The Lesser Known Standard Exception Codes Last week, I posted on the Standard Exception classification codes namely 8742 and 8810. The concern of a few
Captive Reserve Question Concerning LDF’s A good question about Captive reserve from readers. I am responding to a question from Wayne on this post. I
State Funds – Are They Losing Viability? The State Funds that cover just their headquarters state have begun to look elsewhere. I read today where
State Mandated Maximum Benefit Rates The general Workers Compensation formula for weekly benefit rates = Average Weekly Wage (AWW) * .6667. The weekly benefit rates
Classification Codes 8810 and 8742 My posts on Classification Codes 8810 and 8742 seem to generate the most interest of the whole blog. I have
Term Of The Day – Wage Statement A wage statement is a necessary yet tedious part of paying a WC claim properly. The injured employee’s compensation
A Great Premium Audit Classification Codes Changes Question – Be Careful Here Earlier this morning, I received a great follow up question about great premium
Term Of The Day – Minimum Compensation Rate Most states have a minimum threshold of Workers Comp benefits regardless of their wage rate. If the injured
Premium Audit Question On Class Code Changes We received a Premium Audit question on classification codes last week. We had worked on our own
Term Of The Day – Public Adjuster A Public Adjuster represents the insureds rather than the carrier during claims processing. In this way, insureds can be
Term Of The Day – Manuscript Policy A Manuscript Policy is an individually designed policy. It is negotiated by the insurer and the insured and is
Do Ethics Courses Waste Time? The Ethics courses for adjusters or other insurance personnel may seem really worth the time and expense. I recently received
Independent Medical Exams (IME) Worth The Expense Independent Medical Exams (IME’s) are usually one-time exams requested by the insurance carrier, TPA, injured employee, attorneys or
Term Of The Day – Stair Step Reserving The stair step reserving of Workers Comp is an age-old concern of any party to an insurance
Popular Pain Med Fentanyl The popular pain med fentanyl CWI California was shock. This very dangerous medication hit the Workers Comp airwaves late last week.
Term Of The Day – Average Value Method Average Value Method has a requirement for estimates of loss reserves that are made on an aggregate basis for
Reserve Review Action Plan I had posted often over the last few weeks concerning claimx`s review for insureds with a January 1, 2011 renewal date.
Term Of The Day – Administrative Law Judge An Administrative Law Judge is a legal representative employed by the Workers’ Compensation Board. This representative reviews appealed
Term Of The Day – Misclassification An error by the rating bureau or insurer that places an employer is the wrong class code, causing an incorrect
Term Of The Day – Maximum Medical Improvement In most cases, Maximum Medical Improvement (MMI) is assigned by a treating physician when an injured employee’s condition
Stair Stepping Reserves Very Harmful In my last post, I noted the term stair-stepping. This can ruin any Workers Comp budget for a regular or
Impairment Rating Measures Permanent Reduced Abilities An Impairment Rating (IR), which is also called a physical impairment rating, is a medical assessment of a claimant’s
Term Of The Day – Future Medicals Workers comp future medicals demand accurate calculations from claims adjusters. The medical part of the total incurred and
Lower Workers Comp Reserves Not Always Best The workers comp insurer reserves sometimes hide a reserve deficit. AM Best released a report on May 2nd
Term Of The Day – Benefit Review Conference Various states offer Benefit Review Conference in order to help resolve issues and disputes resulting from on-the-job injuries.
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