Claims

Global Insurance Growth Set to Slow to 2% in 2025 as US Tariffs Reshape Market Dynamics

Rising geopolitical fragmentation threatens risk diversification while investment yields and demographics offer offsetting opportunities, according to Swiss Re.

Insurance Fraud Reaches Billions as Traditional Detection Methods Miss Majority of Clues

Medical Stop Loss Claims Trends: Million-Dollar Cases Double as Cancer Remains Dominant

Insurance Faces Triple Threat From Climate and Environmental Risks

AI Gives Insurance Industry Crucial Head Start Against Claims Fraud

Recently in Claims

High Levels of Worker Stress Erode Workplace Safety

American workers increasingly report feeling stressed, a condition that can erode safety and drive injuries.

Claimant Pleads the Fifth, Wins Benefits

Refusal to confirm immigration status is not enough to prove an injured worker illegal and stop benefits.

Indemnity Claims Up for Calif. Private Self-Insured Employers

While medical-only claims are declining for private self-insured companies in California, indemnity claim frequency has seen the biggest jump in 10 years.

Workers’ Comp Docket

Significant workers’ comp legal decisions from around the country.

Down for the Count

Insurance payouts may help take some of the sting out of the loss of two Yankee star pitchers.

Little Progress Reducing Shoulder Claims

Workplace shoulder injuries are challenging workers’ comp payers, especially as the nation’s workforce ages.

Recall Mitigation Relies on Risk Managers

Ineffective risk management can cause missteps in recall events that cost millions of dollars.

Reports Show Little Change in Opioid Prescribing, Treating Behaviors

Opioid prescribing rates have grown in Michigan, but remain unchanged in most other states, according to the latest report.

Is a Subcontractor an Employee Entitled to Benefits?

A district court found that intent was the most important factor in determining whether a subcontractor qualified as an employee, but an appeals court disagreed.

Go the Extra Mile

Focusing on the person behind the workers’ comp claim is the right thing to do — not just for the employee but for the business.

Social Media as a Tool in Claims Investigation

It’s important to be well-versed on the way risk managers can mine social media for information.

WC Payers More Likely To Face Reimbursement Requirements for Pot

A New Mexico appeals court decision ordering an employer and insurer to reimburse an injured worker for his medical marijuana is believed to be the first such court ruling in the nation.

Growing Temp Workforce Faces Highest Risks

Why staffing agencies — and their clients — need to step up safety training.

Modifying ERM to Fit the Organization

Enterprise Risk Management needs to be defined for organizations.

Webinar: Succeeding with an Unbundled Claims Management Approach

Learn how to succeed with an unbundled claims management approach.

Positive Drug Test Not a Slam Dunk in Court

Why did an appeals court find that an injured worker was eligible for comp, even though he tested positive for cocaine and admitted using it?

Job Training in Short Supply for Claims Professionals

A benchmarking study of claims organizations documented limited availability of formal job training.

Business Interruption Coverage Concerns

The lack of innovation and business insurance coverage certainty vex risk managers.

Loss of Value Policies Face First Test

Loss of value claims by NFL draft prospects should expect challenges in collecting.

Workers’ Comp Docket

Significant workers’ comp legal decisions from around the country.