workers’ compensation claims News

Insurtech Startup Pitching Chatbots for Workers’ Comp Claims

For years, automobile insurers have used automatic dialogue devices, called chatbots, to field calls from policyholders when they report claims. Last year, personal insurance startup Lemonade took the technology up a notch, boasting that it was closing claims in seconds …

Texas DWC Claim Files go Digitial

Every month, TDI’s Division of Workers’ Compensation receives hundreds of requests for records of workers’ compensation claims that can date back to the 1960s. DWC first checks to make sure the person requesting the confidential records has a right to …

Study Finds Nurse Case Managers Add Value to Workers’ Comp Claims

A new white paper demonstrates the value nurse case management adds to workers’ compensation claims resolution. Using injury data, patient characteristics, diagnosis, medical treatment and claimant behavior characteristics to evaluate 42,000 claims, Helmsman Management Services, a subsidiary of Liberty Mutual …

Washington Interpreter Charged with Overbilling State for Fake Appointments

A Des Moines, Wash., Spanish-language interpreter faces a felony charge alleging she overbilled the state more than $5,600 for mileage and patient appointments that never happened. The Washington Attorney General’s office charged Bersabed Boling, 41, with one count of first-degree …

Protecting Medicare’s Interests on Claims Not Meeting Review Threshold; is an Allocation Needed?

Since Medicare released the July 23, 2001 “Patel” memorandum concerning workers’ compensation and many subsequent memoranda, there have been numerous guidelines for the evaluation and submission of Medicare set asides (MSA). We are all aware of the review thresholds: Medicare …

Louisiana State Agencies’ Workers’ Comp Costs Rising

The number of workers’ compensation claims filed by Louisiana state employees dropped by nearly one-third over the last eight years, but claims costs for state agencies continued to surge higher, according to an audit released Monday. Legislative Auditor Daryl Purpera’s …

Tips on Handling Workers’ Comp Claims Involving Chiropractic Care

Understanding the differences between a physician and a chiropractor and knowing key terms and billing codes will assist adjusters handling workers’ compensation claims, according to a recent webinar presented by Wisc.-based insurance broker HNI. According to Dr. Marc Gilerovich, a …

Commentary: It’s Not All About the Medicare Set Aside

As 2014 was coming to an end, I reflected back on the many years I have been involved in negotiating and resolving workers’ compensation claims. As you might surmise, many changes have occurred throughout the years including the introduction of …

Top 10 Causes of Workplace Injuries: Liberty Mutual

Overexertion and falls account for more than $25 billion in workers compensation costs in the U.S., according to Liberty Mutual Research Institute for Safety’s 2014 Workplace Safety Index. In its 15th year, the annual ranking of top 10 causes of …

10 Companies OK’d to Self-Insure for Workers’ Comp in Texas

The Division of Workers’ Compensation (DWC) approved one new Certificate of Authority to self-insure workers’ compensation claims and renewed nine such certificates. The companies receiving the certificates collectively employ approximately 33,150 employees in Texas. United Airlines Inc., Chicago, Ill., was …