Claims, Legal, & Compliance News

Boca Raton, FL – NCCI’s Court Case Update provides a look at some of the cases and decisions monitored by NCCI’s Legal Division that may impact workers compensation across the states. The recently released August 2019 edition contains updated information on cases previously introduced and presents new cases and decisions. Workers Compensation Exclusive Remedy Challenges… [Read more]

Ft. Lauderdale, FL – ChronWell, a technology-enabled injury management program for the workers’ compensation industry, recently announced it has secured $2.8 million in additional funding, bringing its total capital raised to $7.8 million. ChronWell will use the added funding to further accelerate growth by moving into the production and commercialization stage and continuing to invest… [Read more]

Orlando, FL – Orchid Medical recently announced the second generation of its proprietary technology software, Orchid Medical Network Integration® (OMNI). “OMNI benefits our client partners by providing easy-to-use technology that allows adjusters to have real-time visibility into their referrals and performance reporting,” said Brian Carwile founder and CEO of Orchid. “We will continue to invest… [Read more]

Reston, VA – Leidos (NYSE: LDOS) recently announced it has entered into a definitive agreement to acquire IMX Medical Management Services (IMX), a URAC accredited commercial independent review organization and its affiliated businesses, including First Rehabilitation Resources, a URAC accredited commercial case management organization, primarily serving the mid-Atlantic and northeastern United States. Following the transaction… [Read more]

Irvine, CA – CorVel Corporation (NASDAQ: CRVL) announced the results for the quarter ended June 30, 2019. Earnings per share for the quarter ended June 30, 2019 were $0.71, an increase of 15% from earnings per share of $0.62 in the same quarter of the prior year. Revenues for the quarter ended June 30, 2019… [Read more]

Bethesda, MA – Managed Care Advisors, Inc. (MCA) recently announced its acquisition of WebOPUS® Federal, a cloud-based workers’ compensation case management, document storage and reporting system that has been customized to meet the needs of Federal agencies since 2005. The software supports transparency, coordination and efficiency across stakeholders, including Agency Workers’ Compensation, Safety, Medical and… [Read more]

New York, NY – Financial Services Superintendent Linda A. Lacewell recently announced the Department of Financial Services (DFS) has fined Applied Underwriters $3 million for offering workers’ compensation insurance bundled with side agreements called “Reinsurance Participation Agreements,” which were not filed with or approved by the Department. Under these side agreements many employers, including small… [Read more]

By Michelle Baker BS, RN, CRRN, CCM, WCCM; Manager, Network Services, Catastrophic Care Management Why do catastrophic field case managers do what we do? Is it the long hours? Is it the tiring days in the car, to come back to the office and “document your day?” No. We do it because we love the… [Read more]

Memphis, TN – Sedgwick, a leading global provider of technology-enabled risk, benefits and integrated business solutions, has signed an agreement to acquire York Risk Services Group. Following the close of the transaction, the Sedgwick family will comprise nearly 27,000 colleagues. York is a premier provider of claims administration, managed care, specialized loss adjusting, pool administration… [Read more]

Denver, CO – Insurity company Valen Analytics recently announced that Missouri Employers Mutual (MEM), an insurer specializing in workers compensation, is leveraging Valen’s ClaimsRight® solution to develop a claims model that employs data science and predictive analytics to identify insurance claims with the potential to escalate in severity. The model generates a claims risk score… [Read more]