About That Loss Run Analysis

6 Nov

Loss Run Analysis-Cut Costs
The First Step: Cutting Worker’s Comp Costs. Loss Run Analysis Is the Second Step.

Online loss runs are the best method of cutting your Worker’s Comp (WC) costsfrom the claims perspective.  Even if you have a few accidents, online access usually results in immediate loss runs that can be printed or downloaded into a spreadsheet.

If your carrier offers a method to download information, it’s very helpful if everything possible is included in the download, because the more information on a spreadsheet, the potential to save WC dollars increases greatly.

Using the “red flag” terms when referring to loss runs is not suggested because there are no actual red flags as the loss runs may not have enough information to add this moniker on any of the claims listed. Paying attention to claim amountslooking ‘off’ is what you should analyze more specifically.

And, without looking at the loss runs, there is really no generic statements that can aid you in your loss run analysis.

For many employers the most confusing category is the term ‘Total Incurred’ which surprisingly, may not necessarily be a column on your loss runs. Below are common references used to define loss runs Total Incurred:

  • Total Reserves Incurred
  • Total
  • Total Reserves
  • Incurred
Loss Run Important Items:

  1. Injured worker’s name
  2. Date of loss
  3. Is it Open or Closed?
  4. Is the claim “litigated”, meaning injured worker has an attorney involved
  5. Claim amounts appear as “medical” and “indemnity”.  Other titles include: “medical/legal” and/or “allocated claims costs”.
  6. Cause of injury (not shown as such on all insurer loss runs).
  7. “Reserved” or “Unpaid” are claims where your action may help reduce costs or encourage insurer to close the case.

Attention getters arise when there is a significant amount of money in “reserved” or “unpaid” categories. Remember, since 2017 in California: there is a maximum dollar amount on each claim used to set your Experience Modification (Ex Mod). This amount is shown on the Workers’ Compensation Experience Rating Form issued each year by the WCIRB for your company.

Your broker has this form, so if you don’t have a copy, request it annually (prior to planning for your renewal of insurance for a new policy). The Experience Rating Form has a unique number: “Primary Threshold”. Remember, all costs of every workers’ compensation claim are charged to your Ex Mod, up to the maximum amount shown.

Beginning in 2019, every employee workers’ compensation claim will be listed on the form, and $250/claim will be deducted from the amount charged in your Ex Mod. This is done to offset the costs of “first aid” cases, which must now be reported to your insurer and the WCIRB.

CalWorkSafety offers detailed guidance on how I-9s are prepared and completed.  We assist with reviewing I-9 records and training employees on how to handle the I-9 process properly. To learn more send an email to: dondressler1@hotmail.com or call us at: 949-533-3742
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The Bottom Line:
Our Virtual HR Department offers effective hands-on Management and Staff training dealing with Mandated Regulations.  By simplifying the employee relations and compliance elements we help clients reduce workers’ compensation premiums, prevent discrimination and harassment claims, and settle/avoid employee claims. Email Us: dondressler1@hotmail.com
Visit our website: www.calworksafety.com or Call:  949-533-3742
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