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Claim Resolution and Local Influences

In order to evaluate appropriately a workers compensation claim, the adjuster must be familiar with the nuances of the local workers compensation board. 


Do local practices include negotiated disability values? Does the local board increase the disability rating by a percentage or some other factor? Is the local board plaintiff-oriented? What is the reputation of the treating physician(s)? What is the claim settlement reputation of the employee's attorney?


All these factors come into play when the adjuster is calculating the value of the disability rating. Your workers compensation coordinator needs to know the answers to these questions to verify that the adjuster's disability settlement calculation is accurate.




An employer should be open to new technology, and trying new things in order to be more proactive in the claim process. How can advancements help all parties?

One size does not fit all! When returning an employee to work, remember it is all employee attitude and personality. What return-to-work strategy fits? 
Despite the name, 'occupational therapy' is not the primary therapy used in workers comp claims. How do a physical therapist and an occupational therapist work together for the best outcome?

Most risk managers and workers' comp managers know the SMART Act is about changes in Medicare Secondary Payer statutes, but what are the details of the changes in the law?

A South Carolina employee conceals several jobs and even uses his wife's social security number to commit workers comp fraud. 
A Spokane man collects workers comp benefits while also running his own business and is caught.

The 2013 edition has many exciting revisions including Standard Defenses, Claim Leakage, FECA (by Managed Care Advisors), Opioid Abuse control Measures, Wellness, Drug Testing Policies, Control Techniques, Structured Settlements, Physical Therapy Management, Social Media and Workplace Monitoring Fraud Controls and much more.  PRICE SAME AS in 2012.

 "Understanding the Urgency for Reducing Unnecessary Medical Care and Costs" February 27-28, 2013 Cambridge, This problem is addressed in the context of the larger fiscal and political challenges faced in workers compensation.  
RIMS '13 will introduce new products, establish your presence in the marketplace, reinforce relationships with existing clients,
and discover new clients from your target audience-all
for a great value-all at RIMS '13. 
SEAK is the sponsor of the largest and most highly regarded national workers' compensation and occupational medicine conference. SEAK's Workers' Compensation and Occupational Medicine Conference was first held in 1980 and takes place each July on Cape Cod. 
New summaries for "drug testing and workers compensation state laws" for every jurisdiction are NOW posted on our website. Click on the link above to check it out.
REDUCE WC COST 20% to 50%
Workers Compensation Management Program
Learn more about our book on
for employers.
Article Library

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Five Practical Ways to Reduce Medicare
Set Asides (MSA)

Lowering Workers Comp Costs for Employers

Rebecca Shafer, Attorney & Risk Consultant

Contact Us: Becki@ReduceYourWorkersComp.com

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