Workers' compensation covers nearly all workplace injuries, as long as they're declared accidental. The full definition is fairly broad, however, with generic wording that defines what’s covered as “injuries sustained during the course and scope of employment.” For an illness or injury to qua...
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In order to keep the state funds from directly competing with private insurers, most state funds are generally required to act asassigned-risk programs. These programs are otherwise known as the carrier of last resort. Often times, assigned risk carriers only write workers' compensation policies if...
Workers’ compensation insurers have slashed spending on opioids, reducing the risk of addiction and delayed recovery, but now they are under increasing pressure to reimburse injured workers for a new kind of elixir. Six states now allow or require insurers to reimburse workers’ compensation claimant...
Initial Assessment: We thoroughly evaluate the merits of your case and determine a reasonable compensation amount based on your injuries, medical expenses, lost wages, and other relevant factors. Strategic Communication: We act as your advocates, communicating directly with the insurance company to pres...
Wong, Doris Sue
Insurers are often requesting peer-to-peer reviews when they question whether an injured employee is being prescribed the most appropriate medications. In these cases, a pharmacist and pain management specialist will look at the case and talk with the treating physician about their course of action...
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While workers' compensation aims to provide swift administrative processing, employers and insurers may contest claims deemed non-compensable. If your claim is denied, you should be informed within certain timeframes and have the right to contest through established procedures in your state. Filing a...
For more information about labor market attachment, please visit theWorkers’ Compensation Board website. Medication Coverage When you suffer a work-related injury or illness, insurance carriers can designate which pharmacies you are allowed to use to fill prescriptions. Insurers are required to notify...