Regional Claims Differences, But No Regional Rates

Workers’ Compensation Insurance Rating Bureau officials report that long-standing regional differences in workers’ comp claim frequency and severity rates continue to impact the California workers’ comp system costs. But any effort to generate advisory pure premium rates that adjust for these regional variations is not in the cards. The Bureau is a private organization with … Read More »

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Five Claims Shops Failed DWC Audit In 2020

The Division of Workers’ Compensation’s Audit and Enforcement unit’s review of 36 claims adjusting locations last year found one in ten injured workers shortchanged on their workers’ comp benefits. The auditors reviewed 2,822 claims and found that 284 injured workers were owed nearly $333,000 in unpaid workers’ comp indemnity benefits. The results are detailed in … Read More »

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Numbers and More Numbers

Last month, the Workers’ Compensation Insurance Rating Bureau (WCIRB) released its annual State of the System report.  It is an important document for those who want to see what is … Read More »

Delayed Care Due To Pandemic Could Have Costly Repercussions

California’s workers’ comp claims data show a sharp drop off in medical treatments during the early months of the COVID-19 pandemic as the state was under a shelter-in-place order. Industry researchers warn that these missed treatments could lead to worse outcomes for the injured workers with employers paying the ultimate bill. The Workers’ Compensation Insurance … Read More »

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Claims Adjusters Cited

The Division of Workers’ Compensation has a new report out on the performance of workers’ comp claims adjusters, and the results show a sharp regression in the adjusters’ performance. The results from audits performed in 2018 show that over one in ten injured workers were illegally denied at least some of their workers’ comp indemnity … Read More »

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Budget Trailer Seeks 30 Positions For Subsequent Injuries Fund

The Division of Workers’ Compensation is seeking funding for 30 positions for the state’s Subsequent Injuries Benefits Trust Fund (SIBTF) – a doubling of its staff — to allow for more thorough investigation of claims and to reduce a growing backlog of cases. Use of the employer-funded program has skyrocketed in recent years, and existing … Read More »

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Workers’ Comp Fate In Governor’s Hands

The California Legislature wrapped up its work for the year, and now it is up to Gov. Jerry Brown to determine the fate of the few workers’ comp bills that advanced to his desk. The bills cover a number of topics including apportionment, permanent disability, anti-fraud and the state’s $120 million return-to-work fund. These measures … Read More »

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