Click here for a list of the 2022 California Workers’ Compensation Benefits.
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Are you considering a merger or acquisition of another company? Remember to consider the impact on your X-Mod in your negotiations. Check out this case study.
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Employer: I have an employee whose claim was settled by Stipulated Award and open lifetime Future Medical Award. The carrier has “administratively closed” the claim since he has not sought medical treatment for more than a year. Question: Does this administrative closure mean it no longer impacts my Mod Rate? Click for the answer.
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Experts, Abe Jabhan, JD & Anthony Poston, ARM, AIM, review strategic measures you can take to minimize the impact of a positive case on your company. In this webinar, they discuss current regulatory requirements and a preventive roadmap to mitigating COVID-19 exposures as well as managing potential outbreaks.
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Is there a good time to accept a questionable Workers Comp claim? What we can learn from a case study of a Texas claim.
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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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What if my employee tests positive for COVID-19?
Governor Newsom’s Executive Order says that any employee who contracts COVID-19, will have presumed to have contracted the virus at work, if they meet the following criteria. (this is a rebuttable presumption) . Click for more.
Nurse Case Managers (NCM) have become an integral part of claims management in Workers’ Compensation claims. But often the NCM involvement and their costs are difficult to identify without access to the NCM report and invoices. Click to learn how one client was secretly billed $100,000 over their contract.
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COVID-19 claims are compensable under Workers’ Compensation as of May 6, 2020 shifting the burden of COVID-19 exposure to employers. That is, people who contract COVID-19, will be presumed to have contracted the virus at work, if they meet certain criteria. Click to find out what employers need to do.
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Governor Newsome’s May 6, 2020 Executive Order creates a rebuttable presumption that COVID-19 claims are compensable. Click to learn the details.
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Recently, ESM was successful in assisting an excess carrier reached an amicable agreement with an employer in resolving a pending allocation on multiple claims for an injured employee that was first reported to the excess carrier over a decade ago. Click below to find out why allocation is important to large deductible and self-insured employers.
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Services provided by the Insurance Carrier or Third-Party Administrator are usually dependent on the premium size of an account. What services will help you manage your Workers’ Compensation claims? Here are eight services that can be negotiated with the carrier at policy inception or renewal.
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When it comes to the California Workers’ Compensation system, it is much easier to avoid penalizing situations than it is to fight them. So, how do we avoid getting slapped with costly penalties? There are three steps: Understand the Labor Codes driving your exposure, come up with a plan of action to avoid the exposure and implement it. Click to read more.
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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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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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Reduce litigation. Reduce lost time. Save dollars. There are critical steps you should take at the beginning of the policy year to set yourself up for greater success if an injury occurs. Act NOW. Do your part, take charge to be more proficient and effective this year.
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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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