Back to Claims School Dr. Claire Muselman brings workers’ compensation, behavioral science, leadership, and education into the same conversation because claims outcomes are shaped by all four. She serves as Chief Operating Officer of WorkersCompensation.com […]

Back to Claims School A workers’ compensation program can generate constant activity and still leave leaders uncertain about whether it is improving anything. Files close, reports circulate, vendors complete assignments, and meetings fill the calendar. […]

Bits & Pieces Definition The "arising out of employment" requirement addresses the causal connection between employment and injury. An injury arises out of employment when the employment exposes the worker to a risk that contributes […]

Back to Claims School A strong fraud investigation begins long before anyone is caught doing anything. It begins when a claims professional recognizes that the available information requires closer examination and responds with discipline. The […]

The First 72 Hours of a Lost-Time Claim Purpose The first 72 hours largely determine whether a claim becomes: This playbook provides a structured approach to investigation, communication, medical management, and documentation. Claim Profile Scenario […]

Back to Claims School Jim Frerking has spent his career seeing workers’ compensation from several sides of the industry. He has worked for a large insurance carrier, a major property and casualty broker, and now […]

Back to Claims School A workers’ compensation claim can gather people quickly. A nurse case manager enters the file. Transportation is arranged. Equipment is delivered. An interpreter joins a medical appointment while a rehabilitation professional […]

Back to Claims School Hope Remetta, CLMP, has spent 21 years in workers’ compensation developing the judgment required to manage some of the industry’s most difficult claims. She serves as Director of Catastrophic Claims for […]