Join us for an insightful webinar co-hosted by CMR Risk and Eric De Wames, Employment Law Managing Partner at Michael Sullivan & Associates, where we delve into the intricacies of California’s Private Attorneys General Act (PAGA) claims. Governor Newsom’s office recently announced a much needed and long-awaited agreement to reform PAGA. The proposed changes aim...
Employers will likely face an increase in workers’ compensation claims in light of the U.S. Labor Department’s May 2024 report indicating the country added 272,000 new jobs. “New employees not only equal more workers’ comp premiums, they are significantly more likely to incur a claim,” Joe Paduda, owner of Health Strategy Associates, said in an interview with PropertyCasualty360.com. “Jobs in health care and...
Understanding workplace safety risks and being properly prepared can help protect businesses and employees from a wide range of potential workplace hazards, including spiders and robots. Pie Insurance Services Inc. recently surveyed 1,034 small business owners, those with less than 500 employees, to uncover insights into top safety concerns, how prepared businesses are for summer...
Catastrophic work injuries occur every day to many employers of all sizes and occupations. Regardless of the size or type of membership served, every pool faces this exposure. These life-changing claims are complex, individualistic, and require much higher standards of coordination and communication. Not having a plan in place to respond to a catastrophic injury...
Injured workers with identified behavioral health conditions experienced markedly longer return-to-work timelines and slower claims resolution compared to the average lost-time claim, according to an analysis by Sentry Insurance. Sentry analyzed over 45,000 workers’ compensation claims from 2012-2019, focusing on key health conditions, including chronic pain, chronic pain with medication, and psychosocial factors. Based on...
The most frequently asked questions in workers’ compensation claims reveal opportunities for improved communication and efficiency in the claims process, according to an analysis by Hi Marley, a communication platform for insurers. Using the findings can help insurance carriers and employers to streamline operations, support faster recovery for injured workers, manage expectations and provide peace of mind, Hi Marley stated. The study categorized inbound questions from workers’ compensation claimants within the Hi Marley platform. The most common inquiries related to payment status and amount (26%), contact with the adjuster (24%), and provider scheduling and approval activities (22%). Other inquiries from claimants focused on process explanation (14%), benefits (9%), and documentation (5%). These findings suggest that many of the most common questions could be addressed through proactive outreach, automation, and standardization of communications. For instance, carriers can use predefined message templates for scheduling reminders, which can support faster recovery and reduce claim cycle time and costs. Automated updates on the claim process and payment status can help manage expectations and provide peace of mind for injured workers. “With most people dealing with an accident on the job, it’s their first...
When an employee experiences an occupational illness or injury, their eventual return to the workplace can create considerable challenges, putting significant stress on both the individual and their employer. Nevertheless, return-to-work (RTW) programs can help alleviate these concerns by supporting staff as they reintegrate into the workforce. These programs may entail having an injured employee...
On Feb. 5, 2024, OSHA published a notice of proposed rulemaking (NPRM) to issue a new safety and health standard, titled Emergency Response, to replace the existing Fire Brigades standard. The new standard would address a broader scope of emergency responders and include programmatic elements to protect emergency responders from various occupational hazards. OSHA requests...
One of the biggest components of workers’ compensation is an effective return-to-work (RTW) program. Eliminating injuries and illnesses is paramount for reducing workers’ compensation costs, but after an incident, an RTW program can significantly reduce workers’ compensation costs for employers and improve the lives of employees by getting them back to work when there is...
On Sept. 30, 2023, California adopted Senate Bill 553 (SB 553), a bill that requires employers to establish a workplace violence prevention plan (WVPP), document incidents of workplace violence and train employees on how to identify workplace violence hazards by July 1, 2024. Affected Employers SB 553 applies to California employers. State law defines “employer”...