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Workers Comp Loss Prevention Throughout Claim = Loss Reduction

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Workers Comp Loss Prevention Should Never Stop

Workers Comp loss prevention and claims loss reduction should be considered as the same function – just more defined. 

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When I present at safety or risk management conferences, one of the subjects I cover is the continued involvement of the safety officer or staff even after a claim occurrence.   Why?  

Many times, the handling of the claim for an employer is passed to someone in the human resources or other associated department.   Some of the same safety techniques  could be applied to claims handling – in other words safety on the back end of the claim instead of only on the front end.  I have been writing on this subject for over 10 years.   Check the first link in this article as it points to an article written in 2007. 

The common post-accident term is loss reduction.   Most claims have everything set in place within 48 hours. 

  1. The accident has been reported to the employer.
  2. The treating doctor is chosen and the first visit has occurred.
  3. A determination has been made on whether the injured employee can return to work. 
  4. The injured employee experiences good, bad, or indifferent treatment by his/her employer. 
  5. The proper forms have been filed with the Workers Comp Commission or Board.
  6. The safety and risk management departments usually have the most knowledge concerning the prior four five bullet points.

The first four resulted in my Six Keys To Workers Comp Savings that I wrote in this blog 10 years ago.  

Why should the safety department concern themselves with post-accident safety?  Safety and Risk Management has long since been judged on the level of the Experience Modification Factor (E-Mod or X-Mod).    While it is best in keeping an accident from ever happening, the back-end of the process should have them interested in how the adjuster views the employer’s internal handling of the safety and claim process. 

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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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