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J&L Risk Management Consultants

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Home » Six Secrets

Six Secrets

THE SIX SECRETS TO SAVING WC PREMIUM $

J&L Risk Management Consultants  now has  Six Secrets to saving on Workers Comp premiums.  Two additional terms have been added to the list over the years.  The original four were the bedrock of J&L’s in-depth analysis on how employers can save work comp premiums.  The original four are the first ones listed below in the list of six secrets.  Passbook From Old Post Six Secrets Saving Bank

Our founder, James J Moore AIC, MBA, ChFC, ARM actually performed various studies on large numbers of private and public entity files.  The total number of files examined approached 24,750 files.  He discovered that an employer can save 75%  or more of their premium dollars or self insured budgets by using these easy to do functions with the smallest amount of effort.   These efforts gave employers the most “bang for their buck”, so to speak and started the list of the six secrets. 

Our Secrets to Saving WC Premium $ Manual covers this topic much more in-depth.  

Update – we now give this manual away for free if you email a workers comp question to [email protected] 

  • Compiled from claims experience in all states in the US
  • Will work with little modification or effort  in almost any state
  • Makes the adjuster’s job much easier with your WC claims, which will help reduce claim reserves = premium or budget savings

ASAP First Reports

  • Fax, email, or report the injury online ASAP.  Treat the First Report like a hot potato.  
  • If an employee is out of work, follow-up within two business days to see if your injury report has made it to the adjuster.   A well placed email to the adjuster will take care of this task and document that you had followed up.  
  • Note any questions or concerns by attaching a note to the first report of injury.  The more concise the information is will help the adjuster to address your concerns as the employers. 

The adjuster cannot begin their work without a first report of injury.  (FROI).   Without the FROI the insurance carrier or Third Party Administrator (TPA) cannot set up a file.  The age of electronic reporting leaves very little room for reasons why the FROI was not filed immediately. 

Dr. Network

  • This is the most critical part of any WC claim without question.
  • WC courts consider physicians the only impartial parties/witnesses in a claim.
  • A physician panel needs to be in place .
  • Treating physician controls medical cost, length of time out of work, and any permanent disability

Many states (41) allow for some type of medical control at the beginning of the claim.  If you do not have a physician network including second level physicians such as orthopedists, you are throwing premiums down the drain.  

Return to Work Program 

  • The medical providers that are seeing the WC employees should know if you have a RTW program in place
  • Employees should know a return to work (RTW) program is in place.

No matter how well you have performed your job to file the FROI and send the injured employee into your prescribed Dr.’s network,  ignoring this very important point can make a small claim into a Permanent Total benefits claim.    All physicians in the Dr’s network should know that you have a return to work program.   

If for some reason, you do not have a RTW program, you need to establish one ASAP.  This is the one area that claims explode into large dollar claims in a split-second. 

Employee Treatment 

  • Reduces fraud
  • Helps Return To Work program
  • An out of work employee is still your employee
  • Keeps employee in the loop

When an employee is injured, they are still considered your employee until a RTW or a claim resolution.   The show of concern by the employer has always enhanced a successful RTW.  There are many studies that show this link. 

Understanding  Your Premium Audit 

For non self-insureds, your yearly workers comp premium audit can be a daunting task.   The link in the prior sentence covers some of the methods to make the task less stressful.   There are many articles on handling premium audits in this website.  Searching the articles by using the search box at the top right of any page is recommended.  

Many employers just write a check and consider the premium audit as a tax of doing business.   No insurance carrier or agent will ever dissuade you from reviewing the premium audit bill and then questioning any of the figures on it.   The more active you are in the process shows a concern that will only result in saving you premium dollars. 

Adoption By Management 

All five of the previous suggestions are just like the dusty manual that sits in the corner that no one uses.  If a company’s or governmental entity’s  management does not see Workers Comp as a budget-killing expense that should be acted upon in some manner, what is on the page is just fluff and nothing more.   

The recent concerns with the Affordable Care Act (Obamacare) has put Workers Comp on the back burner.   One has to remember that the back burner can still burn things if not tended to very well.   

An encouraging sign is that some employers have now or in the past paid attention to WC.  They are reaping the benefits.  Why not give these Six Secrets a try?    We are here to help if you need us.   Please do give these Six Secrets a shot.

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About Me

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James J Moore
Raleigh, NC, United States

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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J&L Risk Management Consultants Inc
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Raleigh, NC 27614
(800) 813-1386
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