Workers Compensation
January 8, 2025
Five Factors Driving Up Your Workers' Comp Costs
Workers’ comp costs can skyrocket if you miss these critical factors.
Factor 1
Insurance companies don't pay for employee injuries - they just finance them for you at an exorbitant cost
You pay $2 to $3 to the insurance company for every dollar it pays out for employee injuries. Each claim results in the most expensive financing contract you have in your business.
First, you pay outrageous premiums. Then, you pay again for almost all your claims:
You pay more because your Experience Modification skyrockets
You pay for lost productivity
You pay for the low morale of the other employees who fill in for the injured employee
You pay for increased management and staff stress
You have Workers' Comp for only two reasons:
The law requires it.
Workers' Comp spreads the actual cost of employee injuries out over time
Workers' Comp does not pay for employee injuries. You do!
Factor 2
You must take an active part in claims' management
Now that you know you write the checks for your employees' injuries (you can have more proof if you want it), you must install a defined process and communicate it often to employees so that when an employee suffers an injury, your team and the injured employee knows exactly what to do.
Which medical providers to visit
What happens immediately after the medical provider visit
The plan for the injured employee to Recover at Work
You must report the injury to the insurance company "before the sun sets" the day of the injury. It will be the insurance company that issues the checks to pay the bills, However it is your company's process that will help keep your Workers' Comp costs down. A process protects against an experience mod that jumps higher and costs you gobs of additional premium.
Factor 3
You control if your audit is error free, overcharge free and 100% correct
Because your real insurance cost is determined after your policy expires, it's essential the audit is correct.
You're at a disadvantage from the start. The insurance company auditor knows the rules, you don't.
The law does not compel the auditor to explain the rules, especially if applying a rule would cause you to pay a lower premium.
Here's how the auditor works against you:
Your entire payroll is put into the highest classification
The "Standard class exceptions" are put into the correct cost classification. When someone is not properly moved to the lower cost classification, you pay at the highest rate
Misclassifications are common and the system is designed for you to pay for all mistakes. There are many other errors or omissions that are made in addition to misclassifications.
Would you allow an IRS agent to conduct an audit without an expert at your side?
Of course not. Then, why allow an insurance company auditor to conduct an audit without an expert at your side? A workers' comp audit may actually cost you more money than an IRS audit. A Workers Comp audit is every year. You may go years without an IRS audit.
Factor 4
Experience modification factors are often wrong or mismanaged
Most insurance buyers assume their experience modification factor is correct. This is a dangerous assumption because most of the time it may be wrong. When that happens, the insurance company benefits. Even if correct, it may be mismanaged and you're overcharged. There are simple strategies to lower it. A CompField agent knows how to control your costs.
Factor 5
Your Workers' Compensation is the only insurance you and your agent can control
If you and your agent do not pay closer attention to your Workers' Comp than any other insurance you buy, you will suffer unnecessary and controllable errors and overcharges.
Here's what we do to insure you're not being overcharged:
Help you establish a process that jumps into action when an employee suffers an injury
Build a process to manage (not monitor) claims internally
Manage and verify premium auditsValidate your experience modification for accuracy.
Analyze your insurance plan to ensure it is the correct plan for you Control sub-contractors insurance
Especially if you are a contractor, work diligently to keep your experience modification factor less than 1.00.
Confirm each employee is classified properly
Many actions are time sensitive. If you don't know why six months after your policy expiration date is the most critical date, you may be overcharged for your insurance.
If you need a trained and certified specialist in any one area of your insurance programs, it is managing the insurance programs that affect your employees the most - Workers' Compensation, medical and disability.
Bonus
Your Company Website Could Be Hurting You
Underwriters often assess your professionalism and risk management culture by reviewing your website.
Be specific about the services you provide.
Avoid listing every potential job your company could do, especially outdated services performed years ago. This type of vague or inflated representation can make underwriters wary. They prefer a clear and accurate understanding of your business operations. Misleading or outdated information could lead to carrier declinations or higher rates, as underwriters may perceive you as engaging in high-risk activities.
This article was originally published by Institute of Work Comp Professionals. You can read the full post here: [www.workcompprofessionals.com]
Reach out to a Certified Work Comp Advisor at CompField today to discover how we can help improve your workers’ comp program and protect your bottom line.
Email: jake@compfield.com