Capstone Insights
Nearly a quarter (23 percent) of America’s small business owners believe workers’ compensation carriers could improve their customer service if they offered more online or self-service tools. Better communication and faster claims resolution also topped the list of small businesses’ desired improvements business, according to the survey by small business insurer EMPLOYERS.
The survey of 500 small businesses found that 67 percent of small business owners are “extremely likely or somewhat likely” to use a self-service online portal from their workers’ compensation carrier to review policy information, make policy changes or make payments. Continue reading →
A construction business can end up facing considerable consequences if it finds itself in a situation where the insurance program is insufficient in respects to coverage and defense. Sometimes the price of a project at the time of bid, will end up having a considerable upswing, due to many inherent costs that can be added on due to litigation that surfaces years after the job is done. Continue reading →
Protecting workers by preventing serious injuries and fatalities while improving performance is a key issue for employers, according to experts speaking at the 2017 National Safety Council Congress & Expo on Monday in Indianapolis. Continue reading →
In the first half of 2017, more than 91.3% of all utilization review physicians’ modifications or denials of treatment that were reviewed by an independent medical review doctor in California were upheld, a study released Thursday by the Oakland-based California Workers’ Compensation Institute revealed. Continue reading →
With so many eyes on claims files, it’s no wonder documentation is a touchy subject for adjusters. Claims files are reviewed by auditors, supervisors, bad faith attorneys and others passing judgment often months or years after the fact, according to Kevin Quinley, founder and principal of Quinley Risk Associates. Continue reading →
The American workplace is grueling, stressful and surprisingly hostile.
So concludes an in-depth study of 3,066 U.S. workers by the Rand Corp., Harvard Medical School and the University of California, Los Angeles. Continue reading →
Subrogation is the legal doctrine which allows one party, usually an insurance company, that pays a loss by its insured which was caused by a third party, to take over the rights of its insured against the third party and recover its claim payments. It wouldn’t make much sense if, after paying a first-party insurance claim that its insured was partly responsible for, an insurance company could sue its insured to get their money back. It would defeat the purpose of insurance. Preventing precisely that sort of inequitable scenario is the purpose of the anti-subrogation rule (ASR). Sometimes known as the “suing your own insured” defense, the ASR was originally developed based on the logical premise that because the carrier stands in the shoes of it’s insured, it would essentially be suing itself. Therefore, no right of subrogation can arise in favor of an insurance company against its own insured. Wager v. Providence Ins. Co., 150 U.S. 99 (1893); The John Russell, 68 F.2d 901 (2nd Cir. 1934); Sherwood Trucking, Inc. v. Carolina Cas. Ins. Co., 552 F.2d 568 (4th Cir. 1977); Peavey Co. v. M/V ANPA, 971 F.2d 1168 (5th Cir. 1992) (insured or additional assured); Prestige Cas. Co. v. Michigan Mut. Ins. Co., 99 F.3d 1340 (6th Cir. 1996). Continue reading →
In July 2017, premium renewal rate change for the majority of standard commercial lines products remain in positive territory. Workers’ compensation was the one product that trended negatively, dipping below -1.00 percent for the first time this year.
IVANS, a division of Applied Systems, released its IVANS Index for July showing the following premium renewal rate change by line of business for last month.. Continue reading →
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