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Workers' Comp Article

5 Ways Apricus Referrals Help Adjusters Move Specialty Claims Forward

2 MIN READ

Specialty referrals can slow a claim when each service requires a different vendor, contact, update and bill. For adjusters managing high caseloads, those handoffs add time and uncertainty. Apricus Specialty Solutions gives you one coordinated referral path for many specialty needs, helping reduce follow-up work, speed coordination and keep the claim moving.

Enlyte Article

Workers’ Compensation Medical Claims

8 MIN READ

Medical severity — not overall claim frequency — emerges as the defining trend across the 2022–2025 loss years. Enlyte data is consistent with NCCI and WCRI reporting, overall workers’ compensation claim frequency remains flat to declining nationally. The notable change within this dataset is not the number of claims occurring across the system, but rather how medical services are being delivered, accessed, and utilized within existing claims.
Auto Casualty Article

Complex Claims Need More Than a UR Determination

3 MIN READ

Complex claims require more than a utilization review determination. Learn how connecting UR with case management, pharmacy, peer review and clinical oversight helps claims teams identify risks, remove barriers and improve outcomes.
Auto Casualty Article

The Next Generation of Claim Handlers Is Forcing a Rethink of How Referral Management Gets Done

4 MIN READ

As experienced claim handlers retire, a new generation is reshaping referral management. Discover how automation and connected workflows reduce administrative burden and support faster claim outcomes.
Claims Journal Article

State Regulatory Surge, Federal Shifts Reshaping Workers’ Comp

Explore how rising regulatory activity, AI oversight and evolving workplace policies are reshaping workers’ comp claims management. In this Claims Journal article, Enlyte experts break down the compliance, litigation and operational risks organizations should be watching closely.
Workers' Comp White Paper

The Aging Workforce

4 MIN READ

Aging workforce strategies for workers’ comp help employers manage claim severity, injury prevention and return-to-work planning. Learn key risks.
Auto Casualty Article

Retail and Mail Order Prescriptions

3 MIN READ

Overall cost and utilization by claim were down in 2025 even with 6 of the top 10 therapeutic classes experiencing rising cost per script. Migraine medications rose by nearly 10%, representing the largest script cost gains driven in part by increases in brand Average Wholesale Price (AWP) including brand AWP for migraine medications increasing 2.4%. Utilization per claim also jumped in the migraine medication class (up 9.6%), while every other class within the top 10 (besides topicals, which rose 2.5%) experienced decreased utilization.
Workers' Comp Article

PTSD Presumption Claims are Rising. Workers’ Comp Needs a Stronger Clinical Response

5 MIN READ

PTSD presumption claims are rising. Learn how case management supports behavioral health care, treatment follow-through and return-to-work planning in workers’ comp.

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