Workers’ Compensation System’s ‘Elephant in the Room’

By | November 29, 2011

  • November 29, 2011 at 12:43 pm
    Veteran insider says:
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    The elephant is already on a rampage & the industry is simply rearanging the deck chairs on the Titanic. WCB’s have not done their jobs for many years & benefits are unsustainable & will be cut. Those who leave WC benefits are now flooding the Social Security Disability benefit programs which are also in a state of collapse. Our industry remains asleep & or silent, hoping that someone will bail them out when the time comes.

  • November 29, 2011 at 6:04 pm
    AK48 says:
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    Good time to get close with a labor law attorney. Your clients will need his or her help. Should lead to a couple referrals your way.

  • November 30, 2011 at 12:37 am
    lemore aizenman says:
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    The situation is getting worse by the day. I see my clients getting sued by their employees more often now a days. My old assistant went out on maternity leave last year and figuered out real quickly that her husbands disability payments increase when her income drops. Instead of returning to work once her maternity leave and family leave was over she stayed home and applied for welfare, food stams and wick to help with the new baby expenses. She is now having a second child so her benefits will increase even more. All this while people like you and I work our behinds off to help pay for these peoples benefits… I actually feel lucky that she didnt file some sort of a claim or law suit against me to try and make a bit of easy money…. Im not the only one seeing this going on, Am I?

  • November 30, 2011 at 8:13 am
    ABD says:
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    It will be interesting to see what happens on the legislative side; however, as a business, we have to operate within the current system. We hire a consultant to review our workers comp premium audits to see if we really owe more premium – they have helped save us lots of money. More businesses need to take a proactive approach on the insurance side.

  • November 30, 2011 at 10:47 am
    Woman Insurance Professional, CPCU, ARM, ASLI, AAM, SM says:
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    The same issues cited in this article on WC apply to liability policies. People that incur “bodily injury” covered under a CGL, Products-Completed Operations, OCP, Med Mal or other liability policy will be suing for damages because they could not return to the job they lost due to the injury compounded by their inability to find other comparable employment in the tight job market.

    • December 7, 2011 at 6:12 am
      Veteran insider says:
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      Woman-agree completely with your comments, as I have been seeing this for past 3 years & the frequency is increasing as the economy continues to tank. WC pros are not doing their jobs as I have 3 surveillance teams working 24/7 following these crippled & impaired persons that sport canes bringing lawsuits and over 70% are caught walking, running, shopping with multiple bags, working out of course without canes! My trial lawyers cross examine their doctors under oath at trial, asking, does your patient appear impaired in this video? WC paid millions on these case collectively!

  • November 30, 2011 at 11:14 am
    REF says:
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    The fact is any strain on any system is coming from unemployment and under employment. There is a crying need for job creation but the economy continues to remain in poor shape. At least with workers compensation it s funded by those producing so it is hard to see this as adding to the problem so i question the reasoning of this article.

  • December 6, 2011 at 2:08 pm
    Scott says:
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    Structural unemployment is very real we have been looking for someone to fill a technical position with little luck

  • December 6, 2011 at 2:50 pm
    NG says:
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    “Any” strain in the system comes from a variety of sources:
    * Many employees are unhappy in their current positions and there is little chance of finding a new job until/if the economy improves.
    *Society is aging, and while older workers are hurt less frequently, when they are hurt, they usually take longer to heal.
    *Society is heavier, and heavier workers take longer to heal.
    *Many workers have comorbidities, such as diabetes and other issues that may impede healing.
    *Administrative law judges often forget that the intent of work comp is to heal, not to keep people on benefits indefinitely while they heal from complications to the original injury.
    * Poorly managed claims may be an issue. As older adjusters retire (and the average age in the US is 45 per Claims Mag, newer adjusters rarely get the kind of in-depth, personal training older adjusters received.

    I do agree that we need to create jobs. But there are many stressors on the industry.



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