Click here for a list of the 2022 California Workers’ Compensation Benefits.
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The rebuttable presumption is back! Learn about the new Work Comp COVID reporting requirements, the definition of an “outbreak” and best practices for complying with this new regulation.
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In my years of managing claims and working with large and small, private and public employer, I notice a correlation between the level of engagement by the employer with their claim administrator and with their employee in the mitigation of cost. Read more from ESM’s Principal Claims Advocate Khai Sim.
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For a list of Workers’ Compensation questions and answers, click here.
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Is there a quick resource to decipher what the claims adjuster is talking about with my Workers’ Compensation claims? Here is a quick glossary of term that helps you to interpret the Workers’ Comp lingo spoken by an adjuster.
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There seems to be so many delays in moving a claim to resolution and closure. What can an employer do to speed up the process? Here are a few strategies to help you resolve your Workers’ Compensation claims.
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Unsure of all the different acronyms used in the Workers’ Compensation industry? Click here for a list of frequently used terms and their definitions.
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“My doctor’s office can only schedule appointments during my work hours.” How many times have you heard this or one of the many other issues your injured workers have declared regarding lost time and their medical appointments? Click here for tips on payment practices.
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An important concept in the world of insurance is subrogation. The idea of subrogation is often confusing for even seasoned insurance professionals. It is important to understand the basics so that companies and their agents can spot the potential for subrogation, since it may mitigate the exposure of a claim, and a corresponding hike in Workers’ Compensation premiums.
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Lately, we have seen an uptick with a Compromise & Release (C&R) Workers’ Compensation Claims. With a C&R the injured employee receives a lump sum amount that includes a buyout of all future medical care. The carrier is “released” of all future exposure. However, if the employee is still employed, they can file another subsequent claim with the same employer. Even if it is to the same body part, medical care cannot be apportioned. There can only be apportionment to the Permanent Disability portion of the Award.
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When a serious injury or death occurs at work, your immediate goals are to:
Reduce the impact of a serious injury to the injured employee and co-workers/witnesses
Manage and reduce the cost of the injury
Comply with legal requirements
Receiving a subpoena can be intimidating! It comes in the mail and asserts that you must respond and maybe even appear by a deadline or else…
Well, first things first. Nine times out of ten you do not need to go anywhere. You can generally fax, mail, email or even have the copy service company collect the documents requested in person.
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ESM identifies errors by two carriers on incorrect Joint Coverage claims reported to the WCIRB and obtains 59-point reduction in X-Mod for the employer!
click to find out how..
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An employee can retain an attorney who will file an Application of Adjudication of Claim with the Workers’ Compensation Appeals Board. If you receive a Notice of Representation or an Application for Adjudication you should follow these recommended steps.
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As a claims consultant I answer employer questions daily regarding their employees, return to work and claim concerns. Here are my responses to the top 10 concerns that I hear most often.
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