8 services to negotiate with your carrier at renewal
Q. What services does your carrier or TPA offer with your premium?
A. Services provided by the Insurance Carrier or Third-Party Administrator are usually dependent on the premium size of an account. You can ask what services are available.
What services will help you manage your Workers’ Compensation claims?
What does the carrier or TPA offer in each of these categories?
Here are eight services that can be negotiated with the carrier at policy inception or renewal.
On line access to Claim Notes and Reports
For reporting injuries
To run reports/ loss runs.
Or scheduled monthly or quarterly loss runs sent directly to the insured
To review adjuster claim notes
To review payments of Temporary Disability and other claim costs
Quarterly claims reviews
In person and/or telephonic claims reviews with the claim’s liaison or the claim’s adjusters to review action plans and reserves
Carrier provides written claim status reports to all participants 1 week before the scheduled claims review to maximize value and participation by all
Designated claims examiner for all Indemnity claims
Carrier to provide a contact list for claims team, supervisor, claims liaison
If you have numerous claims per year, can you have one designated Indemnity claims adjuster who you can develop a relationship with?
Claims Notification
Email notification of claims being opened, closed, denied, reserve changes >$10,000
Email notice of start/ stop Temporary Disability (if you have 50 or more employees, this will be the trigger to start to run FMLA concurrently for eligible employees)
Return To Work
Email notification of all work statuses to plan for modified or alternative work duties
Coordination and cooperation with negotiating physician work status, job descriptions
Medical Provider Network
List of all MPN clinics in the employer’s Zip Code(s)
Assistance with establishing employer protocols with the clinic
Litigation Management
Employer participation in the selection of a designated defense attorney
Notice of all Hearings, employee depositions, Status Conferences
Notification of all settlement recommendations
Safety/ Loss Control
What services are available?
Initial appointment with the Loss Control consultant to determine the employer’s needs.