Claims News Archive


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What Are the Most Dangerous Jobs for Teens, Adults?

06.19.2012

The National Consumers League (NCL) compiles an annual list of the nation’s dangerous jobs for teenagers.

In publicizing its Five Most Dangerous Jobs for Teens 2012, a new report on teen worker safety, the consumer group seeks to remind teen jobseekers that some jobs are more dangerous than others and provide practical advice for teens and their parents on how to stay safe on the job.

“Our tough job market may lead young...
06.19.2012

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NCCI Study: Obesity Driving Up Workers’ Compensation Costs

06.19.2012

A new technical research study from the National Council on Compensation Insurance (NCCI) shows that there is mounting evidence of obesity contributing to the cost of workers’ compensation.

The NCCI study finds that obesity contributes in significant ways to the length of time during which claimants receive indemnity benefits. Indemnity duration was measured based on Temporary Total and Permanent Total indemnity benefit payments; in a sensitivity analysis, Permanent Partial benefits were counted toward indemnity benefit duration...
06.19.2012

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Washington State Touts Success of Stay at Work Program

06.18.2012

One year into its new Stay at Work program, the Washington State Department of Labor & Industries (L&I) has reimbursed 568 employers with $2.5 million and helped 1,200 injured workers remain on the job, making it one of the fastest growing workers’ compensation programs in the U.S.

“Stay at Work is a program that offers something for everyone including business, injured workers, and medical providers,” said Beth Dupre, Assistant Director for L&I...
06.18.2012

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Missouri City Tackles Workers’ Compensation Costs

06.18.2012

Claims magazine notes that the City of Columbia, Mo., is working hard to keep its workers’ compensation costs down.

Getting special attention are work-zone safety measures for public employees working on roadways, according to Sarah Perry, the city’s risk manager.

However, the city - and others like it across the nation - continues to grapple with a notable increase in law-enforcement liability suits.

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Texas Widow Sues for $15 Million; Claims Husband Lay Dying as Drug Test Was Administered

06.14.2012

The widow of an employee at a Dallas cement and construction company is suing for $15 million, claiming her late husband lay unconscious for two hours before an ambulance was called after a fall at work. She further says that, while her husband lay on the ground, another employee unzipped his pants and took urine from him for a drug test.

Alejandra Perez is seeking $5 million for damages prior to death, $5 million for wrongful death, and $5 million in punitive damages. Her husband worked for the company for 38 years and was planning to retire in two weeks.

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Cal/OSHA Cites Employer Responsible for Worker Killed in Milpitas Excavation Collapse

06.13.2012

The California Department of Industrial Relations’ (DIR) Division of Occupational Safety and Health, also known as Cal/OSHA, has issued 14 fourteen citations totaling $168,175 to a Fremont-based construction and investment company, US-Sino Investments, Inc. 

The citations stemmed from Cal/OSHA’s investigation into the death of Raul Zapata, a 37-year-old carpenter who was buried alive under a ten-to-twelve foot excavation wall at a Milpitas residential construction site on January 28. US-Sino is cited for numerous...
06.13.2012

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N.Y. State’s Business Climate Stormy on Workers’ Compensation

06.12.2012

The BuffaloNews.com reports a proposed hike of up to 11.5 percent in workers’ compensation premiums has both labor and business criticizing the New York State Workers’ Compensation Board for not carrying through on measures agreed to in 2007 to reform the system.

The 2007 law called for a hike in workers' compensation benefits coupled with health care treatment protocols for injured workers and other measures. Supporters of the legislation said that these and other actions, such as ending what was a lifetime benefit for certain kinds of injuries, would curtail expenses.

Now no one is happy.

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Pennsylvania Supreme Court Rules on Statutory Employer Status

06.11.2012

The Pennsylvania Supreme Court has settled what it called "ambiguity" regarding statutory employer status in Pennsylvania's Workers' Compensation Act.

A truck driver, Kevin Williamson, was injured while transporting tomatoes between a grower's warehouse in Pennsylvania and a processor in Maryland. The grower had hired F. Garcia & Sons to transport the produce. Williamson was an employee of Garcia.

Garcia did not carry workers' compensation insurance. Williamson argued that the grower "hired" him and thus was liable for his workers' compensation benefits.

The court ruled that any person or businesses contracting out work that is a "regular or recurrent part of their businesses," must guarantee those who claim that work the benefit of workers' compensation insurance.

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Increase in California Average Weekly Wage Means Higher WC Benefits in 2013

06.08.2012

California's State Average Weekly Wage (SAWW) rose more than 5.5 percent from $1,003.55 to $1,059.38 in the 12 months ending March 31. The California Workers' Compensation Institute (CWCI) says this will boost minimum and maximum temporary total disability (TTD) rates for 2013 work injury claims, as well as other workers' compensation benefits that are tied to changes in the SAWW.

California's TTD maximum rate for 2012 job injuries is $1,010.50 per week, but the CWCI reports that the increase in the SAWW means...
06.08.2012

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Back-and-Forth on Back Injury and Workers’ Compensation Benefits

06.08.2012

Can a worker be denied workers’ compensation benefits for not timely reporting his injury?

In May 2007, a worker claimed he injured his back pulling a pallet from a conveyor belt. He waited until lunch to tell his supervisor that “his back hurt.” The next day, he called to say he needed to see a doctor and could not report to work. However, he did not tell the doctor that the injury occurred at work.

More doctors’ visits ensued, with conflicting reports about whether the injury was work related. A Washington State Court of Appeals had the final word.

