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| Peter Rousmaniere | ||||||||||||||
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Columnist
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2013-06-01 The Claims Adjuster's Status The conventional image of a person at the center of this function, the claims adjuster, portrays a rules-bound, beleaguered worker of marginal professional stature. MORE 2013-05-01 The Big Fade Workers' compensation tells us to use a century old solution to reduce the toll of work injury and death. MORE 2013-04-12 Straight Talk About Modeling Advocates of computer-assisted prediction of workers' compensation claims have been around for decades. Initially, they focused on setting claims reserves. Nowadays, more advanced predictive models flag fraud risk, subrogation potential and delayed recovery risk. MORE 2013-03-01 A Workers' Comp App Store? When will mobile devices be used to improve work safety and injury response? It's a ripe communication channel, thanks to the huge, recent penetration of smart phones and tablets, particularly among working age people. MORE 2013-02-19 Benefits are Too Low Benefits to injured workers too often fail to meet a reasonable person's test for access, adequacy and simple decency. MORE 2013-01-09 A Primer on Fee Schedules Will payers and providers ever strike a grand bargain over a pricing policy? MORE 2012-12-11 Medical Provider Fraud Claims payers focus ever more today on medical provider fraud and abuse. Nobody wants to look flat-footed on what is proclaimed to be a multibillion-dollar challenge. MORE 2012-11-01 The Age Trap When we look closely at the injury risks of older blue collar workers, what we see is troubling. They face declining functional capacities at a time when there are fewer alternatives, less strenuous job openings, and their retirement prospects are likely worse than a generation ago. MORE 2012-10-11 Unified Data A concept is alive and growing in the workers' compensation system. It is driving innovation in many precincts of this $80 billion industry, sprouting sugar plum fairies in the dreams of entrepreneurs, spooking those mentally chained to old models of doing business. MORE 2012-10-01 Ana's Apportioned Story Would you have given this unhappy woman a psychological impairment due to work? MORE 2012-09-15 Rating the Ratings Earlier this year the National Council on Compensation Insurance Inc. issued a report on permanent impairment ratings of injured workers. These ratings are a starting point to an often contentious process to set a permanent disability award or settle before a judge approves an award. MORE 2012-08-22 La Terra Incognita Do you know Paul Leigh? His assertions about workers' compensation could bring you a myocardial infarction, a heart attack, in other words. Yet, we need his skills. MORE
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