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U.S. Department of Labor Files Lawsuit Against UnitedHealthcare for Automated Denials
U.S. Department of Labor Files Lawsuit Against UnitedHealthcare for Automated Denials

Sarasota, FL (WorkersCompensation.com) – With the enormous amount of data driving healthcare, the evaluation and processing of claims across claims platforms is an automated process. In fact, the large majority of claims are processed without […]
Systems Thinking in Workers’ Compensation Claims Organizations: Expanding Capabilities for Success
Systems Thinking in Workers’ Compensation Claims Organizations: Expanding Capabilities for Success

Sarasota, FL (WorkersCompensation.com) -- In the world of workers' compensation claims organizations, success often stems from the ability of individuals to think beyond the immediate and apply systems thinking to their work. Systems thinking pushes […]
Conference Session Highlights Strategies to Reduce Costs, Claims through Loss Trend Analysis, Injury Investigations, Training
Conference Session Highlights Strategies to Reduce Costs, Claims through Loss Trend Analysis, Injury Investigations, Training

Denver, CO (WorkersCompensation.com) -- The 2023 National Council of Self-Insurers Annual Meeting and Conference kicked off day two with an insightful session titled "How to Leverage Loss Trend Analysis, Injury Investigations, and Training to Reduce […]
Unwitnessed Claims: 10 Strategies for Employers to Prevail
Unwitnessed Claims: 10 Strategies for Employers to Prevail

Chicago, IL (WorkersCompensation.com) -- When an unwitnessed workers' compensation claim arises, employers face significant challenges in gathering evidence and determining the claim's validity. In a recent roundtable discussion titled "When a Tree Falls in the […]
Top 10 Claims File Wishlist Explored at 2023 Claims and Litigation Management Conference
Top 10 Claims File Wishlist Explored at 2023 Claims and Litigation Management Conference

Chicago, IL (WorkersCompensation.com) -- The 2023 Claims and Litigation Management Workers' Compensation, Casualty, and Risk Management Conference wrapped up day two of its robust program at The Westin Magnificent Mile in Chicago, Ill. The final […]
Derailing Productivity: Insights for Workers Compensation Claims Adjusters
Derailing Productivity: Insights for Workers Compensation Claims Adjusters

By Dr. Claire Muselman and Nate Ferguson Productivity is paramount in the demanding world of workers' compensation claims adjusting. The adjusting desk is responsible for imperative components impacting the lives of injured human beings in […]
The Ethical Dimensions of Workers’ Compensation Risk Management
The Ethical Dimensions of Workers’ Compensation Risk Management

Sarasota, FL (WorkersCompensation.com) -- Workers' compensation is a critical aspect of risk management for organizations, aimed at providing support and protection to employees who experience work-related injuries or illnesses. However, beyond the legal and financial […]
Hospital Discharge Coordination Improves Workflows and Outcomes
Hospital Discharge Coordination Improves Workflows and Outcomes

By Nicole Usher, Sr. Director of Operations, Apricus, an Enlyte companyTwo of the most persistent problems plaguing workers’ compensation payers have been the severity and frequency of claims. The National Council on Compensation Insurance (NCCI) […]