As workers’ compensation claims grow more complex, today’s claims professionals are evolving into strategic coordinators who combine technology, clinical expertise, and collaboration to improve outcomes for injured workers and employers alike.

Cumulative trauma claims rose from 9.1% of all California workers’ compensation claims in 2018 to 16.5% in 2025, with the growth spreading statewide, the California Workers’ Compensation Institute found.

Medical inflation softened broadly in the second quarter, with the NCCI Workers Compensation Weighted Medical Index falling to 1.0% year over year in June.

A new survey reveals the priorities, obstacles, and evolving perspectives on technology shaping the workers’ compensation industry today.

Durable medical equipment and certain professional services without fee schedule rates are consuming a growing share of payments, the Workers Compensation Research Institute found.

Clinical engagement and pharmacy management drove consistent reductions in Medicare set-aside allocations over a four-year period, according to Tower MSA Partners.

A majority of the state’s highest court rules anti-referral provision doesn’t extend to prescription drugs, allowing doctors to direct injured workers to pharmacies in which they hold financial stakes.

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

When heat overexposure isn’t recognized, it isn’t measured. When it isn’t measured, it isn’t managed.

Prices paid for nonhospital professional services ranged from 28% below the multistate median to 174% above it in 2025, according to the Workers Compensation Research Institute.

From triage-first models to pharmacy management and mental health intervention, a new analysis reveals the approaches delivering measurable results across workers’ compensation and liability programs.

Rural hospital closures significantly increase travel distances to emergency care for injured workers, yet medical costs and disability durations largely unchanged: WCRI study.

Piloting artificial intelligence in claims management is no longer the barrier, operational integration is. Here’s how claims organizations can move beyond proof of concept to realize the full value of AI.

Underreported silica-related symptoms quietly put workers at risk of serious, lasting harm.

Strategic claim management in the critical early weeks after injury can reduce costs and prevent litigation, according to a guide from Kinetic Insurance.

NCCI data reveals that costs for critical care services now exceed inflation benchmarks, with expenses for severe injuries accounting for more than one-quarter of total medical spending.

Survey by Alliant and NAWHC reveals 94% achieve positive ROI while prioritizing quality and access over cost savings.

New WCRI research reveals surgical claims are up to nine times more likely to become high-cost cases, with timing of intensive care emerging as critical factor.

Structured mental health assessments help validate psychological trauma, prevent malingering, and support more accurate claims, enabling employers, adjusters, and clinicians to improve outcomes and reduce costs.

Workers age 55-plus are staying in the workforce longer. When injuries occur, claims can become complex for this demographic.