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You are here: Home / Archives for Claims, Legal, & Compliance News

Claims, Legal, & Compliance News

Insurium & Spear Technologies Announce Merger

February 2, 2023 - WorkCompWire

Spear Tech

Denver, CO – Insurium™ (CHSI Technologies Corp) and Spear Technologies recently announced that the organizations will be merging. Insurium and Spear Technologies will operate as a single company offering a full suite of integrated insurance technology solutions designed specifically for Property & Casualty insurance organizations. Together the companies combine their deep insurance expertise, technology, and… [Read more]

Filed Under: Claims, Legal, & Compliance News, Industry News, People On The Move, Top Stories, Workers' Compensation

CA AG Bonta Joins Coalition Filing Amicus Brief Against Attempt to Undermine OSHA

February 1, 2023 - WorkCompWire

CA AG

Oakland, CA – California Attorney General Rob Bonta recently announced he had joined a coalition of 19 attorneys general in an amicus brief pushing back on a cynical attempt to drastically undermine the U.S. Occupational Safety and Health Administration’s (OSHA) ability to establish and enforce federal workplace safety protections. While amici states play a significant… [Read more]

Filed Under: Claims, Legal, & Compliance News, Industry News, Top Stories, Workers' Compensation

Manhattan DA Announces Indictment in $7 Million Workers’ Comp Insurance Fraud

January 31, 2023 - WorkCompWire

NY County DA

New York, NY – Manhattan District Attorney Alvin Bragg, Jr., recently announced the indictment of Oneteam Restoration, Inc., its owner and president Mario Rojas, Jr., and Certified Public Accountant (“CPA”) Steven Lyon for defrauding the New York State Insurance Fund (“NYSIF”) of more than $7 million in workers’ compensation insurance premium payments by filing doctored… [Read more]

Filed Under: Claims, Legal, & Compliance News, Industry News, Top Stories, Work Force & Human Resource News, Workers' Compensation

Sedgwick Releases “Imagine 23” Looking Ahead to This Year’s Industry Trends

January 27, 2023 - WorkCompWire

Sedgwick

Memphis, TN – Sedgwick recently released its “Imagine 23” report of major industry trends and issues that employers, brokers, carriers, risk managers, human resources professionals and product safety experts should be aware of throughout the coming year. “We’re living in a world of constant change and evolving challenges,” said Kathy Tazic, managing director, client services… [Read more]

Filed Under: Claims, Legal, & Compliance News, Industry News, Top Stories, Workers' Compensation

Rising Medical Solutions Launches MMSEA Section 111 Reporting Solution

January 11, 2023 - WorkCompWire

Rising

Chicago, IL – Rising Medical Solutions (Rising) recently announced its product portfolio expansion to help payers comply with Section 111 of the Medicare, Medicaid, and SCHIP Extension Act (MMSEA). The company’s new Section 111 reporting solution decreases payer liability for excess recovery costs and fines, while mitigating potential litigation by beneficiaries for improperly reported claims.… [Read more]

Filed Under: Claims, Legal, & Compliance News, Industry News, Top Stories, Workers' Compensation

OK AG Announces Settlements with Opioid Manufacturers, Distributors, and Retailers

January 9, 2023 - WorkCompWire

Oklahoma State Seal

Oklahoma City, OK – Attorney General John O’Connor recently announced four new settlements in the State’s opioid litigation. With these new settlements, Oklahoma has now recovered more than $900 million in opioid settlements. Oklahoma now ranks near the top of all states in total funds recovered on a per capita basis from the companies alleged… [Read more]

Filed Under: Claims, Legal, & Compliance News, Industry News, Top Stories, Workers' Compensation

NCCI Releases New Interactive Report on Workers’ Comp Frequency and Severity

December 20, 2022 - WorkCompWire

NCCI

Boca Raton, FL – NCCI recently released a new report that provides an overview of countrywide changes in lost-time claim frequency and severity – analysis includes jurisdictions where NCCI provides ratemaking services. The COVID-19 pandemic and its economic impacts have had both direct and indirect effects on the workers compensation industry. There are more remote… [Read more]

Filed Under: Association, Rating & Research News, Claims, Legal, & Compliance News, Industry News, Top Stories, Workers' Compensation

AmTrust 2022 Restaurant Risk Report: Mental Stress, Other Injuries Up Since COVID

December 15, 2022 - WorkCompWire

AmTrust Financial

New York, NY – AmTrust Financial Services, Inc. recently released the 2022 AmTrust Restaurant Risk Report, identifying common injuries and the resulting time off work for restaurant workers. AmTrust examined nearly 170,000 claims and found that while overall injuries are down, specific injuries, including crushing, fainting, inflammation, strains and mental stress, are up significantly compared… [Read more]

Filed Under: Association, Rating & Research News, Claims, Legal, & Compliance News, Industry News, Risk Management News, Top Stories, Work Force & Human Resource News, Workers' Compensation

Carisk Partners Completes Acquisition of Advanced Claims Review Specialists

December 14, 2022 - WorkCompWire

Carisk Partners

Miami, FL – Carisk Partners (Carisk), an MBF Healthcare Partners II LP (“MBF”) portfolio company providing specialty risk transfer and care coordination services in the workers’ compensation market, recently announced the completion of its acquisition of Advanced Claims Review Specialists (ACRS), a medical cost containment company utilizing evidence-based analysis of medical bills and records. The… [Read more]

Filed Under: Claims, Legal, & Compliance News, Industry News, Top Stories, Workers' Compensation

EK Health & JWF Specialty Announce Partnership

December 14, 2022 - WorkCompWire

EK Health

San Jose, CA – EK Health Services Inc. and JWF Specialty recently announced their strategic partnership, combining EK Health’s industry-leading managed care specialties with JWF Specialty’s claims administration and adjudication practices. With many employers often considering fresh options in the Workers’ Compensation Managed Care industry, unbundled partnerships are quickly rising as a preferred approach. The… [Read more]

Filed Under: Claims, Legal, & Compliance News, Industry News, Top Stories, Workers' Compensation

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