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Workers Comp Claims Review Expert – How Do You Find Proper One?


Workers Comp Claims Review Experts Can Be Hard To Find

Graphic Of Sacks Of Money Workers Comp Claims Review And Coins

Choosing a great Workers Comp claims review expert is some of the best strategically invested money in a company’s budget.

The main things to look for in your search are:

  • Designations – such as AIC, ARM, CPCU, etc. Our next post will cover some of the designations. These designations are granted after a candidate passes national exams for a certain number of courses.
  • Years of Experience – while this is a great indicator, we have performed review work after a so-called very experienced claims consultant who did not review the files very well.
  • From One of the Big Companies – this is not an indicator of the level of service you will receive as it is down to the individual claims consultants in the companies that will service your account.
  • Experience in a Certain State – this is not a big factor as one might believe. The main thing to remember is a claims consultant who has multi-state experience shows adaptability to different state systems.
  • Prior Claims Adjusting Experience – some claims consultant companies have no or few employees with actual claims adjusting experience.

    Consultant Workers Comp Claims Vector
  • Statistical Backgrounds – this is critical for file-by-file reviews and is important for finding trends in the claims reserving
  • No Conflicts of Interest – any person who may make a commission off your Work Comp policy may not be able to give an uninfluenced opinion.

I did not put these in any order of importance.   Each file review is unto itself.  The best of both worlds is to have a reserve/claims expert company that also reviews the premium calculations. A shameless plug – we are one of the few companies in existence that do both.

Up Next – Designations – What are they??

Our main Website is https://cutcompcosts.com/

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James J Moore - Workers Comp Expert

Raleigh, NC, United States

About The Author...

James founded a Workers’ Compensation consulting firm, J&L Risk Management Consultants, Inc. in 1996. J&L’s mission is to reduce our clients’ Workers Compensation premiums by using time-tested techniques. J&L’s claims, premium, reserve and Experience Mod reviews have saved employers over $9.8 million in earned premiums over the last three years. J&L has saved numerous companies from bankruptcy proceedings as a result of insurance overpayments.

James has over 27 years of experience in insurance claims, audit, and underwriting, specializing in Workers’ Compensation. He has supervised, and managed the administration of Workers’ Compensation claims, and underwriting in over 45 states. His professional experience includes being the Director of Risk Management for the North Carolina School Boards Association. He created a very successful Workers’ Compensation Injury Rehabilitation Unit for school personnel.

James’s educational background, which centered on computer technology, culminated in earning a Masters of Business Administration (MBA); an Associate in Claims designation (AIC); and an Associate in Risk Management designation (ARM). He is a Chartered Financial Consultant (ChFC) and a licensed financial advisor. The NC Department of Insurance has certified him as an insurance instructor. He also possesses a Bachelors’ Degree in Actuarial Science.

LexisNexis has twice recognized his blog as one of the Top 25 Blogs on Workers’ Compensation. J&L has been listed in AM Best’s Preferred Providers Directory for Insurance Experts – Workers Compensation for over eight years. He recently won the prestigious Baucom Shine Lifetime Achievement Award for his volunteer contributions to the area of risk management and safety. James was recently named as an instructor for the prestigious Insurance Academy.

James is on the Board of Directors and Treasurer of the North Carolina Mid-State Safety Council. He has published two manuals on Workers’ Compensation and three different claims processing manuals. He has also written and has been quoted in numerous articles on reducing Workers’ Compensation costs for public and private employers. James publishes a weekly newsletter with 7,000 readers.

He currently possess press credentials and am invited to various national Workers Compensation conferences as a reporter.

James’s articles or interviews on Workers’ Compensation have appeared in the following publications or websites:

  • Risk and Insurance Management Society (RIMS)
  • Entrepreneur Magazine
  • Bloomberg Business News
  • WorkCompCentral.com
  • Claims Magazine
  • Risk & Insurance Magazine
  • Insurance Journal
  • Workers Compensation.com
  • LinkedIn, Twitter, Facebook and other social media sites
  • Various trade publications


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