Claims

California Cumulative Trauma Claims Surge, Now Represent a Quarter of Workers’ Comp Pure Premium

Cumulative trauma claims in California have more than doubled in cost since 2021, according to the Workers’ Compensation Insurance Rating Bureau of California.

RISKWORLD 2026: The Hartford’s Matt Scott

Medical Stop Loss Claims Above $2 Million Have Tripled Since 2020, Report Finds

The New Face of Insurance Fraud Looks Just Like a Legitimate Claim

Preparing Builder’s Risk Claims During Data Center Construction

Recently in Claims

Workers’ Comp Docket

Significant workers’ comp legal decisions from around the country.

Insights From a Veteran Claims Manager

A 40-year industry veteran offers a reminder that the injured worker must be kept at the forefront of the workers’ comp system.

Risks of Hearing Loss Remain Flat, With Exceptions

The risk of workplace hearing loss has remained steady for decades, but more needs to be done in high-risk industries such as construction and mining.

Can Injured Temp Sue Second Employer for Negligence?

An employer seeks immunity from tort liability after a temporary employee blames his injury on the company’s negligence.

Want Better Outcomes? Use the Right Tools for the Job

Liberty Mutual’s new medical director says experience plus the rights tools equal superior claims outcomes.

Workers’ Comp Docket

Significant workers’ comp legal decisions from around the country.

Solid Substance Abuse Program Can Combat Legal, Safety Issues

Organizations need to develop and implement clear and defensible substance abuse programs to keep abusers from putting themselves and others at risk.

Compounds Drove Drug Spend in 2014

A new report says health care payers last year confronted a “seismic change” in the pharmacy landscape in 2014.

Early Case Management Speeds RTW, Report Says

According to a recent study, early case management was found to be a critical element of a successful RTW outcome.

Experts: Treat Addiction to Mitigate Opioid Crisis

A new study says the focus needs to change from addressing the nonmedical use of painkillers to preventing and treating addiction.

ACA Could Drive Claims to Workers’ Comp

Accountable care organizations have financial incentives to classify injuries as work-related.

Analyzing Cyber Risk Coverage

Unlike other types of insurance, there is no standard form on which the insurance industry as a whole underwrites cyber coverage.

Workers’ Comp Docket

Significant workers’ comp legal decisions from around the country.

Employment Growth Impacting TPAs

With three million U.S. jobs created during 2014 and a strong start to 2015, TPAs are managing more claims and seeing an uptick in revenue growth.

Legacy Closures: What to Expect From Outside Experts

The objective assessment of an outside expert can often help move even the most difficult legacy claims toward closure.

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Transition Costs to ICD-10 Lower Than Expected

A new survey suggests the costs for small physician practices transitioning to the ICD-10 coding system may be less than previously assumed.

Legal Spotlight

The latest decisions impacting the industry.

Flavored With Danger

Food production that involves certain types of additives or flavorings can put employees at serious risk and create workers’ comp liabilities for employers.

The Rejection Demand

A claim is found compensable, despite an employer’s insistence on rejecting the claim.

Focus on Fundamentals

In claims handling, some things matter more than the latest and greatest technologies.