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Workers Comp Claim Medical Costs – Fast Way To Reduce?

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Workers Comp Claim Medical Treatment

Do the Workers Comp claim medical treatment costs affect my claims cost the most? 

Picture man hand touch screen icons Workers Comp Claim medical Cost
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In my opinion, controlling the workers comp claim medical treatment is the quickest way to cut your Workers Comp costs. Controlling the medical costs not only means using the medical networks to reduce the cost of the medical bills, but to control the doctors that treat your injured workers. A great industrial-minded treating doctor can also control the weeks out of work and the permanent disability rating.

As I have commented quite a few times in this blog and in my presentations, the main reason to maintain control of the employees’ medical treatment in a Workers Comp claim is that all Workers Comp courts, state bureaus, etc. consider the treating physician as being the only impartial witness in the claim. The medical testimony is usually going to be the “ultimate decider” in the claims process.

I have never seen the Workers Comp judge throw out the treating doctor’s medical testimony completely. So, the bottom line is “Control the medical treatment and your company will control the claim costs.” I have performed quite a few studies that shows this to be very true.

California started using MPN’s (Medical Provider Networks) in 2005. That is the one of the reasons for the sharp decreases in Workers Comp insurance rates in CA.

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James Moore

Raleigh, NC, United States

About The Author...

James founded a Workers’ Compensation consulting firm, J&L Risk Mgmt 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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