The Trained A-Eye Sharpen your pencils, grab your notebooks, and settle in because class is officially back in session! And while Drake University started back last week, CLM Claims College is in full swing this […]
WCI 2025 The whole point of the Grand Bargain is to keep litigation to a minimum and take care of workers with job-related injuries, but anyone who's spent a little time in the industry has […]
WCI 2025 AI isn’t nearly as new as you think, and you probably use it more than you realize, but does it have a role in bringing equity to workers’ compensation claims? According to Ngozi […]
The Trained A-Eye An injured worker thought he was citing solid case law in support of his claims against his employer and its insurer, but AI led him astray -- and drew the court's ire. […]
It starts with a familiar scenario: A Workers' Comp claims adjuster opens their inbox Monday morning to find 10,000 pages of medical records waiting. Some are scanned sideways. Some repeat five times with new cover […]
Introduction In California’s Workers’ Compensation system, each page submitted to a Qualified Medical Evaluator (QME) carries a fixed financial weight. Under the state’s Medical-Legal Payment and Reimbursement Rules (MLPRR), providers are entitled to $3 per […]
By: Heather Sanderson As Artificial Intelligence (AI) becomes more embedded in daily life, particularly in healthcare and claims administration, the use of AI in Medicare Set-Aside (MSA) allocation preparation has been increasing. Many MSA vendors […]
AI bias can lead to lawsuits, discrimination, and unfair outcomes in workers’ comp. Learn how to identify, prevent, and prove fairness with explainable, auditable AI systems. Introduction: AI Is Here. But Is It Fair? Artificial […]