March 20, 2018

Dr. Michael Lacroix: A Penny for Your Claimant’s Thoughts – How Adjusters Can Use CBT Techniques

Dr. Michael Lacroix

If yesterday’s workers’ comp adjuster was a soloist, today’s is almost a one-man (or one-woman) band. With the current unrelenting focus on expense management, adjusting the claim is just the front end of a more complex job. Adjusters often find themselves performing tasks once relegated to other players, such as providers and case managers – namely, keeping on top of… [Continue Reading]

Guest Post: Workers’ Compensation Tips for Small Businesses

Texas Mutual

Workplace accidents can happen anywhere and to anyone. Although certain workplaces present more risks for injuries than others, employees are never risk-free. For this reason, workers’ compensation insurance is not only important for large companies and companies where physical labor is an integral part of the job, but it is also important… [Continue Reading]

Employers Reports Q4 and Full Year 2013 Earnings, Declares Q1 2014 Dividend

Employers Insurance

Reno, NV -(BusinessWire)- Employers Holdings, Inc. (NYSE:EIG) recently reported fourth quarter 2013 net income of $14.2 million or $0.44 per diluted share compared with net income of $87.8 million or $2.82 per diluted share in the fourth quarter of 2012. Full year net income was $63.8 million or $2.00 per diluted share in 2013 compared… [Continue Reading]

WA Landscaper Charged with Skipping Out on Workers’ Comp Coverage

WA Department of Labor and Industries

Tumwater, WA – A Pierce County landscaper has been charged with failing to pay workers’ compensation insurance after one of his employees was injured on the job. Kenneth Ivan Winters, 49, faces one count of doing business without workers’ comp insurance and seven counts of making false reports to the Department of Labor… [Continue Reading]

Specialty Pharmacy Invades Workers’ Comp


Frequently, trends seen in the group health insurance market eventually trickle their way into the workers’ compensation industry. In most situations, whether these trends involve new treatments, new guidelines or new medications they likely will have an effect on a patient’s overall treatment regimen. Adding to the complexity, however… [Continue Reading]

WorkCompRecap: Record Ripoff!

Today’s issue of WorkCompRecap features some major enforcement news, as multiple agencies including the California Department of Insurance announced the largest case of insurance fraud in its history, to the tune of over $500 million, which lead to Michael Drobot, the former owner/operator of Pacific Hospital in Long Beach… [Continue Reading]

US AO: Former Hospital Owner Charged in Fraud that Billed WC Insurers $100s of Millions

US Attorneys Office Seal

Santa Ana, CA – The former owner of Pacific Hospital in Long Beach was charged recently in a long-running health care fraud scheme that involved tens of millions of dollars in illegal kickbacks in exchange for referrals of thousands of patients who received spinal surgeries. The referrals to the hospital led to more than $500 million in bills… [Continue Reading]

US AO: CA Senator Calderon Charged with Taking Bribes in Exchange for Official Acts

US Attorneys Office Seal

Los Angeles, CA – Ronald Calderon, a member of the California State Senate, has agreed to surrender to federal authorities after being named in a federal grand jury indictment that accuses him of taking tens of thousands of dollars in bribes from a businessman and from people who were associated with a Hollywood film studio, but who were… [Continue Reading]

CA DOI: $500 Million Medical and Workers’ Comp Fraud Conspiracy Uncovered

CA Department of Insurance

Los Angeles, CA – A multi-year investigation into a sophisticated criminal fraud ring has uncovered the largest case of insurance fraud in department history and led to Michael Drobot, 69, of Corona Del Mar who built a complex conspiracy billing approximately 150 insurance companies more than $500 million for medical procedures… [Continue Reading]

Pinnacol Assurance Announces Leadership Changes

Pinnacol Assurance

Denver, CO – Pinnacol Assurance, Colorado’s leading provider of workers’ compensation insurance, recently announced several leadership changes. Mark Isakson will be assuming the role of vice president of insurance operations overseeing all Pinnacol’s underwriting and claims functions. Isakson joined Pinnacol in 2001… [Continue Reading]

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