claims News

California Workers’ Comp Independent Medical Review Volume Fell in First Half of 2022

After hitting a record low in 2021, the number of independent medical reviews used to resolve California workers’ comp medical disputes continued to decline in the first half of 2022 according to the California Workers’ Compensation Institute. California law requires …

Fitch Rates California Earthquake Authority’s New Revenue Bonds ‘A-‘

Fitch Ratings assigned an ‘A-‘ rating to the $500 million revenue bond issuance by The California Earthquake Authority. According to the rating agency, the CEA’s ratings reflect a risk transfer strategy that will set its minimum and maximum aggregate claims-paying …

Oil Spill Settlement Reached with California Businesses

A pipeline operator it has reached a settlement with Southern California tourism companies, fishermen and other businesses that sued after a crude oil spill off the coast last year near Huntington Beach. Amplify Energy Corp., which owns the pipeline that …

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 …