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Home » cutting edge

Workers Comp Safety Innovator Now Thing Of Past – Correction

May 16, 2017 By JL Risk Management Consultants

A Great Workers Comp Safety Source Closed Down After 60 Years

Workers Comp safety peer reviewed research provider has been shut down.  Liberty Mutual Insurance Companies have stopped performing peer reviewed workers comp safety research this week. 

picture workers comp safety closed sign

Wikimedia Commons – James Alan 1986

The Liberty Mutual workers comp safety facility partnered with outstanding organizations such as:

  • MIT
  • Harvard School of Public Health,
  • University of Massachusetts at Amherst
  • University of Massachusetts at Lowell

The research institute created the Workplace Safety Index.  I had read over quite a bit of their cutting-edge research over the years.   A few articles in this blog referred to their research results.   Liberty Mutual produced the 2017 Workplace Safety Index in PDF form. 

Overexertion involving outside sources topped the list as the most expensive type of injury.  

According to the report –

This event category, which includes injuries related to lifting, pushing, pulling, holding, carrying or throwing objects, cost businesses $13.79 billion in direct costs and accounted for 23 percent of the overall national burden.  

23% appears to be a significant number.   Lower back injuries generate huge WC losses from just lifting injuries alone.   

Hand Holding Magnifying Glass Workers Comp Safety Icon

StockUnlimited

I had always thought the 2nd place injury type was the most expensive –

Falls on same level ranked second with direct costs of $10.62 billion and accounted for 17.7 percent of the total injury burden.  

Correction – After talking with two Liberty Mutual employees, I was informed that the Hopkinton, Massachusetts, facility remains open – the peer reviewed research efforts ended this month.   

Liberty Mutual owns the largest database on Workers Comp.   Hopefully, they will share it with the outside workers comp community.   But then again, why would they lose that competitive advantage?  

I guess that, as I have said before, Workers Comp never really changes.  I stand corrected on this issue.    We all hate to see the facility go, but then again who can blame them for ending the peer-reviewed workers comp safety studies?

©J&L Risk Management Inc Copyright Notice 

Filed Under: Liberty Mutual Tagged With: cutting edge, Harvard, MIT, University of Massachusetts

Workers Comp Systems Are Antiquated At Best

November 26, 2012 By JL Risk Management Consultants

Workers Comp Systems

One of my main concerns in working with clients is the basically outdated Workers Comp systems that have to be trudged through to even perform basic operations.  This article on outdated Workers Comp systems analyzed what Workers Comp claims workers already knew – most systems are severely outdated. 

Vector of Two Man Workers Comp Systems Antiquated At Best

123RF

When we advise investment groups or are analyzing a claims system, I am sometimes shocked at the system in place.  Workers Comp systems are actually even worse.  When I attended the recent LRP National Workers Compensation Conference in Las Vegas this year and last, I was searching for something new in the claim processing arena.  While there are great system providers, I still did not see one that I would call cutting-edge.   

The aforementioned article centered on a study of claims executives.  Some of these are not necessarily directly related to Workers Comp.  However,  there are some that are “spot on. ”  Some of the almost shocking results were:

  • 83% of claims executives thought their systems were outdated and they needed the IT departments help to make any changes
  • Half (54 percent) of those surveyed say their core claims systems are more than five years old and almost one-third (32 percent) of respondents say they rely on more than five different applications to process claims.  How can someone be productive if they have to run five different systems?  I know of one carrier that presently uses eight. 

    Antiquated Car Workers Comp Systems Old Picture

    Wikimedia Commons – Dreamsoffuture

  • More than three-quarters (78 percent) of respondents say they are on a path to upgrade their claims systems; among these respondents, almost one-third (31 percent) say the last major upgrade was made more than three years ago.
  • Two-thirds (66 percent) of claims executives surveyed think their claims systems are not optimized to collect and analyze the growing volume of data available – such as insights about consumers from social media and usage data collected by means of telemetry and Global Positioning System – which would enable them to refine and improve claims management.
  • More than three-quarters (78 percent) of respondents say their claims organization is not equipped to manage new forms and level of risks such as cyber-crime, terrorism, increased frequency of severity of natural catastrophes.

