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Insurance Continuing Education – Workers Compensation
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Home Page > Finance > Insurance > Insurance Continuing Education – Workers Compensation
Insurance Continuing Education – Workers Compensation
Posted: Jan 25, 2011 |Comments: 0
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Obviously, the first step in this plan would be to verify that the employee receives first-aid and other immediate treatment for their illness or injury. Needless to say, the proper first-aid treatment often saves the life of the patient, and at the very least, lessens the severity of the injury. As a precaution, the first-aid should be administered only by qualified individuals.
Once first-aid has been administered, a company representative should provide whatever help and assistance is necessary for the employee to obtain prompt medical attention. As an example, an employee should never be allowed to drive themselves to the hospital, regardless of how minor the injury appears to be. The supervisor that accompanies the employee to the treatment location should always stay with the employee until the treatment is completed or the employee is confined for overnight. If necessary, the supervisor should provide an ambulance or other transportation to the employees home if an overnight stay is not needed.
The employee’s supervisor should become involved in the total treatment, and should alert the hospital and/or physician immediately after the accident. This also accomplishes several things that can assist the Managed Care programs.
Since the supervisor and other employees become personally and actively involved, the employee feels that the company has an interest in their condition. This helps to eliminate any antagonistic feelings that the employer may have and alleviates any problems that may develop with the Managed Care techniques.
Because the employer is involved in the treatment process, the treatment program will continue to be focused on the employee returning to work. Communication between the employer and the providers can assist in determining exactly what duties the employee performed, and what duties will be expected in the future.
If for nothing other than peace of mind – which can be a powerful stimulant in returning an employee to work – the employee is aware that he/she is important to the employer and the employer has their best interests at heart.
Immediately after the accident, the area in which the accident occurred should be isolated and not used until a complete investigation can be completed. If the situation causing the accident could be repeated, corrective action must be taken immediately.
Claims and claims details must be provided to the company and to the insurer immediately. The reporting of the claim starts the post-injury response plan and is essential to controlling the Workers Compensation costs. The claims reports activates the professional claims examiners and benefits administrators. Therefore, as soon as the insurer starts claims management, the quicker the injured employee’s medical bills will be paid, disability checks commence, and Managed Care strategies can be employed. The insurer can be a source of information and reassurance to the employee who may be confused by the Workers Compensation system.
Workers Compensation is considered a target for those committing fraud and cases of workers drawing disability while performing normal physical activities are commonplace. Prompt reporting can help to reduce the number and amount of fraudulent claims, and the most rapid method of reporting is by telephone or fax. If the injured worker has a history of Workers Compensation claims, an investigation can be implemented prior to payment of any benefits.
The employer should make a special effort to maintain continual and positive communication with the injured employee, and continue to do so as long as the employee is disabled. This will facilitate treatments and at the same time contribute to the employees attitude toward the employer and the Managed Care plan.
Continual communication assures that medical treatment is moving as quickly and efficiently as possible and according to the post-injury response plan. Since the employee is probably receiving disability payments, any delay in treatment becomes more expensive than similar treatment under an employee benefit plan. Therefore, if the employee is not recovering as soon as expected, the employer may wish to have the treatment plan reviewed to make sure that it is appropriate for that particular employee.
A similar plan can be used to control disability income insurance costs when this type of coverage is provided as an employee benefit.
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Insurance Continuing Education – Work Related Illness and Injury
Insurance Continuing Education – Work Related Illness and Injury
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Home Page > Finance > Insurance > Insurance Continuing Education – Work Related Illness and Injury
Insurance Continuing Education – Work Related Illness and Injury
Posted: Jan 25, 2011 |Comments: 0
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Employees and employers frequently ask why the insurer cannot combine employment benefits and Workers Compensation, thereby providing 24-hour coverage for accidents and illnesses.
