Risk Management & Insurance Industry - Knowledge & Resource Center

GCat: Risk Mgt, Claims, Ins
MCat: Claims Management
Cat: WC Claims

Guides to work-relatedness of occupational diseases. Activities to control disability costs. IME. How WC settlements are viewed in each state and the various forms of settlements. Cost and reserving guidelines for quadriplegia, massive injury, traumatic brain injury.

48 Resources
American Board of Independent Medical Examiners [20433] ?

Certified Independent Medical Examiners, CIME

CA-California Workers Compensation Claim Settlements [138] ?

There are two types of workers compensation settlements

Cal/OSHA Serious Claim Reporting Requirements [27044] ?

Which California WC claims must be report to your local Cal OSHA office

Chronic Pain Claims [25761] ?

Maine's use of an Individualized Multi-Disciplinary Treatment Program to deal with intractable pain claims

Claims Coordinator Handbook [11178] ?

Text of a guide to help coordinators file WC claims for state employees in Texas

CO-Colorado WC Claims Compliance Audit Guide [pdf] [35847] ?

The state's audit methods

Consumer Financial Issues in Complementary and Alternative Medicine [5767] ?

Discusses the issues of alternative medicine insurance coverage

Guide to Providing IME - Independent Medical Exams [pdf] [3905] ?

For health care providers who want to provide independent medical exams for Oregon workers’ compensation

Illegal Aliens and Workers Compensation [35505] ?

Whether Illegal Immigrants Get Workers’ Compensation Benefits Is State Decision

IME - Independent Medical Examinations - Legal Issues [2767] ?

Understanding the IME Battleground in Workers' Comp Claims

IME: Independent Medical Examinations [16671] ?

Legal guidance concerning IMEs for claimants

Injury Cost Calculator [786] ?

Estimating and calculating the true cost of workplace injuries

MMI Maximum Medical Improvement [20432] ?

Perception, truth and fallacy

MRSA Claim Handling Guidelines [36737] ?

Considerations for handling MRSA claims

Occupational Diseases: A Guide to Their Recognition [5089] ?

Download a NIOSH guide for recognizing occupational diseases

OR-Oregon WC Claims Audit [23169] ?

Audit of insurers and self-insured employers WC claims processing activities in Oregon

Second Injury Funds [pdf] [27907] ?

Still a valuable workers compensation cost containment tool

Social Security & Workers Compensation [29997] ?

How Workers' Compensation And Other Disability Payments May Affect Social Security Benefits

Updated State Workers Compensation Waiting Periods [pdf] [29998] ?

A chart of the state waiting periods for WC

Updated State Workers Compensation Benefits & Occupational Hearing Loss [pdf] [30013] ?

A chart of state WC benefits related to workplace hearing loss

Updated State Workers Compensation Benefits for Survivors [pdf] [30012] ?

A chart of state WC Benefits for Surviving Spouses and Children in Death Cases

Updated State Workers Compensation Burial Allowances [pdf] [29999] ?

A chart of each state's compensation allowance related to burial

Updated State Workers Compensation Disfigurement Benefts [pdf] [30005] ?

A chart of jurisdictions which provide for disfigurement

Updated State Workers Compensation Flexible Maximum Benefts [pdf] [30004] ?

A chart of jurisdictions having

Updated State Workers Compensation for Selected Permanent Partial Disabilities [pdf] [30000] ?

A chart of each state's compensation allowance related to maximum benefits and periods of payment for PPD

Updated State Workers Compensation Law Offset Provisions [pdf] [30008] ?

A chart of each state's offset provisions in WC laws

Updated State Workers Compensation Laws & Agricultural Workers [pdf] [30010] ?

A chart of state WC coverage of agricultural workers

Updated State Workers Compensation Laws & Domestic Employees [pdf] [30009] ?

A chart of Jurisdictions in Which Workers' Compensation Laws Apply to Domestic Employment

Updated State Workers Compensation Laws & Medical Benefits [pdf] [30011] ?

A chart of state WC medical benefits and physician selection

Updated State Workers Compensation Methods of Payment of Scheduled Awards [pdf] [30007] ?

A chart of each state's method of payment of scheduled awards for WC

Updated State Workers Compensation PPD Benefts [pdf] [30001] ?

A chart of each state's benefits related to Permanent Partial Disability (PPD)

Updated State Workers Compensation PTD Benefts [pdf] [30002] ?

A chart of each state's benefits related to Permanent Total Disability (PTD)

Updated State Workers Compensation Rehabilitation Provisions [pdf] [30006] ?

A chart of jurisdictions which provide rehabilitation benefits for injured workers on state WC laws

Updated State Workers Compensation TTD Benefts [pdf] [30003] ?

A chart of each state's benefits related to Temporary Total Disability (TTD)

Subrogation Assessment [25760] ?

Detailed investigation by trained staff can yield good results

Subrogation Rights Against Personal Auto Uninsured Motorists Coverage [25679] ?

The statutory right of subrogation as affected by the rights to personal auto UM/UIM benefits

The National Registry of Workers Compensation Specialists [25754] ?

Information about the Registered Workers' Compensation Specialist (RWCS) designation and the application

The Workers' Compensation Lien [35279] ?

Sometimes a work-related injury will support both a workers' compensation claim and a personal injury action

Third Party Claims [16670] ?

Third party claims under Wisconsin law

Tips for Injured Workers [11804] ?

Advice for injured workers

WC Claim Benchmarks [24597] ?

Examples of claim benchmarks that can be audited

WC Claims and Injury Management [35504] ?

A series of articles on topics related to workers compensation claims management

WI-Wisconsin Tiebreaker Medical Examinations [6306] ?

The WC department may order a tiebreaker medical examination

Workers Compensation Benefits - Basics [36401] ?

There are four basic types of workers' compensation benefits paid by insurance companies

Workers Compensation Claims Management Guide [33865] ?

An employer's guide to recognizing a work injury and managing a WC claim

Workers' Compensation Claim Fraud Red Flags [20934] ?

These red flags serve only to alert as to the possibility of fraud

Related Categories & Information

- rmLibrary : Related Categories (15)

Claims Management / Claims Administration
Bad faith, structured settlements, large losses, etc.

Claims Management / Health Claims Code Sets
DRG, APG & ICD-9-CM and ICD-10-CM coding - Medicare payment rates

Claims Management / WC Managed Care
Guidance on managed care in workers compensation to control medical costs

Ergonomics / Medicine
Clinical practice guidelines, patient handouts on low back pain, CTS, etc.

Health / Privacy
Medical record privacy, patient confidentiality, etc.

Health / Stress
Mental health stress including stress resulting from workplace conditions

Health / Wellness Programs
Workplace health promotion and wellness programs

Human Resources / Layoffs
Industry layoff guidance, reports, laws

Legal / Insurance Law
Case developments, articles, resources related to insurance law

Legal / Litigation
Legal case mgt, use of computer-generated evidence, attorney-client priviledge

Managed Care / Outcomes
Quality outcome studies and measurements - utilization review

Managed Care / Report Cards
USQA Quality Reports. NCQA accreditation. CVO certification and more

Medicine / Brain Injuries
Traumatic brain injury reference materials

Medicine / Clinical Guidelines
Full text of clinical practice guidelines for numerous specialties in medicine

Medicine / Occupational Medicine
Large number of reference materials on occupational medicine

- Cross References to other LAD Libraries (28)

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