Managing Workers
’
Compensation Costs and Loss
Control in the Workplace
Managing Workers
’
Compensation Costs and Loss
Control in the Workplace
Presented by: Denise Moore, CIC
Association Programs Director Alicia Piecuch, CSP
Loss Prevention
Cia Hart, AIC, CPDM
Workers’ Compensation Claims
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§ National Council on Compensation Insurance (NCCI)
submitted Item E-1402 for state regulatory approval. The changes will go into effect January 1, 2013.
§ One of the changes that will impact us all:
– Increase in the split point calculation
Experience Rating Changes
§ Experience rating uses a split rating approach to reflect frequency and severity of losses
– Amount up to $5K is primary and reflects frequency.
Primary losses are given full weight in experience rating formula.
– Amount over $5K is excess and reflects severity.
Excess losses are only given partial weight in formula.
What is Experience Rating
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§ The current split point of $5,000 has been in place
for over 20 years
§ Indications are that the split point should be
increased to $15,000. This is not surprising since
the average cost of a claim has tripled since the last split point update.
Experience Rating Split Point
Changes in Average Claim Cost
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§ Effective on the loss cost/rate effective date for each
state beginning with 1/1/13 filings
§ Transition program will phase in the split point
change
– First year the split point will be increased to $10,000
– Following year, the split point will increase to $13,500
– Third year, the split point will be increased to $15,000
plus 2 years of inflation adjustment (rounded to the nearest $500)
Timeline for Changes
When the split point is increased from 5K to 10K:
§ Overall, the experience rating changes will be
revenue neutral
§ In general, experience credits will become larger and
experience debits will become larger
§ There will be exceptions to the above, especially when
the mod is near 1.00
§ Changes outlined in Item Filing E-1402 will be
implemented beginning with state rate filings effective on and after January 1, 2013
§ Change is premium neutral
§ Generally, employers with favorable loss experience will
receive larger credits
§ Generally, employers with less favorable loss
experience will receive larger debits
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§ Frequent OSHA penalties
§ Major workers’ compensation loss sources
§ Common controls for each major loss source
§ Loss prevention basics
§ Hazard Communication Standard
§ Requirements for safe walking and
working surfaces (slips/trips/falls)
§ Provision and use of personal protective equipment
§ Electrical
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§ Floor surface quality
§ Floor cleaning products
adequate to do the job
§ Train employees on
proper floor care
§ Clean as you go policy
§ Slip resistant shoes
§ What lifting, carrying, bending, rotating tasks are your employees performing?
§ Restocking
§ How are heavy items stored?
§ Are employees trained on
proper lifting techniques?
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§ Fingers in safe
§ Equipment
§ Falling boxes or objects
§ Employees running into
each other
§ Doors opening into others
Struck By, Against or Caught Between Objects
§ Stairs, ramps, inclines, ladders
§ Can elevation changes
be avoided?
§ Anything over ¼ inch
is a trip hazard
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§ Cameras, security guards, police presence
§ Background and reference checks on all hires
§ Opening and closing procedures
§ Cash handling procedures
§ Management training
§ Accountability
§ Develop written safety program
– New employee training
– Refresher training
§ Active safety committee
§ Regular workplace inspections
– Documented
§ Effective accident investigation
– Corrective actions taken
Controlling the Case ─ After a Claim
§ 4.1 million employees sustain an occupational injury or
illness each year
§ 80 million workdays are lost annually, costing businesses
over $20 billion annually
§ There is a direct correlation between the number of time loss
days and the medical cost incurred – get workers back to work as soon as possible
§ Frequent and ongoing contact – employer communication
Controlling the Case After a Claim Happens
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Investigate the circumstances – from loss prevention and containment perspective
§ Take immediate remedial action to prevent further or
addition injury
§ Talk to witnesses; consider having them put observations
in writing
Report new claims immediately to insurer
§ Enables carrier to begin management immediately
§ Reporting does not constitute claim acceptance or
agreement with facts as stated by employee
§ Failure to allow employee to file a claim can result in
penalties
§ Determine if worker needs emergency medical care
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Remain in regular contact with employee who misses time from work
§ Preserves the relationship between employer/employee
§ Provide transitional work opportunities to employees who
cannot return immediately to their regular job
§ Participate actively in return to work process
Being proactive about maintaining a safe workplace and returning employees to work after an injury will help you control your costs from work-place incidents