Adjusted Manual Premium is the result of schedule credits, premium credits, premium discounts, and/or expense constants being applied to Manual Premium.
Workers Comp Premium Audit Process Changed Forever Oh no – another pandemic effect article. Yes, we have seen too many over the last 36 months.
Workers Comp Medical Authorizations – Adjusters’ Bane Part 2 One of the tasks that claim departments have struggled with over the years starts with a
Catastrophic Workers Comp Claims – Ghosted Parts Mark Walls of Safety National Insurance and the Workers Comp Analysis Group on LinkedIn posted quite interesting articles
Reopened Workers Compensation Claims Conundrum I have not covered reopened workers compensation claims articles for many years. This type of claim exists on almost all
Healthcare Industry Workers Comp Results – WCIRB Report and Webinar The Healthcare Industry Workers Comp results for the pandemic were amazing, yet not that surprising.
Workers Comp Physical Medicine Extended Treatment – National Study – WCRI WCRI’s (Workers Comp Research Institute) recent study and report on workers comp physical medicine
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LCF Designation Question – Workers Comp Policy We have received this question in the last month from two risk management consultants. What does the LCF
Accountable Care Organizations (ACO) The accountable care organizations (ACO) are healthcare organizations characterized by a payment and care delivery model that seeks to tie provider reimbursements to quality metrics and
Term Of The Day – Wage Statement A wage statement is a necessary yet tedious part of paying a WC claim properly. The injured employee’s compensation
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:
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