For regulatory purposes, this would be like mixing apples and oranges – health insurance benefits provided as employee benefits are underwritten by companies or organizations under the life and health insurance regulations of the state Department of Insurance. Workers Compensation is normally under the jurisdiction of the Property and Casualty regulations. (Workers Compensation can be provided through a state-owned monopoly also).
Forgetting for the moment that for Workers Compensation (WC) purposes all employees are covered immediately after hire, whereas under an Employee Benefit (EB) program, there is normally a waiting period before coverage can be offered, and normally it is not available to part-time employees, there are some other determining differences.
State laws make WC mandatory for all employees of a firm of a certain size, or involved in a certain occupation. EB is optional and is more common with large employees, i.e. there is no known regulations (at this time) that require ALL employers to provide employee benefits.
The primary difference is that WC pays for all medically necessary care, income replacement benefits, and vocational rehabilitation. EB pays for medical benefits which may be limited in scope (may not pay for all medically necessary care) and they normally do not pay for disability. If the employer does have a disability plan as part of employee benefits, it has a waiting period and usually coordinate with WC.
For the employee, the principal difference is that WC is provided at no cost to the employee, whereby EB may require the employee to pay part of the premium. Also, the health insurance plans normally have deductible and coinsurance provisions.
At this particular time, there is a major healthcare benefit provider active only in one state, that has just started offering WC through an affiliated company. The life and health agents may sell WC, but only under very strict conditions and under the license of a Property and Casualty general agent. This experiment should prove interesting and it can be expected that other large health benefit providers may offer this coverage.
One note of caution: Some indemnity insurers offer individual Major Medical plans which cover job-related accidents or illnesses if the insured is not covered by Workers Compensation insurance. However, these plans only cover the medical benefits, and are subject to deductible, copayment provisions, etc. Specifically, they do NOT cover disability payments.
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I have a work related injury which i suffer from a broken pelvis and i was given an removal order form immigration Canada. I will not live a normal live that i had before and i want to stay in canada
What are the most effective ways to prevent work-related injuries?
I was rear-ended by a car following too close in Florida. An occupant in my car is claiming a neck injury. Does she file with her own insurer, the at fault insurer, or my insurance company?
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Obviously, the first step in this plan would be to verify that the employee receives first-aid and other immediate treatment for their illness or injury. Needless to say, the proper first-aid treatment often saves the life of the patient, and at the very least, lessens the severity of the injury. As a precaution, the first-aid should be administered only by qualified individuals.
By:
edward hulsel
Finance>
Insurancel
Jan 25, 2011
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Treatment review can be either Prospective, Concurrent, or Retrospectively, as explained earlier. Review can be at any or all of these points in treatment.
By:
edward hulsel
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Insurancel
Jan 24, 2011
Insurance Continuing Education – Medical Case Management
Like Utilization Management, a third party, other than the healthcare provider and the patient, becomes involved in the treatment process and is necessary for Medical Case Management. While Utilization Management involves only the provider of medical care services, whether hospital, doctor or specialist, Medical Case Management intervenes with both the provider and the patient, taking a much more active role in the treatment process.
By:
edward hulsel
Finance>
Insurancel
Jan 24, 2011
Insurance Continuing Education – Managed Care Utilization
Realizing that more action must be taken, insurers decided to review the procedures of more than just inpatient and outpatient care, but also to include In an effort to contain these overall medical costs, utilization review procedures were expanded to include a much broader range of services, such as inpatient and outpatient hospital care, drugs, mental health, substance abuse, physical therapy, and chiropractic care. This in turn led to the technique of “Utilization Management” (UM),
By:
edward hulsel
Finance>
Insurancel
Jan 24, 2011
Insurance Continuing Education – Managed Care
In any type of health insurance, the determining factor regarding pricing, plan development, forecasting and eventually, controlling costs, is utilization, i.e. how much and how often the system is used. The more health insurance is “utilized”, the more expensive it becomes, as benefits must be provided by health providers who must be compensated for their services.
