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GCat: Risk Mgt, Claims & Ins
MCat: Claims Management
Cat: WC Claims

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.

62 Resources
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

American Board of Independent Medical Examiners [20433] ?

Certified Independent Medical Examiners, CIME

Americans with Disasbilities Act and Workers Compensation [20040] ?

Questions and answers about the ADA as related to WC

CA-California Workers Compensation Claim Settlements [138] ?

An explanation of a Stipulated Finding and Award and a Compromise and Release

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

Claims Coordinator Handbook [11178] ?

Full text of a guide to help coordinators file WC claims for state employees in Texas

Claims Defense Counsel Guidelines [pdf] [27417] ?

Litigation Management Guidelines for Claims Defense Counsel

CO-Colorado WC Claims Adjuster's Guide [35848] ?

Primarily addresses paper forms

CO-Colorado WC Claims Compliance Audit Guide [35847] ?

The state's audit methods

Consumer Financial Issues in Complementary and Alternative Medicine [5767] ?

Discusses the issues of alternative medicine insurance coverage

From Managed Care to Injury Management [786] ?

It is time to move toward true injury management

Illegal Aliens and Workers Compensation [doc] [35505] ?

State chart indicating whether or not illegals are covered by WC

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 [16671] ?

Legal guidance concerning IMEs for claimants

Jones Act Accident Checklist [26844] ?

A series of action steps for claimants

ME-Maine Employer Workers Compensation Claims Management Guide [pdf] [33865] ?

An employer's guide to recognizing a work injury and managing a WC claim

MMI Maximum Medical Improvement [20432] ?

Explains what MMI means

MRSA Claim Handling Guidelines [pdf] [36737] ?

Considerations for handling MRSA claims

Neurotrauma - Brain Injury [5313] ?

Understanding brain injury

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

Second Injuries & Pre-existing Conditions [27908] ?

Second or Subsequent Injury Funds (SIFs) funds are still operational in several 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

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

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

The Workers' Compensation Lien [35279] ?

Sometimes a work-related injury will support both a workers' compensation claim and a personal injury action

Third Party Claims [16670] ?

Third party claims under Wisconsin law

Tips for Injured Workers [11804] ?

Advice for injured workers

To Report or Not to Report: That is the Question [35533] ?

Is it ever advantageous to not report medical only claims?

Understanding Spinal Cord Injury [5312] ?

Provides an overview & statistics on demographics, cost, morbidity, causes, consequences, etc.

WC Claim Benchmarks [24597] ?

Examples of claim benchmarks that can be audited

WC Claims and Injury Management [35504] ?

A series of articles on topics related to workers compensation claims management

WI-Wisconsin Tiebreaker Medical Examinations [6306] ?

The WC department may order a tiebreaker medical examination

Workers Compensation Benefits - Basics [36401] ?

There are four basic types of workers' compensation benefits paid by insurance companies

Workers' Compensation Claim Fraud Red Flags [20934] ?

These red flags serve only to alert as to the possibility of fraud

Workers' Compensation Under State Laws [1964] ?

Information about the benefits available through workers' compensation in each state & other info


Related Categories & Information

- rmis.com rmLibrary : Related Categories (15)

Claims Management / Claims Administration
Bad faith, structured settlements, large losses, etc.

Claims Management / Health Claims Code Sets
DRG, APG & ICD-9-CM and ICD-10-CM coding - Medicare payment rates

Claims Management / WC Managed Care
Guidance on managed care in workers compensation to control medical costs

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

Health / Privacy
Medical record privacy, patient confidentiality, etc.

Health / Stress
Mental health stress including stress resulting from workplace conditions

Health / Wellness Programs
Workplace health promotion and wellness programs

Human Resources / Layoffs
Industry layoff guidance, reports, laws

Legal / Insurance Law
Case developments, articles, resources related to insurance law

Legal / Litigation
Legal case mgt, use of computer-generated evidence, attorney-client priviledge

Managed Care / Outcomes
Quality outcome studies and measurements - utilization review

Managed Care / Report Cards
USQA Quality Reports. NCQA accreditation. CVO certification and more

Medicine / Brain Injuries
Traumatic brain injury reference materials

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

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


- Cross References to other LAD Libraries (29)


- Cross References to LAD Directories (10)


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