Workers Compensation » WC Claims Management



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.

There are 31 other categories related to Workers Compensation / WC Claims Management in the Libraries & Directories.

A Guide to the Work Relatedness of Disease [5088]
Download a guide to decision-making as to whether or not a disease is work-related

Affirmative Defenses in Industrial Deaths [2765]
Affirmative defenses to death claims where threshold determination of injury AOE/COE has been met

Americans with Disasbilities Act and Workers Compensation [20040]
Questions and answers about the ADA as related to WC

Cal/OSHA Serious Claim Reporting Requirements [27044]
Which California WC claims must be report to your local Cal OSHA office

Checklist for Handling Workers Comp Claims [11102]
Employer checklist for WC claims

Chronic Pain Claims [25761]
Maine's use of an Individualized Multi-Disciplinary Treatment Program to deal with intractable pain claims

Claimant's Statement as a Basis for Claim Mitigation [12597]
The claimant's statement is an opportunity to cost effectively mitigate a claim

Claims Articles [4036]
Documents on various topics of interest to claim management

Claims Coordinator Handbook [11178]
Full text of a guide to help coordinators file WC claims for state employees in Texas

Claims Coordinator's Checklist & Subrogation Checklist [11179]
Checklist used by claims coordinators employed by the state of Texas

Claims Defense Counsel Guidelines [27417]
Litigation Management Guidelines for Claims Defense Counsel

Consumer Financial Issues in Complementary and Alternative Medicine [5767]
Discusses the issues of alternative medicine insurance coverage

New Employer Workers Compensation Claims Management Guide [pdf] [33865]
An employer's guide to recognizing a work injury and managing a WC claim

From Managed Care to Injury Management [786]
It is time to move toward true injury management

Health Care / Medical Management [458]
Booklets give guidelines in medical management

IME - Appointment of Independent Medical Examiners [2767]
Guidance regarding IME appointment in California

IME - Independent Medical Evaluations [3905]
Provides an overview on what an independent medical evaluation (IME) is

IME Independent Medical Examinations [20433]
Explains what IME means from a physician's viewpoint

IME: Independent Medical Examinations [16671]
Legal guidance concerning IMEs for claimants

Medical Causation [20934]
Pursuing Medical Causation Issues In Injury Cases

Medicare Second Payer Overview [33323]
Medicare Secondary Payer (MSP) is the term used by Medicare when Medicare is not responsible for paying first

Medicare Secondary Payer Manual [33322]
MSP provisions prohibit Medicare from making payment if payment can be expected by workers compensation

Medicare Workers Compensation Agency Services [33324]
The portion of CMS that handles Workers Compensation Medicare Set-aside Arrangements (WCMSAs)

MMI Maximum Medical Improvement [20432]
Explains what MMI means from a physician's viewpoint

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

Prompt Injury Reporting Benefits [26700]
Why employers should report WC claims rapidly

Report WC Claims Within 3 Days [27415]
Studies of claims show the cost of filing in the 1st week compared with the cost of waiting

Second Injuries & Pre-existing Conditions [27908]
Second or Subsequent Injury Funds (SIFs) funds are still operational in about 20 states

Second Injury Fund Best Practice Checklist [29995]
A self-assessment that allows you to measure whether your current recovery practices match up to best practice standards

Second Injury Funds [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

Special Case - Injury Checklist [24611]
Back injury, assault, cardiac, horseplay, hernia, occupational disease cases

State Workers Compensation Waiting Periods [pdf] [29998]
A chart of the state waiting periods for WC

State Workers Compensation Benefits & Occupational Hearing Loss [pdf] [30013]
A chart of state WC benefits related to workplace hearing loss

State Workers Compensation Benefits for Survivors [pdf] [30012]
A chart of state WC Benefits for Surviving Spouses and Children in Death Cases

State Workers Compensation Burial Allowances [pdf] [29999]
A chart of each state's compensation allowance related to burial

State Workers Compensation Disfigurement Benefts [pdf] [30005]
A chart of jurisdictions which provide for disfigurement

State Workers Compensation Flexible Maximum Benefts [pdf] [30004]
A chart of jurisdictions having "Flexible Maximum" benefit levels under Workers' Compensation statutes

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

State Workers Compensation Law Offset Provisions [pdf] [30008]
A chart of each state's offset provisions in WC laws

State Workers Compensation Laws & Agricultural Workers [pdf] [30010]
A chart of state WC coverage of agricultural workers

State Workers Compensation Laws & Domestic Employees [pdf] [30009]
A chart of Jurisdictions in Which Workers' Compensation Laws Apply to Domestic Employment

State Workers Compensation Laws & Medical Benefits [pdf] [30011]
A chart of state WC medical benefits and physician selection

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

State Workers Compensation PPD Benefts [pdf] [30001]
A chart of each state's benefits related to Permanent Partial Disability (PPD)

State Workers Compensation PTD Benefts [pdf] [30002]
A chart of each state's benefits related to Permanent Total Disability (PTD)

State Workers Compensation Rehabilitation Provisions [pdf] [30006]
A chart of jurisdictions which provide rehabilitation benefits for injured workers on state WC laws

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 Checklist for Workers Compensation [29996]
To assist in a self-assessment of your effectiveness in this area

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

Temporary Total Disability Benefit [1957]
Lists the maximum weekly benefit and average weekly wages in covered employment by state

The National Registry of Workers Compensation Specialists [25754]
Information about the Registered Workers' Compensation Specialist (RWCS) designation and the application

Third Party Claims [16670]
Third party claims under Wisconsin law

Tips for Injured Workers [11804]
Advice for injured workers

Understanding Brain Injury [5313]
Provides an overview & statistics on demographics, cost, morbidity, causes, consequences, etc.

Understanding Spinal Cord Injury [5312]
Provides an overview & statistics on demographics, cost, morbidity, causes, consequences, etc.

WC Claim Adjuster Checklists [13028]
Provide assistance on claimant interview, special injuries and WC investigations

WC Claim Benchmarks [24597]
Examples of claim benchmarks that can be audited

WC Claims Defense Guide [pdf] [27416]
Claims defense counsel guidelines - Litigation best practices

WI-Wisconsin Tiebreaker Medical Examinations [6306]
The WC department may order a tiebreaker medical examination

Workers Compensation Claim Settlements [138]
Discusses how WC settlements are viewed in each state and the various forms of settlement

Workers' Compensation Under State Laws [1964]
Information about the benefits available through workers' compensation in each state & other info




Related Categories within The Safety Library


View All Related Categories throughout the Libraries & Directories


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

Health Care Safety / Patient Confidentiality
Medical record privacy, patient confidentiality, etc.

Insurance Loss Control / Claims Management
Bad faith, structured settlements, large losses, etc.

Occupational Medicine / Brain Injuries
Traumatic brain injury reference materials

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

Occupational Medicine / Code Sets
DRG, APG & ICD-9-CM and ICD-10-CM coding - Medicare payment rates

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

Wellness Programs / Disease Prevention
Materials for employers to promote workplace health and wellness

Wellness Programs / Stress Management
Mental health stress including stress resulting from workplace conditions

Workers Compensation / WC Managed Care
Guidance on managed care in workers compensation to control medical costs



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