By:
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Insurancel
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Insurance Continuing Education – Saving Money on Car Insurance
Compare Prices – this could be the best way to lower premiums. Some insurers charge up to 50% more than others do. Insurers do not advertise prices, so it does require some work to find a plan that is low cost. No single company always has the best rates. Each prices differently in different places, for different types of insureds. If one finds a company that is substantially cheaper, evaluate the cost savings. Long-term policyholders sometimes get special treatment. If one does switc
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Insurance Continuing Education – Tips for Purchasing Car Insurance
The 3 areas that the typical auto premium dollar are allocated to would be: Bodily Injury Coverage, Collision and Property Damage Coverage. We will discuss these 3 first.
By:
edward hulsel
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How to Get Your Degree at Top Speed Through Continuing Education
How to Get Your Degree at Top Speed Through Continuing Education
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Home Page > Education > Online Education > How to Get Your Degree at Top Speed Through Continuing Education
How to Get Your Degree at Top Speed Through Continuing Education
Posted: Jun 11, 2008 |Comments: 0
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At the tender age of 18, most of us would probably say that they would love to stay in school all their lives. Since there is no hurry to get into the real world at this age, there is no need to hurry up their educational process. Plus, college is about personal development and experiencing all that college life has to offer. But those of us who have hit the adult world know how important it is to get a degree for work and/or to enhance our pay at top speed.
Getting a degree of any type is a challenge. It takes up your time, money, and both can make you aggravated when you don’t have much of either to spare. But putting your frustration aside, you can get your degree by personally planning out your schedule and knowing when you have free time and money to spare.
You will need to keep some specific key points in mind before you get started in earning your degree quickly. The steps to follow are easy and anyone can do it. It is even possible to earn your bachelor’s degree in a year. Though, realistically you will be under an intensive amount of schoolwork. Not all of us can attain a degree at this rate. It depends on how well you perform on standardized tests and how many hours per week you can spend dedicated to your schoolwork.
The best way to make your educational goals come true is by choosing a college that allows you to place in higher courses by taking tests. This is very important because if you have any knowledge in the subject you are pursuing your degree in, some colleges will allow you to bypass the entire general education and beginner’s level courses. Make sure the college you choose doesn’t have minimum residency requirements unless you know that you are going to stay at a school within those required years. If you have existing credits from another school, make sure that those credits will transfer over to your new college.
Most schools offer flexible course schedules through online courses where you can watch online lectures by real professors at any time that’s convenient to you. These online courses include anything from nursing to computer design. Assignments are handed in electronically and meetings with Professors can be done via the phone and email. This new online age allows students to be able to take courses from all over the nation.
Taking courses in continuing education doesn’t have to change your work schedule. With evening courses you can keep your 9-5 job and attend class. Most courses are four units and last about 2-½ hrs two days a week. These courses are a wonderful way to network and get to know people of the same vocational background in your area.
The great thing about continuing education courses to earn a degree is that most schools have open enrollment, which means no applications, transcripts, or letter of recommendations. Colleges that offer continuing education courses usually go year round. Summer courses are generally shorter than the other season. Also, the tuition rates are amongst the lowest in the country.
There are many paths to vocational development through continuing education. It is a challenge, but will help you get a better job or higher pay in the career you choose. Most importantly, you will learn information that will stick with you for a lifetime.
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Kathy Shattler -
About the Author:
Kathy Shattler has a Master of Science degree in human nutrition and is a registered dietitian. She currently serves as director of the dietitian and nutrition division of CEU4U.COM, a continuing education management company for health professionals.
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Use of this web site constitutes acceptance of the Terms Of Use and Privacy Policy | User published content is licensed under a Creative Commons License.
Copyright © 2005-2011 Free Articles by ArticlesBase.com, All rights reserved.
Kathy Shattler has a Master of Science degree in human nutrition and is a registered dietitian. She currently serves as director of the dietitian and nutrition division of CEU4U.COM, a continuing education management company for health professionals.