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Texas Company Offers Adjuster Training Classes Online

06.06.2012

PreLicense.com, a service of WebCE, has launched a new online pre-license training course for All-Lines Adjusters. PreLicense.com's Texas All-Lines Adjuster Prelicense Course with Licensing Exam has been approved by the Texas Department of Insurance to meet the state's 40-hour pre-license training requirement in an entirely online format. This course can be taken by anyone, from anywhere in the USA with an Internet connection.

Once the course is complete and the online licensing exam...
06.06.2012

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GENEX Announces Case Manager Scholarship Program Awards

06.06.2012

GENEX Services, Inc., a provider of case management services to the workers’ compensation, disability, and auto markets, has announced its inaugural Case Manager Scholarship Award Program. The program will provide $100,000 in scholarship awards to schools nominated by GENEX employees that graduated from those institutions.

The scholarships are intended to recognize the GENEX graduates from these schools, strengthen the awareness of the case management profession, and invest in a new generation of future graduates to fill a...
06.06.2012

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Former Area 51 Workers’ Compensation Claimant Writes Obama for Relief

06.04.2012

A former security guard at the famous Area 51 in western Nevada is in a years’ long dispute with various government agencies in his battle for workers’ compensation benefits. No, he’s not claiming abduction by aliens. He contends that contact with dangerous chemicals and radioactivity has destroyed his health.

Fred Dunham, 61, says he is eligible for compensation set aside for former Cold War workers. However, his claim for $150,000 or more in payment from the Energy Employees Occupational Illness Compensation Program has repeatedly been denied through the court system. In April he wrote President Barack Obama about his situation. No word on a reply yet.

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After a Tower Climber Falls, Stand Down Called for on AT&T Projects

06.01.2012

By RYAN KNUTSON, PBS Frontline, and LIZ DAY, ProPublica

Following a worker’s recent non-fatal 100-foot fall from a Texas cell tower, one of AT&T’s construction management firms instituted a stand down across several states, requiring that its subcontractors review safety practices.

Plano, Texas-based Goodman Networks sent out a bulletin on May 24 notifying workers of the mandatory safety stand down.

“This bulletin is being issued as a...
06.01.2012

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Female Farmworkers More Susceptible to Acute Pesticide-Related Illnesses and Injuries

05.31.2012

Farmworkers employed in the U.S. continue to have a high risk for acute pesticide-related illness with rates twice as high among female farmworkers compared to male farmworkers, a paper by researchers from the National Institute for Occupational Safety and Health (NIOSH) finds. The paper, "Gender differences in acute pesticide-related illnesses and injuries among farmworkers in the United States, 1998–2007," explains that the gender difference in rates is confined to farmworkers who don’t directly handle pesticides.

...
05.31.2012

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Joe Paduda to Keynote at August Workers’ Compensation Educational Conference in Orlando

05.31.2012

Joe Paduda, principal of Health Strategy Associates and author of www.ManagedCareMatters.com, will deliver the key note address at the Workers’ Compensation Institute’s (WCI) 67th Annual Workers Compensation Educational Conference on Monday, Aug. 20, at 10 a.m. The conference will be held Aug. 19 through 23 at the Orlando World Center Marriott.

Paduda’s presentation, “It’s the Things You Don’t Know That Will Kill You,” examines macro and socioeconomic...
05.31.2012

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Thousands to Gather for 67th Annual Workers’ Compensatio Educational Conference in August in Orlando

05.30.2012

The 67th annual Workers’ Compensation Educational Conference (WCEC) will be held August 19 to 23 at the Orlando World Center Marriott.

WCEC is a must-attend annual event for C-level executives, risk managers, claims adjusters, insurers, and medical and legal experts. Presented by the Workers’ Compensation Institute, the conference offers attendees an extraordinary opportunity to connect with their peers and learn from nationally recognized experts.

Ongoing registration for the 2012 gathering reflects the global perspective of the...
05.30.2012

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Workers’ Comp Fraud Charges Filed Against Two in Oklahoma

05.30.2012

Oklahoma Attorney General Scott Pruitt has charged two Oklahomans with workers’ compensation fraud.

William R. Richmond, 65, of Catoosa, was charged with three counts of workers’ compensation fraud in Wagoner County District Court after filing workers’ compensation claims that stated he had no prior knee injury.

According to the charges, Richmond sought medical treatment and filed three claims, one for each injury to both knees and his left shoulder when he slipped while...
05.30.2012

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WCRI: Medical Payments Per Claim in California Growing Rapidly after Post-Reform Decreases

05.30.2012

The costs per claim of medical treatments for injured workers in California were growing rapidly after large decreases that resulted from system reforms in prior years, according to a new study, CompScope Medical Benchmarks for California 12th Edition, from the Workers Compensation Research Institute (WCRI).

According to WCRI’s study, medical payments per workers’ compensation claim in California rose about eight percent per year from 2005 to 2009. These increases followed an overall decrease of about 30 percent...
05.30.2012

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Workers’ Compensation Meets Monty Python in Illinois

05.29.2012

By JOAN E. COLLIER

Repetitive Walking sounds like something dreamed up by Monty Python. In actuality it is a recognized compensable work-related injury in Illinois. Prison employees and other state employees whose jobs require them to walk and climb stairs are eligible for full workers‘ compensation benefits, according to a March 20 decision by the Illinois Workers‘ Compensation Commission. (Howell v State of Illinois/Menard Correctional Center, 09 WC 39531)

This bizarre scenario was put in motion by...
05.29.2012

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