National Adjuster License For Workers Comp Quite Challenging

Share on facebook
Facebook
Share on twitter
Twitter
Share on linkedin
LinkedIn

National Adjuster License vs. Reciprocal Exchange Agreements 

The subject of national adjuster licenses created quite a bit of buzz.   WorkCompCentral published an article on this very subject a few weeks ago.   

California was moving towards the national adjuster license standard.    I then read on into the article. 

map of striped national adjusters license usa
Wikimedia license – Leo Chapin III

 The national adjuster license seemed to be more of a certification process administered by an organization referred to as CLM (Claims and Litigation Management Alliance).   

Five states signed onto the UCC (Universal Claims Certification)  process: Florida, Texas, Georgia, Alabama, and Mississippi. The licensing requirement of the UCC will be more stringent than a state-based licensing program.  

The UCC is not meant to replace an adjusters license.   The UCC would streamline the process.    Various versions of a Bill to advance a national adjuster license standard has died in Congress.  

From the CLM website:

The process of licensing independent and staff insurance adjusters has been unnecessarily complex for decades. Most adjusters handle claims in multiple states and are burdened with maintaining multiple licenses and tracking the different renewal criteria for each license. The current system also limits the flexibility needed when a natural disaster occurs and a large number of adjusters are needed promptly in a specific state. Many qualified adjusters are unable to assist in these situations until they can go through that state’s licensing process.

This concept looks like a great idea.  I am not sure if it would work for workers compensation adjusters.   As an all lines adjuster in 12 states and a consultant in the other 38, some issues would have to be addressed with a workers compensation national adjuster license. 

Specificity

Many lines of insurance adjusting do not change that much when a state line is crossed concerning a claim.  An adjuster from Minnesota handled my loss from Hurricane Michael.  He did a great job – very professional.   

One of the main characteristics of multi-jurisdictional workers compensation claims is when adjusting a claim in another state, a whole new pile of laws and rules come into play.

A workers compensation adjuster always has two governing bodies over their claims, not just one.   The Industrial Commission (Workers Comp Board) and the respective Department of Insurance in that state. 

At one time I juggled 7 states in my adjusting career simultaneously.  That was a challenging, yet at times, confusing task.  

One Standard

What would one standard look like for all workers compensation adjusters in every state?  Would 40 hours of education actually cover enough to update the adjuster’s knowledge to begin immediately adjusting claims in a new state overnight?

ACORD Form 4 started to become a nationalized form for reporting injuries.  The form covers most incident reporting situations very well.    A few states still accept the form.   This form was my first exposure to a nationalized workers compensation form of any type.  The form came with five pages of instructions.  

Reciprocal Exchange

The reciprocal exchange environment can be confusing.   I count myself fortunate as all the states I have ever applied to as an out-of-state adjuster accepted the hours that I had earned for my resident state license as appropriate for their respective state.  

A national adjuster license may save confusion when it comes to the time of renewal.   Remembering what license renewal was required on what date caused me to have to completely re-apply to one state.   The only detriment was the extra fees when the license lapsed.  

Final Thoughts

The idea of a national adjuster license remains a great idea.  The Institutes (think CPCU, ARM, etc.) bought the website and program from its creator.   This article was not to say the idea was unworkable.  The task will be a challenge to administer a national adjuster license for workers compensation. 

 

©J&L Risk Management Inc Copyright Notice

Share on facebook
Facebook
Share on twitter
Twitter
Share on linkedin
LinkedIn

Table of Contents

Related...

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

Subscribe

Get the latest workers' comp news FREE!

Name
This field is for validation purposes and should be left unchanged.