claims News

Surveillance, Posts Lead to Arrest of California Mechanic for Workers’ Comp Fraud

Richard James McGee, 47, of San Bernardino, California, was arraigned today on two felony counts of workers’ compensation insurance fraud after a California Department of Insurance investigation found he allegedly misrepresented injuries to his employer in order to receive more …

EIS Acquires California-based Enterprise Business Solutions from Lemonade

EIS, a system and digital insurance platform provider, has acquired San Francisco, California-based Metromile’s Enterprise Business Solutions, a SaaS-based claims automation and fraud detection system from Lemonade. The company expects the acquisition of the EBS assets to expedite EIS’ entry …

Washington Auto Repair Owner Caught 2nd Time in Workers’ Comp Scam

A Kennewick, Washington, business owner pleaded guilty to a felony for failing to provide workers’ compensation insurance for his employees for the second time. Benton-Franklin Superior Court Judge Norma Rodriguez sentenced Rodney Eugene Dietrich to 30 days of electronic home …

California Private Self-Insured Claim Frequency Hit 14-Year High in 2021

Workers’ compensation claim frequency among California’s private self-insured employers last year hit the highest level since 2007 as both medical-only and indemnity claim volume rose, according to a California Workers’ Compensation Institute review of initial data from the state Office …

Rat-Plagued Warehouse Winds Down as Family Dollar Faces Lawsuits

Six months after a Family Dollar distribution center in West Memphis, Arkansas, was fumigated and more than 1,000 rodent carcasses were removed, the rats are back. David Hernandez spotted three of the animals before 9 a.m. one recent morning. Davisha …

Insurance Company Poised to Drop Idaho County’s Coverage

An insurance company that covers counties and other public entities in Idaho says it won’t renew Canyon County’s insurance policy because of increasing risks and a high volume of claims. The Idaho Counties Risk Management Program, known as ICRMP, sent …

California Insurer’s Efforts to Keep Workers and Help During Pandemic Led to Viable New Business

In the annals of how the pandemic changed things, toss in a positive tale from insurer CSAA Insurance Group. Walnut Creek, California-based CSAA, a AAA Insurer, offers automobile, homeowners and other personal lines of insurance to AAA Members through AAA …

Report: Ibuprofen Now Most Heavily Used Drug in California Workers’ Comp

New data shows the types of drugs used to treat injured workers in California, and the distribution of payments for those medications, has shifted over the past decade, with opioids becoming far less prevalent and anti-inflammatory drugs accounting for an …

Former California Insurance Broker Arraigned for Stealing Premium Payments

Formerly licensed insurance broker Robert Minero, 39, of Downey, California, was arraigned this week on five felony counts including insurance fraud and grand theft. The charges were filed after an investigation by the California Department of Insurance revealed Minero allegedly …

Workers’ Comp Claims from 10 Years of Legal Cannabis in Colorado Reveal a Boring Trend

Data on injured workers from the nation’s most mature adult-use cannabis market is pretty boring. No excessive claims resulting from injuries suffered by stoned forklift drivers, high cultivators, or even dispensary workers who were hurt during a robbery. How about …