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Published byJames Reed Modified over 9 years ago
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Dennis J. Powers Jr. AIC, ARM, CPCU Lamb, Little & Co.
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Hard Market Soft Market
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Hard Market Focus on Profitability Premiums Increase Don’t Like Risk
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Soft Market Focus on Growth Premiums Decrease Underwriters Appetite Is More Aggressive
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Insurance Programs Guaranteed Cost Loss Sensitive
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A classic method of risk transfer: You pay the carrier premium to cover your claims.
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Pro: Your cost is fixed, regardless of claims experience. Con: You flex with the marketplace and the status of your industry’s loss history. Pro: Your cost is fixed, regardless of claims experience. Con: You flex with the marketplace and the status of your industry’s loss history.
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1.Classifications 2.Experience Modification 3.Schedule Credit
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Exposure/100 x Rate = Manual Premium 10,000 x 5.02= $50,200
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Your Information
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Review Your Claims for Accuracy Utilize Loss Control
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This is where all the companies are going to be different. The more you bring to the table, the more aggressive you can be. This is where all the companies are going to be different. The more you bring to the table, the more aggressive you can be.
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Claims Mgmt: Early Reporting Accident Investigation Return to Work Loss Control: Documented Safety Program Documented Training Program Loss Assessment Report
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George M. Canavan, AIC Lamb, Little & Co.
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Medical Benefits Temporary Total Disability Permanent Partial Disability Penalties
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Source: Liberty Mutual Data Warehouse
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Don’t Underestimate Anything
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Employee Incident Report Employee Incident Report-Spanish Supervisors WC Investigation Report Witness Form
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Delay in Reporting Can Be Expensive Threat of Litigation Slows Down Claims Investigation
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Provides You Control Provides Significant Savings Conveys the Right Message to Workforce
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Per NCCI, the median incurred cost of a WC claims exceeding more than 7 days of lost time from work is $31,600. Claims under 7 days of lost time, the average claim is <$10,000.
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Why Conduct A Claim Review?Who Participates In a Claim Review?When Are Claim Reviews Done?
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Designated Claim Handler How Do Employees Report New Claims? Accident Investigation Subrogation Investigation Time Sheet Initial Explanation of Claims Process/Benefits to Emlployee Claim Reporting to Insurance Carrier Initial Medical Care Internal Claims Management Procedures Supervisor/Management Training Return To Work Programs Establish Special Claim Handling Instructions
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Bill Crimmins, CSP Titan Risk Management, LLC
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1.Safe Behavior 2.Technically Proficient 3.Compliant
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Loss Control Representative Survey Risk Selection Research Your website OSHA (OSHA.gov) DOT (safersys.org) BLS Statistics Report to Underwriter
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Periodic Risk Assessments Safety And Health Program Document Inspections / Efforts Document Employee Training Enforce Your Program Accountability
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What are my areas of concern Do I have the expertise to address it If not, get help
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Use Loss Control & Manage Claims Reduce Experience Modification Factor Allows Your Agent To Present You As Best In Class to Negotiate Your Schedule Credit
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Financial (CFO, Comptroller, Etc.) Coverage Placement Human Resources Claims Administration Return To Work Production OSHA, Return to Work, Accident Investigation
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Create Accountability Analyze Incurred Losses for Prevention By Location, Season, Cause, etc. Incent Departments to Improve Safety.
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By Department, or Location
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By Time of Year
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By Time of Day
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By Type of Injury
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Direct Loss Indirect Loss
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INDIRECT Loss of Production Employee Morale Loss of Quality Employee Time of Staff to Manage Claims Damage to Equipment & Property
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YOU LOSE $4 FROM YOUR BOTTOM LINE FOR EVERY $1 YOUR INSURANCE CARRIER PAYS IN WORKERS’ COMPENSATION CLAIMS INSURANCE YOU $1
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Question 1: Is your rating information accurate? Question 1: Is your rating information accurate?
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Question 2: Are you managing your claims to have an impact on your premium? Question 2: Are you managing your claims to have an impact on your premium?
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Question 3: Are you managing your Loss Control Service to have an impact on your premium? Question 3: Are you managing your Loss Control Service to have an impact on your premium?
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Question 4: Are you creating accountability by properly communicating the results? Question 4: Are you creating accountability by properly communicating the results?
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Question 5: Are your current vendors a resource? Question 5: Are your current vendors a resource?
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