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Big Workers Comp Gamble From a Claims Loss Run


Workers Comp Gamble On Your Insurance Premiums

Does Workers Comp gamble their insurance premiums?

A question from one of our blog readers – I received my Workers Comp policy run. How do I review the loss runs? If I find something that I disagree with on the loss runs, what do I do to get the mistake corrected?

Picture of Gamble Cards with blurred background Workers Comp Gamble insurance premiums

In going along with the blog title, this is an area where a few employers can do more harm than good. As I mentioned in a previous blog, there are a few things that cannot be accomplished in a claims review. Any monies spent and any reserves on old policies cannot be questioned, except for the reserves on the current policy + the 180-day window mentioned in one of my recent posts.

A Few Ways to COST your company premiums are:

  • Calling up the claims adjuster or supervisor and just saying “My reserves are too high, fix them” will fall on deaf ears.
  • Not all files need to be reviewed. Reviewing certain files may COST more premiums than if the file was never reviewed.
  • The location of the file review depends on the insurance company
  • The method of the file review
  • Who attends the file review
  • The preparation by the employer is very important. “Shooting from the hip” can be disastrous in a reserve review.

To keep these blogs from being too boring, I will cover some of the above bullets over the next week instead of going over all of them in this post.

Also Read: What Is A Guaranteed Cost Program In Workers Compensation?

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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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