White Paper
Common Exceptions: The Rising Incidence of Complex Claims in Workers’ Compensation
White Paper Summary
Complex claims in workers’ compensation are defined by two primary factors – cost and duration – exceeding those of typical claims. The prevailing consensus among industry leaders is that the incidence of complex claims is increasing, and over 50% of surveyed stakeholders think that complex claims are a major challenge for the industry.
Complex claims come in multiple forms and the reporting metrics can vary, depending on the criteria and parameters used, but there is ample evidence to support the conclusion that a higher number of claims are costing more and taking longer to resolve.
Defining complex claims by their cost and duration is helpful in assessing their scope and how they are trending, but less helpful in explaining why claims become complex in the first place.
For more content like this from Healthesystems visit their RxInformer clinical journal website.


