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Experience Does Not Always Mean Current
We recently found a large workers comp audit error. The auditor pushed back until we showed them a rule change from two years ago. Even experienced auditors can keep applying an old rule when the rules have changed. That is why every audit deserves a fresh look. Not all auditors are equal. What has your experience been?
Mark Ess
Aug 121 min read
The Rise of Hard-to-Verify Workers' Comp Claims
Another trend I've been noticing in workers' compensation... Years ago, many claims involved injuries that were easier to verify - broken bones, lacerations, falls with clear evidence, and injuries that showed up on imaging. Today, it seems like a growing percentage of claims involve strains, sprains, soft tissue injuries, and subjective pain complaints. Many of these claims are legitimate. But let's be honest: these types of claims can also be the most difficult for employer
Mark Ess
Jun 231 min read
Household Employees and Workers' Comp Claims
Interesting trend I'm noticing... I recently received a call from a homeowner who is being sued after a housekeeper allegedly slipped and was injured while working in the home. The homeowner had no workers' compensation coverage in place. (she wasn't legal and got paid in cash) What caught my attention is that this is now the third similar call I've received in the last 10-12 weeks. Is anyone else seeing an increase in these types of claims? I'm curious whether there
Mark Ess
May 191 min read
Mark Ess
Apr 140 min read
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