Workers Compensation Forum Working with Your Insurer.

Slides:

Advertisements

Similar presentations

Are You Ready to Drive? Ask yourself…Ask yourself… –Do I have a license? –Is my car registered? –Am I covered by auto insurance?

Advertisements

October Slide 2 The role of GPs in Return to Work Programs Medical barriers in return to work programs Suggestions on improvement.

Injury Management Seminar for the Meat Industry. 2 Major Pieces of Legislation Covering Workers Compensation and Injury Management in NSW Workers Compensation.

1 21 st century work & workplace health Neil Quarmby General Manager Work Health and Safety Group, Comcare.

You can use this presentation to educate your staff about your company’s workplace rehabilitation policy and procedures. Use your own company branding.

Working with you for successful claims outcomes Lynn Milne Customer Advisor WorkCover Queensland.

©Copyright 2005 Quantum Patient Assessment, Inc. The Ready to Work Report™ Web-Based Medical Reporting Software by Quantum Patient Assessment, Inc.

Early Identification of High Risk Cases in Workers Compensation Sheila K. Bennion RN, BSN, CCM Manager of Medical and Disability Services Liberty Mutual.

Managing Claims for Psychological Injury Presented by: Greg Larkin Melanie Pickering.

September 30, 2010 Betty Arinder, Attorney – Wells Marble and Hurst, PLLC Hal Caudell, District Manager – CorVel Corporation Bob Fusinatto, Regional Claims.

Workers’ Comp and Wellness Programs Proven and tested Workers’ Comp programs Integrating Health and Wellness into your program State of Wisconsin.

Workers Compensation Policy Charter An Agenda to Return to Healthy Workers Compensation.

PREVENTION AND MANAGEMENT OF PSYCHOLOGICAL INJURIES A FORUM FOR THE DISABILITY SECTOR August 2009.

International Conference on Road Safety at Work Debbie Stearns, New Zealand Accident Compensation Corporation February, 2009.

“Keeping your money in your pocket, where it belongs.” Florida’s Risk Management Program Initiatives to Address Program Cost Drivers Presentation to the.

Associated Industries of Massachusetts How Much Social Insurance Should the Government Provide? Workers Compensation and Unemployment Insurance Richard.

Presented by: Mansour Al-Zahrani. Outline:  Introduction.  Technology impact on Construction.  Information and Communication Technology Impact.  Direction.

Chapter 7 – Major Planning Decisions Throughout the Life of a Small Business VCE Year 11 Business Management Unit 1 Learning Outcome 2 VCE Business Management.

XIX World Congress on Safety and Health at Work A Regulator’s Journey to Harmonisation 14 September 2011 John Watson General Manager Work Health and Safety.

July 2015 Workers’ Compensation Claims Management Claims management by L&I is unbiased and decisions are generally timely. Outcomes could be improved if.

Workers Compensation Commission Sian Leathem Registrar 29 September 2008.

Texas Workers’ Compensation System Trends Presentation for the Workers’ Compensation 2012 Biennial Rate Hearing Texas Department of Insurance Workers’

INCIDENT REPORTING RISK MANAGEMENT WORKERS COMPENSATION PROGRAM.

Workers Compensation Case Management Iris Ayala Occupational Health Manager Kaolin Mushrooms April 2011.

Best practice injury management Tim Meadows Industry Manager WorkCover Queensland.

Overview of the Department of Labor & Industries Our Mission: Keep Washington Safe and Working Presented By: Doric Olson Senior Policy Advisor Labor &

Diane M Barnes, CDMS,CCM,CMC Barnes Consulting, LLC What Your Third Party Administrator Should Be Doing For You.

11 Workers’ Compensation and Injury Management Long Duration Claims and Delays in Return to Work 31 October 2013 Chris White A/Chief Executive Officer,

Workers’ Compensation Coverage: What an Agency should consider?

May/June AGENDA 1.Welcome and introductions 2.Participant achievements and challenges 3.Disability Safe Project Update 4.Incident report form and.

Return to Work Programs Effect On The Bottom Line Vincent & Vincent Companies (Dept. of Loss Control Engineering) P.O. Box 304 Freeland, PA

Workers’ Compensation Rates An understanding of basic rates & controls Copyright ERNWest all rights reserved

Date - View Header and Footer to edit

Workplace Injury Insurance – Claims estimates Information for employers September 2006.

Occupational Safety & Health The nature & extent of workplace safety and health problems The organization and functions of OSHA Accident behavior Safety.

Modified Duty Closing the Claim. Overview  Elements of an effective Modified Duty Program  How to implement a successful program.  Branch level roles.

Making Workers' Compensation Work: Advanced Strategies Steve Thompson, ARM, COSS Mike Murrah Susan.

September 2015 Workers’ Compensation Claims Management Claims management by L&I is unbiased and decisions are generally timely. Outcomes could be improved.

