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Work Comp Claims Adjuster Survey – Finally – Your Opinion Matters

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Register Your Opinion Anonymously – National Work Comp Claims Adjusters Survey

The Work Comp Claims Adjusters seem to be the quiet majority (Orwell 1984 reference) of most insurance companies and Third Party Administrators.

picture of work comp claims adjusters mars surveyor
Mars Surveyor – NASA

Any person that works in the worker’s comp claims arena knows that sometimes they are completely left out of any decisions and rarely (like never) asked their opinions on anything.   Many articles on studies appear in this blog with the theme – Hey, did they ask a claims person before publishing this study?

Your chance to register your opinion comes around rarely.   Rising Medical (Chicago Bill Review-Rehab Nurses-other services) provided any adjuster with a chance to have their say in the process.   Rising Medical will then compare the answers by the claims staff to the Executives.

Working my way up through the Work Comp adjuster ranks to a VP level, I can attest that the Claims Executives can easily become out of touch with the front-line workers, as in most companies.

The only drawback that I see in this process is that claims workers did not have a hand in designing the study.    I could be wrong on that point, as I am only referencing the press release.

Rising Medical kind of “gets” the worker’s comp claims staff’s challenges.  Check out this video if you are having a bad claims day.

From Rising Medical:

Picture of medical work comp claims adjuster volunteer
wikimedia – Mstyslav Chernov

The Workers’ Compensation Benchmarking Study’s annual survey is underway. Now in its seventh year, the 2019 study will – for the first time ever – survey frontline claims professionals (instead of claims executives) to ascertain alignment between industry leadership and staff who directly handle workers’ compensation claims. As the industry’s largest talent constituency, with the greatest influence on financial and injured worker outcomes, visibility into how their views mirror or differ from claims executives will highlight opportunities to advance the entire industry.

The 2019 confidential survey will continue throughout May. All frontline participants and study stakeholders will receive a copy of the 2019 Study Report which can be used to validate operational alignment, verify existing strategies, advocate for resources in support-challenged areas, and identify opportunities to impact claim outcomes. Claims executives are encouraged to share the survey link with their frontline teams as an investment in this industrywide effort.

The Workers’ Compensation Benchmarking Study is a national research program examining the complex forces impacting claims management in workers’ compensation today. The study’s mission is to advance claims management in the industry by providing both quantitative and qualitative data. Through survey research with claims leaders and practitioners nationwide, the program generates actionable intelligence for claims organizations to evaluate priorities, challenges, and strategies amongst their peers.

You will receive a copy of the study for your time.   I call this one a deal.  Do not procrastinate.  The survey may close out soon. Work Comp claims adjusters – have your say. 

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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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