Insurance Placement Solutions’ Post

An alternative dispute resolution (ADR) program might be a good fit for your #construction company to help lower workers compensation costs and improve employee care. Click the link to learn if this sort of program is right for your company. #WorkersComp #RiskManagement

An alternative dispute resolution (ADR) program might be a good fit for your #construction company to help lower workers' compensation costs and improve employee care. Click the link to learn if this sort of program is right for your company. #WorkersComp #RiskManagement

An alternative dispute resolution (ADR) program might be a good fit for your #construction company to help lower workers compensation costs and improve employee care. Click the link to learn if this sort of program is right for your company. #WorkersComp #RiskManagement

August is normally right bang in the middle of what journalists call 'silly season' - a period in which 'proper' news is hard to come by, but the past couple of weeks have shaken the country to its very core. So I would like to start this week's round-up with a piece you will find on Health & Protection's sister title, written by my colleague and Benefits Expert editor, the brilliant, Claire Churchard. In the her piece Claire spoke to employment lawyers to find out more about employers' legal options to mitigate the fallout from the riots of the past fortnight. https://lnkd.in/egzVKBQz Back on Health & Protection, our most clicked story was my piece with former Advo Group Colin Boxall, who spoke to us about why intense market competition meant now was the right time to sell up and how his departure from health and protection advice does not mean he will be a stranger to the sector. https://lnkd.in/emY4KS54 Bupa also dominated the clicks with a number of announcements including their launch of a £300 dental allowance for individual private medical insurance (PMI) customers. https://lnkd.in/eqNbFunK And the biggest player in the protection insurance market, Legal & General, announced H1 2024 results which delivered an 11% increase in UK protection sales in the first half of 2024, driven by group risk business, compared to the same period last year. https://lnkd.in/egJTr5Tc It just remains for me to wish you all a happy Friday, stay safe out there everyone, and we'll be back Monday (with our Ricky back from his hols) with all of the top stories from the world of health and protection.

4 Items Claims Handlers Want From Their Defense Attorney    Workers’ compensation defense attorneys may lay awake at night wondering what their claims handler really wants.  Besides getting their files closed in a timely manner, they want to work with defense attorneys committed to a zealous defense of the file in an ethical and cost-effective manner.  Here are some tips that can help defense attorneys sleep better at night, knowing they are giving their claims handler what they want.    Calculate the Average Weekly Wage (AWW)    The AWW is the basis for most indemnity benefits in a workers’ compensation claim.  Failing to calculate it correctly can increase the cost and exposure of the claim.  A seasoned defense attorney needs to communicate with the employer and receive additional explanations from the employee on a number of issues.  The list can be endless, but some special considerations include:    - Whether the employee was a full or part-time worker; - Whether the employee was working any additional jobs outside the employer involved in the claim; - Investigation into the nature of any fringe benefits the employee was receiving. This includes tips, bonuses, insurance benefits and other forms on potential income; and    Calculate and Evaluate the Indemnity Exposure    Once the AWW is correctly calculated, the defense attorney can provide an accurate analysis of wage loss exposure to the claims management team.  This includes information on the following benefits:    - Temporary Total Disability (TTD)Temporary Partial Disability (TPD)— - Permanent Partial Disability (PPD) - Permanent Total Disability (PTD)     Aggressive Defense Strategy That is Cost-Effective    Members of the claims management team also appreciate an aggressive defense strategy that moves a case toward settlement efficiently and cost-effectively.  Considerations for such planning include:    - An immediate status report upon receiving the claims file, with periodic reports that are robust and evaluate the strengths and weakness of various defenses, a reasonable strategy, and probable outcome; - Identifying missing information that needs to be discovered to provide an accurate analysis and defense. This includes a plan on how to uncover this information and who might be a witness at the hearing; and    Medicare Secondary Payer Compliance    Medicare Secondary Payer compliance is an important part of any workers’ compensation claim analysis.  This includes recommendations on the following topics:    - Whether a service provider should be utilized to prepare a Medicare Set-aside allocation; - If the Medicare Set-aside should be included for review and approval under the voluntary CMS process and - Matters concerning conditional payment identification and repayment.      https://lnkd.in/gyVKmXtp  P.S. Get our #1 Rated WC Training Manual "Your Ultimate Guide to Mastering Workers' Comp Cost"     https://lnkd.in/g55Z2SXe 

Workers' comp laws vary from state to state, and knowing the differences can make or break claims management. Here are the differences to consider between CA and FL. #SPLI #EmployeeBenefits #PEO #WorkersComp #PayrollServices

4 Items Claims Handlers Want From Their Defense Attorney    Workers’ compensation defense attorneys may lay awake at night wondering what their claims handler really wants.  Besides getting their files closed in a timely manner, they want to work with defense attorneys committed to a zealous defense of the file in an ethical and cost-effective manner.  Here are some tips that can help defense attorneys sleep better at night, knowing they are giving their claims handler what they want.    Calculate the Average Weekly Wage (AWW)    The AWW is the basis for most indemnity benefits in a workers’ compensation claim.  Failing to calculate it correctly can increase the cost and exposure of the claim.  A seasoned defense attorney needs to communicate with the employer and receive additional explanations from the employee on a number of issues.  The list can be endless, but some special considerations include:    - Whether the employee was a full or part-time worker; - Whether the employee was working any additional jobs outside the employer involved in the claim; - Investigation into the nature of any fringe benefits the employee was receiving. This includes tips, bonuses, insurance benefits and other forms on potential income; and    Calculate and Evaluate the Indemnity Exposure    Once the AWW is correctly calculated, the defense attorney can provide an accurate analysis of wage loss exposure to the claims management team.  This includes information on the following benefits:    - Temporary Total Disability (TTD)Temporary Partial Disability (TPD)— - Permanent Partial Disability (PPD) - Permanent Total Disability (PTD)     Aggressive Defense Strategy That is Cost-Effective    Members of the claims management team also appreciate an aggressive defense strategy that moves a case toward settlement efficiently and cost-effectively.  Considerations for such planning include:    - An immediate status report upon receiving the claims file, with periodic reports that are robust and evaluate the strengths and weakness of various defenses, a reasonable strategy, and probable outcome; - Identifying missing information that needs to be discovered to provide an accurate analysis and defense. This includes a plan on how to uncover this information and who might be a witness at the hearing; and    Medicare Secondary Payer Compliance    Medicare Secondary Payer compliance is an important part of any workers’ compensation claim analysis.  This includes recommendations on the following topics:    - Whether a service provider should be utilized to prepare a Medicare Set-aside allocation; - If the Medicare Set-aside should be included for review and approval under the voluntary CMS process and - Matters concerning conditional payment identification and repayment.      https://lnkd.in/g3FjxMbR  P.S. Get our #1 Rated WC Training Manual "Your Ultimate Guide to Mastering Workers' Comp Cost"     https://lnkd.in/eWafrSba