Long Duration Claims Craig Stewart State Claims Manager Workers Compensation Claims WA (Occupational Health Society of Australia (WA Branch)

Workers’ Compensation Managed Care Pricing Considerations Prepared By: Brian Z. Brown, F.C.A.S., M.A.A.A. Lori E. Stoeberl, A.C.A.S., M.A.A.A. SESSION:

A pilot program to support early intervention and improved outcomes for psychological injury.

Heartland Health Wellness Connections May Heartland Wellness Connections Participation.

Workers Compensation Update Recent reforms and notable issues for reinsurers Gerald T. Yeung May 2007.

Workers Compensation. Who is Covered Sole Trader – Only Employees – not policy holder Partnership – Only Employees – not policy holder Company – All.

Welcome Return to work: part of good occupational health and safety HCHSA Toronto, Ontario February 21, 2005.

Territory Insurance Conference, resilient future Angela Pilcher, Manager Vocational Management Services PREHAB: Management strategies for the prevention.

Supporting Our People. 10 days away – call rehab today! What the training covers Relevant legislation and FaHCSIA Framework Aim of Return to Work Roles.

IRT Workers Compensation National Executive Review.

Return-to-Work Program

DALLAS INCURRED LOSS VALUES POLICY 5/1/06 - 4/30/07 AS OF 12/31/06 INCURRED LOSS VALUES POLICY 5/1/06 - 4/30/07 AS OF 12/31/06 TOTAL INCURRED: $845,419.

Workers’ Compensation Incurred Cost Per Hour Worked May 1, 2013 – March 31, 2014.

 The forecasting and evaluation of financial risks  Identification of procedures to avoid or minimize their impact. Goals: ▪ Avoid or minimize losses.

Staff Training & Interview Techniques Unit 2. Employer Responsibilities Building industry has many statutory requirements. The building industry makes.

Workers’ Compensation Loss Rate per 8 Hours Worked May 1, September 30, 2009.

Child Support Directors Association of California in partnership with California Department of Child Support Services Workers’ Compensation: Issues and.

Medical Expenses The 2015 Amendments to the NSW Workers Compensation Act 1987.

HRIS Meeting Workers’ Compensation Overview and Payroll implications 1 August 12, 2014.

AIIB Insurance Brokers Workplace Health & safety Act 2011.

THRIFTY WORKERS COMPENSATION / INJURY MANAGEMENT GROUP APPROACH - PROACTIVE ACTION.

The Hidden Profit Drain: Managing the Cost of Employee Absence Phil Lacy Integrated Benefits Practice Leader Royal & SunAlliance.

Outcomes and Workers’ Compensation Michelle Reynolds CEO, WorkCover WA Refresher Course Day FPM, ANZCA. 11 May, 2012.

Risk Management 101.

5 STEP IMMEDIATE INTERVENTION RTW MODEL

48a. Estimated costs of work-related injuries, by construction industry (Wage-and-salary employment) $1,563 $1,315 $1,218 $1,217 $1,203 $990 $801.

COMBINING SERVICE & SAVINGS

VSDP Employer Support Training Short-Term Disability and Long-Term Disability Management January 2019.

Best Practice Strategies of a Workers’ Compensation Program

Presentation transcript:

Workers Compensation Forum Working with Your Insurer

Session Outline Role of the Insurer Liability Decisions Premium Cost Drivers Communication Strategies

Role of the Insurer 7 claims agents 3 point contact Provisional liability Claim estimates Approve services & authorise payments Safe, durable, speedy RTW Injury Management Plan Regular contact

Liability Decisions A no fault system –Worker –Injury –Work related –Aggravation of pre-existing condition –Journey & recess claims

Liability Decisions Initial notification WorkCover medical certificate Claim forms Information provided during 3 point contact Legislation & WorkCover guidelines Responsibility of all parties to provide accurate information

Industry Performance - Employment Injuries NSW Average –Incidence rate – 14 per 1000 workers –Frequency rate – 8.5 per million hours worked Community Services –Incidence rate – 18.7 –Frequency rate – 13.3 Incidence, frequency, time lost greater than NSW average but cost of claims less.

How is My Premium Calculated? WC premium based on risk Industry – 3.184% (non-residential care services) Size/wages Claims DDL, GST Total premium – adjustment & renewal

What Impacts Claims Costs Claims costs are impacted by: Number of claims Severity of injury Time off work RTW outcomes & duration Disputes OHS & RTW practices impact/drive premium

Communication Strategies Know your insurer and their services Case Management Model Eg QBE Connect Who is my case manager? How do I contact them? Initial contact process – online reporting Issue resolution & escalation Provide all relevant information Trust their judgement Be involved

Communication Strategies What additional services does my insurer online claims analysis tool National training calendar Risk management services Account management Self insurance

What Is Our Common Goal? A FIT & HEALTHY WORKER