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The Toughest Workers Comp Claims: How to identify and resolve potentially catastrophic claims


Resolving the majority of workers compensation claims is a straightforward process. Other more problematic claims can be time-consuming and costly, particularly when obesity or comorbidity are involved, or when inappropriate pharmaceutical use enters the picture. Ironically, though, the real challenge for claims administrators may not come from those problematic claims. A look through the rearview mirror at unresolved claims shows a large percentage of them started as medical-only injuries. Whether they begin as minor or troublesome claims, this relatively small percentage of claims consumes a large proportion of an employer’s workers compensation costs. How can claims adjusters better manage lengthy and hard-to-close claims and, in turn, better manage their employer’s resources? This white paper explores the potential for difficult claims, offering suggestions at every stage in the claims process to ease the pipeline. View a sample.