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March 25, 2024
California Division of Workers' Compensation Posts Adjustments to Official Medical Fee Schedule (Physician Services / Non-Physician Practitioner Services)

March 19, 2024
Nearly half of all litigated workers' compensation claims in the Los Angeles basin are cumulative trauma claims.

March 7, 2024
California's Division of Workers' Compensation Posts Adjustment to Official Medical Fee Schedule (Ambulance Services)

March 6, 2024
Accident Claims The Life of AdminSure Claims Adjuster Alexis Wicker



California Claims Departments Getting Soapy
By Robert Warne - May 29, 2001

"General DOI Hospital," "All of My Pink Slips," "As the Reserves Turn," "The Young Adjusters and the Claimants" could be titles for the next reality hit the networks are looking for. The California Workers’ Compensation daytime dramas never cease to unfold mind-blowing plots and subplots. The following shifts and changes in the industry make-up have been reported to adjustercom.com in recent weeks.

ABM Insurance Services, Inc. in San Francisco and Los Angeles is closing its WC division effective June 1. The division, including claims and examiners, will be moving to RSKCO Claims Services in San Bruno. ABM examiners will be interviewed individually by RSKCO and extended an offer to work in San Bruno.

Intercare Insurance Services based in Sacramento is now handling HIH’s California run-off. The change was brought about as a result of HIH’s parent company, HIH Australia, taking steps toward liquidation as approved by the New South Wales Supreme Court March 15.

Following the court’s April 4 decision, the California Department of Insurance (CDI) conserved HIH America Compensation & Liability Insurance Co. and Great States Insurance Co. because they were insolvent and are unable to comply with California's minimum capital and surplus requirements. The CDI examiners found that an independent actuarial study showed the two California companies needed to increase their liabilities for WC losses and loss adjustment expenses by a combined $81 million. The increase, combined with the existence of uncollectable intercompany receivables, made the two California companies insolvent.

Sedgwick Claims Management Services in Orange, as of May 14, is the TPA for Irvine based Con Agra Grocery Products’ WC claims.

Disney World Wide Services, Inc. in Anaheim is not exempt from Disney’s efforts to downsize and scale-back costs. The claims department has seen its share pink Mickeys recently. According to one claims manager, "Everyone is on pins and needles because we don’t know who’s leaving next."

 
 

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