Return-to-Work Essentials

Essential insights and strategy to hone your current skills and get up to speed on the latest Return-to-Work policies and best practices....

Three Keys to Successful Return to Work

Work is good for the soul, the mind and the body. Not only does it deliver a paycheck, allowing you to cover your expenses, but it also provides a sense...

Using Medical Disability Guidelines to Estimate RTW

Members of the claim management team face many challenges in handling their files in workers’ compensation claims.  When an employee misses...

Ten Light Duty Work Ideas

So you have decided to provide some light duty or transitional work for injured workers to decrease wage loss expense.  Congrats! This is the first step...

6 Triggers for When, And When NOT to Use Nurse Case Managers

Nurse case managers are a hot topic in workers’ compensation, and with good reason. Used properly, they can generate great results for...

6 Strategies to Determine Workers’ Comp Causation

Causation is one of the most challenging concepts in the claims community. Causes of low back pain, carpal tunnel syndrome, and other soft tissue pain...

Two Very Important Steps When Managing A Catastrophic Injury Claim

When you say catastrophic injury, many people in the insurance field think of brain injuries, spinal cord injuries, severe burns, amputations, loss of...

4-Step Strategy to Successfully Settle Workers’ Comp Claims

Getting to a settlement can and should be a win-win for both payers and the injured worker. While most injured workers recover and return to work as...

4 Ways to Lower Your Experience Mod Rate and Why it Matters

Losses are just one factor in your overall workers’ compensation costs. The other is premium. Many calculations are involved in setting the...

How to Calculate Your Minimum Experience Modification Factor

The experience modification factor in workers’ compensation, it can be an overwhelming and complicated number. There’s a lot of math...

Maximize ROI of WC Mgmt. Improvements with the Right Insurance Structure

Start with the right insurance structure, whether that be guaranteed cost, or a retro or a captive, high deductible program or self-insurance policy. But...

Know Your Correct Job Classification Codes To Save Workers’ Comp Costs

While implementing injury management best practices in workers’ compensation is the most effective way to reduce costs and improve...

10 Steps Every Adjuster Should Perform In a Workers' Comp Claim Investigation

When you go online and read your adjuster’s file notes about your claims, know what to look for to be sure the adjuster is performing a quality...

Effective WC Claim Investigation Techniques

Members of the claims management team are called upon to investigate claims and make determinations of primary liability and the...

Key Steps to Avoid, Manage, and Win Work Comp Litigation

You’re missing a great opportunity if you view your defense attorney as a necessary expense rather than an asset to your workers’ comp...

Reduce Costs Via Workers’ Comp Litigation Management

Effectively monitoring and handling litigation costs is an important role for each member of the claims management team.  This is because once a matter...

ADA – If No Light Duty Is Available, Can The Employer Terminate Employment?

If someone is pregnant and on light duty, but light duty is not available, can the employer terminate the employment? The inclusion of pregnancy...

Data can be overwhelming. If you have more than 50 workers’ compensation claims per year, you likely have lots of numbers. Industry leaders...

The interaction between the employee and the supervisor is going to set the tone for how the entire claim is going to go. So, you need to train your...

An annual premium audit is a great opportunity to review your workers’ comp class codes  and included payroll for accuracy.  Employers that...

When reviewing medical records or looking at medical notes from an injured worker’s doctor, some of the diagnosis wording can be confusing. 

Third-party administrators are often considered an integral part of the claims management process. Once a workers’ comp claim begins, TPAs...