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Workers Comp Large Deductible 2023 Resolutions – Top 10

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Workers Comp Large Deductible Programs – 2023 Resolutions

Every year J&L provides resolutions for regular voluntary market policies and self insureds. During a recent phone call,  blog and newsletter reader asked if I could do an article on workers comp large deductible programs for 2023.

pic of 2023 temple workers comp large deductible resolutions
(c) Public License – Wiki- The Flying Pharmacist

I agreed that workers comp large deductible programs should be a third category of the 2023 resolutions.

Top 10 2023 Resolutions

  1. Your Experience Modification information is provided to the rating bureaus.  Large deductible policy owners sometimes remark that they are out of the workers comp system.  You are still in it for the most part even if your policy is not structured the same as a voluntary market policy.  Check this article for a full discussion of large deductible Experience Mods.  Avoid this surprise by monitoring your Mods.
  2. If your company is satisfied with your current treating physicians – make sure those medical providers are in the carrier’s medical network.  Better yet,  see if the carrier will allow you to use your own already-established medical networks.  This request would have to occur before the policy is purchased initially or at renewal time.  This will be difficult to change once the policy is in force.
  3. Make a comparison every year to see if voluntary market policy, captives, self insurance, PEOs or other programs are more economical than your workers comp large deductible policy.   The variables change every year.
  4. Read your policies – including the endorsements.  Your large deductible policy will be different than the prior voluntary market policy.
  5. Allocated Expense Charging – ALAE such as defense attorneys, independent medical exams, medical bill review, rehabilitation case managers, or  incoming medical phone triage may all be charged to you at 0%, 50%, or 100%.  These amount tend to be a large amount of the file expenditures.  Check those figures closely.
  6. Check with the injured workers – if the carrier’s service is not up to par your injured employees will let you know quickly.  WCRI created a study where injured employees said that if they trusted their employer claim and return to work issues were minimal.
  7. Look over your claims loss runs at least every month. Online access is key to controlling your costs including loss runs.  If you have online access, then you should be able to generate ad hoc loss runs whenever you need them.  Compare the old loss run figures to the new ones to see if there have been any major changes.
  8. Check for the claim status –while you are online, check to see if the claims adjuster has left a recent claim status.  Most adjusters update those every 30 – 60 days.
  9. Talk with your agent every six months or more often as needed. After your Experience Mod is produced six months into the policy is a good time or if you prefer speak to a consultant about your workers comp large deductible program.
  10. Safety will always be key.  Safer employers – even large deductible employers – save money in the long run.  Every dollar that is spent on safety returns as less injured employees and lower premiums.
  11. Bonus 10 Year Time Span – with predictive analytics becoming a normal part of the policy process, insurance carriers are looking back at your workers comp program beyond just one or three years.  Actuaries look back 10 years in most cases – so should your company.

 

Your company’s workers comp large deductible program 2023 resolutions may have more areas of concern.  These eleven are examples of what to do each year.

Also Read:

2023 Workers Comp Self-insured Resolutions – It’s On You

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James J Moore - Workers Comp Expert

Raleigh, NC, United States

About The Author...

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:

  • 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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