Workers Comp

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Construction company faces $819K in OSHA penalties

The U.S. Occupational Safety and Health Administration said Wednesday that it cited a New Jersey construction contractor for exposing workers to deadly fall hazards. OSHA cited Long Branch-based Road Contractor Corp. for 32 safety violations and proposed $819,417 in penalties following eight inspections in Evesham, Freehold, Manalapan, Marlton, Mullica Hill and Rumson as part of …

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Hospital worker’s tuberculosis claim denial administratively improper: Court

A hospital worker who says she contracted tuberculosis at work but was denied workers compensation benefits should have been permitted to pursue her claim, the Hawaii Intermediate Appeals Court ruled Tuesday. The court vacated a state Labor and Industrial Relations Appeals Board decision affirming an administrative finding that a claim filed by Teresa Weis was …

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Property outlook stable; liability lines challenging: USI

Commercial property insurance policyholders with good loss records will likely see flat renewals to 10% increases for the remainder of this year, but the liability rating environment will likely remain tougher, according to USI Insurance Services LLC. In a report issued Tuesday, the brokerage said property rates are finally stabilizing. “After the most challenging property …

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Medicare set-aside reporting rule signals major change for comp

Employers, insurers and claimants should start planning for changes to how Medicare’s liabilities are accounted for in workers compensation settlements, experts say. The changes, which will remove the reporting threshold in settlements that include Medicare set-asides and define penalty amounts, could increase the likelihood of significant fines for noncompliance and prolong settlement negotiations, they say. …

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AI developer unveils platform to uncover comp fraud

Clara Analytics Inc., a Sunnyvale, California-based developer of artificial intelligence technology for the insurance industry, said Tuesday it has released Clara Fraud, a platform that works to increase visibility into suspicious workers compensation claims. The AI product helps claims professionals uncover fraudulent activity and provides alerts to enable insurers to more easily refer suspicious claims …

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Judge was permitted to calculate comp fraud restitution: Appeals court

A trial judge was permitted to calculate monetary restitution in a workers compensation criminal fraud case, despite the defendant arguing that the decision should have been left to jurors, the Alaska Court of Appeals ruled Friday.  The appellate court said a judge did not err in ordering Scott Abraham Groom to pay $259,881.12 in restitution …

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