Countrywide Mega Claims Webinar and Report – A Closer Look

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Countrywide Mega Claims Highlights and Video

A recent webinar and report on countrywide mega claims showed one pattern that made me pause and think. This website has published a few articles concerning the subject.

The report and webinar return to the subject of workers comp mega claims. From my viewpoint, any claim that reaches $250,000 becomes a mega claim.  Check out the link to see why I came up with the idea.  The claims department mechanisms change at that point.

The countrywide mega claims have been set at any over $2 million.

If you wish (and you should) to download the report, check out this link:

Country-wide-Mega-Claims-Report-2001-2021.pdf

The report totals 74 pages.

The countrywide mega claims webinar can be found here. 

The rating bureaus that contributed to the report and webinar are:

  • California’s WCIRB
  • Indiana Compensation Rating Bureau
  • Minnesota Workers Comp Insurance Association
  • New Jersey Compensation Rating and Inspection Bureau
  • North Carolina Rate Bureau
  • Delaware Compensation or Rating Bureau
  • Compensation Advisory Organization of Michigan
  • NCCI
  • New York Compensation Insurance Rating Bureau
  • Pennsylvania Compensation Rating Bureau

How Can I Use This Info?

One can use this information to prepare an outstanding presentation.  Just make sure to give credit and links to the report.

For instance, let us says that a Claims and Risk Manager for a nationwide transportation company wants to see which workers carry a higher risk.  Even if the company insures themselves for WC (self-insured), Chart 11 provides invaluable information.

From the Report –

In Chart 11, claims from strains are split out from all other causes of injury group for claims in excess of $2M. Like lower back injuries, the share of claims from strains decreases between 2003 and 2019. In contrast, the share of motor vehicle claims grows over the 2003 to 2021 period. On average motor vehicle claims represents approximately 15% of countrywide mega claims annually between 2001 and 2006, increasing to 20% of mega claims between 2016 and 2021.

Graph Injury Source Countrywide Mega Claims
(C) NCCI – Boca Raton, FL – used with permission

What does this mean to the Claims and Risk Manager?  The risk of huge MVA claims involving the drivers increased 33% for the countrywide mega claims (15% to 20%).  While this may look small, the risk increased substantially.   The chance of a mega claim somewhat spiked for drivers.

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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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