The Top 6 Workers Comp Insider Secrets

For most organizations, employee related costs areclassification
one of the biggest drains on the bottom line. And- Then, the "standard class exceptions" are put into
workers compensation insurance is often the mainthe correct cost classification. When someone is not
drain. Unlike the price of gas, however, understandingproperly moved to the lower cost classification, you
these six workers compensation insurance industrypay at the highest rate. Misclassifications are common
secrets can help owners and managers aggressivelyand the system is designed for you to pay for all
control these costs. So what are they?mistakes. Would you allow an IRS agent to conduct
1. Insurance companies don't pay for your employeean audit without an expert on your side? Of course
injuries - they just finance them for you.not. Then, why allow an insurance company auditor
Do you realize that oftentimes you pay $2 to $3to conduct an audit without an expert at your side?
back to your insurance company for every dollarA workers comp audit may actually cost you more
they pay out for your employee injuries? Each claimmoney than an IRS audit. A workers comp audit is
results in an extremely expensive financing contract.every year. You may go years without an IRS audit.
You pay your premiums. Then you have to pay for4. Experience modification factors are often wrong or
almost all of your claims. You pay:mismanaged
- For employee injuries through lost dividends andMost insurance buyers accept on "good faith" that
return of premiumtheir experience modification factor is correct? Why?
- Increased costs because your ExperienceIt's just easier that way. I go into great detail about
Modification skyrocketsthis in my article Why Assuming Your Workers Comp
- Lost productivityExperience Mod is Correct Could be a Dangerous
- Reduced morale for the unhurt employees who fillCalculation. However, for our purposes here, you
in for the injured employeeneed to learn how to double check your mod
- Increased stress for management and staffbecause oftentimes it may be wrong. Your insurance
Workers Comp does not pay for employee injuries.company then collects an unfairly high premium.
You do!5. Your dividend may not be what it appears to be
2. Insurance Company Claims Management ServicesIf you were placed into a dividend program with the
are usually horrendous.promise of future savings, at least be aware that
Now that you know you write the checks for yourthese promises are often illusory. Did you just buy
employee's injuries you should realize how critical it isyour workers comp policy based on that fancy
for you to demand aggressive claims management.proposal your agent presented or did you really read
Claims adjusters are snowed under with too manythe contract that states the terms of your program?
cases. Your injured employee doesn't get theRealize that you pay a bigger premium upfront to
attention he or she deserves. In spite of this,finance the possibility that you will not have any
insurance companies continue to downsize as theyclaims. And if you do have a few claims, your
strive to increase profits. Add Managed Care to thedividend will magically evaporate.
mix and your employee's claim is often outsourced to6. Your money will fly away unless your agent pays
a case management company. The adjuster doesn'tcloser attention to your Workers Comp than any
even know what is happening or how your injuredother insurance buy.
employee is being treated. You just can't notify theHere's what your agent must do to insure you have
insurance company your employee was injured andthe best value for your workers comp insurance:
expect them to "do their job." You must have a- Claims need to be monitored
proven process in place to minimize the cost of the- Premium audits must be managed and verified
injury and expedite your injured employee's return to- Experience modifications must be double checked
work.for accuracy
3. You are penalized and overpay when the "Audit- Contract must be analyzed
Police" make a mistake on an audit- Sub-contractor's insurance must be controlled Many
Because your real insurance cost is determined afteractions are time sensitive.
your policy expires, it is essential the audit is correct.If you don't know why 6 months after your policy
You're at a disadvantage from the start. Theexpires is such a critical date, you may be overpaying
insurance company auditor knows the rules, youyour insurance. If you need a specialist in any one
don't. The auditor is not compelled by law to explainarea of your insurance program, it is in the
the rules, even if applying a rule would cause you tomanagement of your insurance that affects your
pay a lower premium. Here's how the auditor worksemployees the most- workers compensations,
against you:medical and disability benefits.
- Your entire payroll is put into the highest