, improving operational efficiency, and speeding up claims resolution.

Artificial intelligence is set to revolutionize workers’ compensation by enhancing decision-making, streamlining claims processes, and predicting outcomes. However, challenges like data quality, transparency, and standardization must be addressed for successful integration.

Workers’ comp claims involving mental health conditions can be costly and complex. Understanding the three main types of concerns can help adjusters mitigate risks and reduce claim costs.

Understand the most frequent and costly insurance claims in the restaurant industry, from equipment breakdown to employee injury, and how claims adjusters can help mitigate risks.

Workers’ compensation continues to boost the property and casualty insurance industry with an 88.7 combined ratio in 2023, driven by reduced claims frequency, workplace safety, and competitive market conditions.

Insurance industry HR leaders continue to battle long-standing challenges like talent retention, while preparing for AI’s impact on workforce management in 2024.

A Pennsylvania appeals court upheld a $2.3 million verdict for the widow of a mesothelioma victim, ruling that COVID-19-related court delays do not exempt defendants from paying full delay damages in asbestos cases.

A UPS driver was awarded $237.6 million in a racial discrimination lawsuit after a jury found he was subjected to a hostile work environment and unjustly fired. UPS plans to appeal the decision.

Software is helping injured workers track their recovery, shifting the focus in workers’ compensation from cost containment to achieving faster, better outcomes that benefit both employees and employers.

Employers and claims professionals must prioritize injury prevention, safety culture, and risk management strategies to control workers’ compensation claims and costs across various industries.