Back to Claims School A claim can remain open for years and still lack a clear sense of direction. Medical appointments continue, reserves receive periodic review, and conversations repeat without moving the parties closer to […]

The Caring Claim The direct supervisor often becomes the most influential person in an injured employee’s workplace experience. This leader represents the organization through every phone call, schedule change, check-in, and return-to-work conversation. Employees frequently interpret a supervisor’s silence […]

Back to Claims School Fraud concerns often begin with a detail that needs clarification. A date may conflict with a medical record, an activity may appear inconsistent with a stated restriction, or a billing pattern […]

Case File Because substantial credible evidence supported the compensation judge's finding that the work injury exacerbated the worker's knee symptoms, the Appellate Division affirmed an award of medical and temporary disability benefits. Case Munoz v. […]

The Caring Claim “Do you have any questions?” We ask this as though everyone shares the same language, understands the same jargon, and views the situation from the same perspective. People cannot ask questions they […]

Back to Claims School Medical management begins when a claim requires care, yet its purpose reaches across the full recovery process. Claims professionals do not practice medicine and still need to understand how diagnosis, treatment, […]

What Do You Think? A company allegedly fails to fix a leak in a warehouse freezer section, turning it into an “ice skating rink.” Predictably, one of its employees falls and seriously injures himself. That […]

Back to Claims School A workers’ compensation claim often begins with very little information. A supervisor may report that an employee felt pain while lifting a box. The employee may describe symptoms that developed over several days without identifying one clear […]