I will cover one statistic in my next post that will have employers and some claim adjusters shouting at their screens.  It is a shocker.

©J&L Risk Management Inc Copyright Notice

Filed Under: Las Vegas, LRP Tagged With: catastrophes, cutting edge, cyber-crime, spot on

Modified Self Insurance – Caveat On Risk

July 25, 2012 By JL Risk Management Consultants

The Modified Self Insurance

Captives, large deductibles, and other types of workers comp modified self insurance are now gaining great importance due to the present economy. All companies are now searching for a way to insure for Workers Comp accidents at a reduced rate. One of J&L’s specialties is providing alternatives to traditional insurance programs.

Man Standing Modified Self Insurance On Pile Of Coins Digital Composite

StockUnlimited

Basic self Insurance, captives, large deductibles, self insurance pools, and other types of self insurance have their pros and cons. Regardless of the type of self insurance, your company is directly “on the hook” for the losses.

Reinsurance may be a great stop-loss measure for a single large claim or a string of unanticipated accidents when compared to a loss history. Until the aggregate (large number of claims) is reached or a single accident payout reaches a certain level, your company is on its own when having to pay Workers Comp benefits.

There is a large amount of interest in captives from almost all of our medium to large sized employer clients. I wanted to cover an important point about captives. Captives are the “cutting edge” of self insurance presently. There are many new terms with captives such as:

Picture of Human hand Putting Stethoscope on Piggy Bank Modified Self Insurance Concept

(c) 123rf.com

  • Fronting company
  • Protected cell
  • Parent company
  • Domicile

I wanted to clear up any confusion about who funds the captives. Captives (as with self insurance) are funded somewhat indirectly out-of-pocket by the employer. If your company’s risk tolerance is not to the level of being self insured, a captive may not be for you. There are also upfront costs that can be substantial when establishing a captive or even a rent-a-captive.

 

I do not want to discourage any company from seeking any type of insurance program that may save funds that can be used elsewhere in a budget. However, it is a giant task to commence a self insured or modified self insured program and then decide that is not the desired type of program.

 

I will cover some of the other modified self insurance programs next time.

©J&L Risk Management Inc Copyright Notice

Filed Under: self insurance Tagged With: cutting edge, specialties, traditional

Who Is A Public Adjuster for Workers Compensation?

May 16, 2011 By JL Risk Management Consultants

Term Of The Day – Public Adjuster

A Public Adjuster represents the insureds rather than the carrier during claims processing. In this way, insureds can be assured of their rights to insurance proceeds. These adjusters are normally paid on a percentage of the adjusted loss, or hourly, or on a per case basis.

Picture of News Paper Public Adjuster Circle With Stabilo

123RF

The  workers comp public adjuster term denotes the cutting edge of this line of insurance.  If one looks for this type of adjuster under a WC heading, they will find nothing.  

I think of a public -type adjuster for workers comp as performing these tasks:

  • Reviewing all or a sample set of claims to insure the performance of a certain carrier’s claims staff
  • Making sure the reserves are set properly.  See reserve explanation here. 
  • Checking with the client to make sure they are satisfied with current carrier and address any problems
  • Request updates from adjusters (email only) on the larger files and all files within a year of opening
  • Monitor all large claims to enhance loss control over a certain set of claims 
  • Reporting findings to designated employer on a monthly basis

Public adjuster guides appear all over the internet for Property and Casualty claims – think large property losses.  In the future, workers comp claims staffs will hear from some type of public adjuster on open claims. 

©J&L Risk Management Inc Copyright Notice

Filed Under: claims adjuster Tagged With: assured, cutting edge

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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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