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Volume 3, Issue 9
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| BUSTED: Victories for Truth, Justice, and Lower Insurance Premiums |
Repetitive Christmas Decoration Hanging Syndrome
by Jim Smith, Deputy Director Investigations
A female employee went out on a Workers Comp claim due to the repetitive motion injury "carpal tunnel syndrome" in both wrists. She and her doctor indicated that she had a fairly severe case of carpal tunnel and could not use either arm or wrist for lifting, twisting or typing.
Surveillance was approved, and initially we did not see any evidence contrary to the claimant’s allegations. But rumors persisted in the workplace that the claimant was not as injured as she claimed.
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| THE LEGAL ARENA |
Ranking the Cost of Comp:
By Peter Rousmaniere
Sometimes we want to know how a state is doing relative to others with regard to the cost of workers insurance, the efficiency of the insurance system and the adequacy of benefits.
Each year, Actuarial & Technical Solutions, Inc. publishes a ranking of the cost of workers' comp insurance by state. It ranks all states except those with monopolistic state funds.
Actuarial Solutions gives to each state a specific ratio to the average of these 45 states. For example, Wisconsin's costs are 82.8% of the average, or 17.2% below average. The table ranks states by the cost of insuring the same hypothetical manufacturing employer. The actuaries create a basket of manufacturing class codes based on the distribution of manufacturing jobs in the entire country.
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| INVESTIGATIVE TIPS |
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Evidence - When Film is Not an Option
We have discussed in past columns the use of film and still photographs to document the employment activities of an applicant. But what does an investigator do when the person is self-employed, working out of their residence, or working with no fixed schedule or routine?
In situations like this the investigator must turn to other forms of evidence collection in order to document the applicant's wage-earning capacity.
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CALL DMA Claims Services WORKERS COMP INVESTIGATORS
WITH YOUR NEXT INVESTIGATION
19 OFFICES IN CALIFORNIA, 41 OFFICES IN 15 STATES
(800) 649-7602
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