Cost Containment

Claims Management versus Settlement: Cost Containment Strategies for the End of the Claim (Part 10 of 10)

This final segment in this “Cost Containment Strategies” Blog series addresses strategies for the end of the worker’s compensation claim.   The considerations at this point in the claim are typically whether to keep the claim open and manage it accordingly or whether to settle out the claim- either on a “clincher agreement” or to pay […]

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Navigating the Return to Work Process in North Carolina Workers’ Compensation Claims: Cost Containment Strategies for the Middle of the Claim (Part 9 of 10)

One of the most effective cost containment strategies for the middle of a workers’ compensation claim is offering the claimant a suitable return to work with the employer of injury or a prospective new employer through vocational rehabilitation.  This leads us to one of the biggest advantages for employers, administrators and insurance carriers in the […]

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Cost Containment: Tips and Tricks for Utilizing Social Media for Investigating and Defending Workers’ Compensation Claims (Part 8 of 10)

Social Media presents an important- and free – tool for investigating and defending against workers’ compensation claims when used properly. Today’s Social Media, which includes, but is not limited to, Facebook, Instagram, Snapchat, YouTube, Twitter, Blogs- allows previously unprecedented access to the lives, actions and activities of workers’ compensation claimants. Through access to Social Media, employers/claims […]

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Cost Containment Strategies for the Beginning of the Workers’ Compensation Claim: Rule 607(a) Records Request and Discovery (Part 7 of 10)

This segment in the Cost Containment Strategies Blog Series will focus on the fourth initial investigation cost containment strategy- utilizing Rule 607(a) of the Workers’ Compensation Rules of the North Carolina Industrial Commission and Discovery. These tools help secure additional information about the following: The claimant’s relevant pre-existing medical history/condition; The alleged injury or condition […]

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Cost Containment Strategies for the Beginning of the Workers’ Compensation Claim: Medical Records/Medical Information (Part 6 of 10)

This segment in the Cost Containment Strategies Blog Series will focus on the third initial investigation cost containment strategy- tips for securing relevant Medical Records/Medical Information. Medical Records/Medical Information Pursuant to the June 26, 2011, North Carolina Workers’ Compensation Legislative Reform, defendants are entitled to have reasonable access to all relevant medical information.  N.C.G.S. § […]

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Cost Containment Strategies for the Beginning of the Workers’ Compensation Claim: Recorded Statement (Part 5 of 10)

This segment in the Cost Containment Strategies Blog Series will focus on the second initial investigation cost containment strategy – considerations for the Recorded Statement of the claimant. Recorded Statement A Recorded Statement provides a great tool to learn additional information about the claimant’s educational and work background; relevant pre-existing medical conditions; whether the claimant […]

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Cost Containment Strategies for the Beginning of the Workers’ Compensation Claim: Background Investigation (Part 4 of 10)

This segment in the Cost Containment Strategies Blog Series will focus on the first initial investigation cost containment strategy- background investigation for examining the alleged accident and the claimant. Background Investigation- Alleged Accident The employer/claims adjuster should investigate the background of the alleged accident/incident leading to the workers’ compensation claim.  Examples of questions to ask […]

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Cost Containment Strategies for the Beginning of the Workers’ Compensation Claim: Roadmap For Best Practices for Initial Investigation (Part 3 of 10)

When a workers’ compensation claim is first reported, the employer/claims adjuster wants to be proactive and formulate a strategic plan for investigation to determine whether the claim is compensable, and if so, what benefits are owed.  Again, timing is key. Start at the beginning- review the existing information and documentation about the alleged incident to […]

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Cost Containment Strategies for the Beginning of North Carolina Workers’ Compensation Claims – The Misrepresentation Defense (Part 2 of 10)

When contemplating cost containment strategies for workers’ compensation claims, it is important to start at the beginning, as timing is vital.  To provide employers and claims adjusters with a comprehensive discussion of cost containment strategies, this Blog Post will start at the very beginning – before there is even a workers’ compensation claim. As part […]

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Blog Series: Cost Containment Strategies for Defense of North Carolina Workers’ Compensation Claims (Part 1 of 10)

Workers’ compensation claims can be expensive endeavors for employers, administrators and insurance companies.  The purpose of this Blog Series is to educate employers and claims adjusters on cost containment strategies available during each phase of investigating and managing a workers’ compensation claim.  The goal of this Blog Series is to help employers and claims adjusters […]

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Workers’ Compensation Cost Containment for the North Carolina Employer: Effectively Asserting the Misrepresentation Defense

On June 24, 2011, then-Governor Beverly Purdue signed H 709—”Protecting and Putting North Carolina Back to Work Act” into law. As part of this Legislative Reform, North Carolina Employers now have an additional defense (misrepresentation) available to workers’ compensation claims arising on or after June 24, 2011. However, in order to use this defense Employers must do their homework BEFORE an alleged work accident happens.

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Safety Resources for NC Employers

Workers Compensation Educational Seminar Conference Book

CSH Law Workers’ Comp has put together helpful resources related to workplace safety from the NC Department of Labor, the NC Safety Council, and others.

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