Atlanta, GA – Arbicare, a workers’ compensation focused utilization management and peer review organization, recently announced it has named Aliza Krug, PA-C as its Clinical Director. Krug manages the clinical quality of Arbicare’s utilization review and peer review processes. This includes training physician reviewers and maintaining the company’s culture of empathy and understanding during peer-to-peer… [Read more]
Industry News
CA Business Owner Arraigned in $1 Million Workers’ Compensation Fraud Scheme
Los Angeles, CA – Marion Piggee, Jr. of Los Angeles was recently arraigned on seven counts of insurance fraud after an investigation by the California Department of Insurance revealed he was allegedly underreporting employee payroll by nearly $6 million in order to fraudulently reduce his business’s workers’ compensation insurance premium by over $1 million. On… [Read more]
NCCI Releases Insights Brief: Perspectives on Managing Risk During the Pandemic
Boca Raton, FL – NCCI released a new insights report, Perspectives on Managing Risk During (and After) a Pandemic, that parses interviews with several industry professionals to better understand what the future workplace might look like and how new challenges are being addressed. In this time of uncertainty, one thing is for sure: the workplace… [Read more]
Transparent Health Marketplace Closes $30 Million Series C Funding Round
Philadelphia, PA – Transparent Health Marketplace, Inc. (THM) recently announced it has completed an oversubscribed $30 million Series C Preferred equity funding round led by ARTIS Ventures, a San Francisco-based health and tech focused venture capital firm. THM operates a marketplace to connect payors and providers of healthcare services within an open platform featuring market-driven… [Read more]
CopperPoint Announces Expanded Roles for Executive Leadership
Phoenix, AZ – CopperPoint Insurance Companies recently announced Bob Roland has been appointed as Chief Operating Officer for the CopperPoint Family of Insurance Companies adding to his responsibilities as Chief Administrative Officer. Bob succeeds Scott Shader who announced his retirement effective April 1, 2021. Bob joined CopperPoint in 2017 with more than 30 years of… [Read more]
Unlicensed CA Insurance Agent Sentenced After Stealing $450,000 in Client Premiums
Los Angeles, CA – Unlicensed insurance agent Ai Ling Lee, also known as Linda Lee, of Hacienda Heights, was recently convicted of nine felony counts of grand theft after stealing nearly half a million dollars of her small business clients’ insurance premium payments. An investigation by the Department of Insurance found Lee, as owner-operator of… [Read more]
Insurity Releases 2021 Analytics Outlook Report
Hartford, CT – Insurity recently released its 2021 Analytics Outlook Report, which is the company’s eighth annual report. Employing industry and proprietary research, the report identifies evolving property and casualty (P&C) underwriting and data analytics trends, including how the COVID-19 pandemic is shifting strategies and propelling investments in data analytics by 83% — despite market… [Read more]
VA AG Herring Creates Virginia’s First Attorney General’s Worker Protection Unit
Richmond, VA – Attorney General Mark R. Herring recently announced the designation of the Virginia Attorney General’s first Worker Protection Unit, a multidisciplinary team of prosecutors and attorneys within the Office of Attorney General, which will be led by a dedicated criminal prosecutor, that will focus on investigating, stopping, and prosecuting individuals and businesses who… [Read more]
CA Contractor Pleads Guilty to Insurance Fraud, Pays Over $150K in Victim Restitution
Ventura, CA – District Attorney Erik Nasarenko recently announced that James Wood of Simi Valley pled guilty to two felony counts of workers’ compensation insurance fraud. At the time of his guilty pleas, Wood paid full restitution to the victim insurance carrier State Compensation Insurance Fund (SCIF) in the amount of $151,891. Wood, a contractor,… [Read more]
New WCRI CompScope Studies Compare Costs and Trends in 18 State Workers’ Comp Systems
Cambridge, MA – The Workers Compensation Research Institute (WCRI) recently released the 21st Edition of its CompScope™ Benchmarks study series, which provides in-depth analysis of costs per claim and other performance metrics across 18 state workers’ compensation systems for claims with experience through March 2020 for injuries up to and including 2019. “The CompScope™ studies… [Read more]