Workers Compensation

This is arguably the most controllable area of insurance — and the largest area where costs can get out of hand.

You may be familiar with the term Third Party Administrator (TPA). TPAs file and manage workers compensation claims for companies that self-insure this risk rather than buying a guaranteed-cost policy from an insurer.

We advise our clients in many of the same ways, but we also do this for clients that are not self-insured.

What does this look like for you? A typical workers comp claim adjuster at a national insurer may have over 500 cases to manage at any given time. It is understandably difficult to accurately stay on top of each and every claim.

Our team can encourage the claim along to closure and keep costs down while doing so. This could include recommending a nurse case manager for an employee suspected of opioid addiction; helping order a private investigation for a claimant with a suspicion of fraud; or overseeing return-to-work program participation.

Workers Comp claim management can be of critical importance six months prior to renewal.

This is the date when the National Council on Compensation Insurance (NCCI) calculates your Experience Modifier (E-Mod) for your upcoming Workers Comp policy. Since the E-Mod is a direct multiplier to your insurance premium, if we can get a claim closed prior to this date, we will save you real premium dollars for future years.

The Bottom Line

If you’re in an industry where the E-Mod can be the difference between winning a contract or not, we can actually help increase your total revenue and profitability.


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