Claims – ÌÇÐÄ´«Ã½ Tue, 11 Aug 2026 11:34:14 +0000 en-US hourly 1 https://wordpress.org/?v=6.6.11 /wp-content/uploads/2024/03/cropped-cropped-favicon-512x512-1-32x32.png Claims – ÌÇÐÄ´«Ã½ 32 32 Beyond the Claim: Building a Stronger Workers’ Compensation Community /blog/building-stronger-workers-compensation/ Tue, 11 Aug 2026 11:34:14 +0000 /?p=9105 Read more]]> Two hundred sixty attendees. One inaugural conference. Countless conversations continuing long after the sessions ended.

For many in the Illinois workers’ compensation community, was more than an industry event. It was a deliberate in building something stronger: a more connected, collaborative space where claims professionals, attorneys, employers, vendors, and risk leaders could move beyond transactional conversations and focus on practical solutions together.

In an industry often shaped by complexity, competing priorities and rising claim challenges, creating space for meaningful collaboration matters more than ever.

And the timing is important. Workplace injuries continue to carry significant human and financial impact across the country, with employers navigating rising medical costs, mental health considerations, return-to-work challenges, and increasingly complex claims environments, private industry employers reported approximately 2.5 million nonfatal workplace injuries and illnesses in 2024 alone, underscoring the continued importance of helping injured employees recover safely. Yet many professionals continue to face those challenges in silos, separated by role, organization or perspective.

set out to change that.

Abbi Brock, Workers’ Compensation Claims Resolution Specialist at ÌÇÐÄ´«Ã½
Abbi Brock, Workers’ Compensation
Claims Resolution Specialist at ÌÇÐÄ´«Ã½

Building Something More Connected

For Abbi Brock, Workers’ Compensation Claims Resolution Specialist at ÌÇÐÄ´«Ã½, involvement as a founding member of the organization came from recognizing an opportunity to create a different kind of industry experience — one rooted not only in education, but in authentic connection and actionable discussion.

“There are a lot of great events out there,� Brock explains, “But we saw an opportunity to build a space that felt a bit more connected — where industry professionals could have honest conversations about the challenges we’re all facing.�

The response suggested that a vision had been needed all along.

Throughout the conference, the most meaningful conversations often extended beyond the scheduled sessions. Panel discussions evolved into hallway conversations, and hallway conversations became opportunities to exchange ideas across roles, organizations and perspectives. What emerged was something deeper than networking; it became much more of a shared recognition that many organizations are navigating the same challenges and that meaningful progress often begins by bringing people together earlier and more intentionally.

“It didn’t feel like just another conference,� Brock says. “It felt like people were genuinely invested in learning from each other and improving how we approach claims.�

Connecting the Dots Before Claims Spiral

One of the conference’s standout discussions centered on Brock’s panel: Red Flags and Rescue: Connecting the Dots Before Claims Spiral.

Beyond the Claim: Building a Stronger Workers’ Compensation Community

The conversation focused on a growing reality within Workers’ Compensation: claims rarely become complex overnight. More often, escalation begins with smaller indicators — communication breakdowns, delayed interventions, psychosocial concerns, or missed opportunities to coordinate care and return-to-work efforts proactively.

The panel emphasized recognizing those signals early, improving communication across stakeholders and acting before smaller concerns developed into more complex claims. Recent that cases involving days away from work resulted in an average of eight days away from work. Stats like this help highlight the importance of timely communication, coordinated care and effective return-to-work strategies.

“Successful outcomes often come down to connecting the dots,â€� Brock explains. “Whether that’s between medical care, return-to-work efforts or the psychosocial factors influencing recovery, early communication often creates opportunities to change the trajectory of a claim.”

That proactive mindset reflects a broader evolution taking place across the Workers’ Compensation industry. As claims environments grow more nuanced, organizations increasingly recognize that strong outcomes depend not only on technical expertise, but on communication, partnership, and early intervention strategies that keep people moving forward.

Beyond the Claim: Building a Stronger Workers’ Compensation Community

Perhaps no message captured that mindset more clearly than one simple reminder shared during the discussion.

“In the words of Lindsay Huffman, AVP of Workers’ Compensation Claims here at ÌÇÐÄ´«Ã½,â€� Brock shared, “‘Say less, listen more.’â¶Ä�

Simple in phrasing, but powerful in practice.

Behind the scenes, bringing IL Work Comp Connect to life required months of coordination, planning, and shared commitment among organizers and industry partners. But for Brock, the turnout ultimately validated the larger purpose behind the effort.

Momentum Built Through Collaboration

“When you’re building something from the ground up, there’s always a level of uncertainty,� she says. “But seeing the engagement really validated the vision we had.�

Attendees responded with the same enthusiasm, expressing appreciation for having an event in Illinois dedicated not just to presentations, but to meaningful industry dialogue and practical learning opportunities.

That sense of momentum may ultimately become the conference’s greatest success. , sharing injury and illness data helps employers identify workplace hazards and strengthen prevention efforts. Conferences like expand that idea by creating opportunities for professionals to exchange experiences, discuss emerging challenges and learn from one another.

Rather than repeating the same conversations year after year, organizers hope to continue evolving the event around the topics the Illinois workers’ compensation community wants to explore most.

“This year really set the foundation,� Brock says. “I think we’re just getting started.

Beyond the Claim: Building a Stronger Workers’ Compensation Community

Connecting with industry leaders at the inaugural
Illinois Work Comp Connect Conference. April 2026
.

Stronger Outcomes Start with Stronger Connections

At its core, demonstrated that the industry’s greatest opportunities often begin with a conversation.

Because the strongest outcomes rarely happen in isolation. They’re built through relationships. Through shared expertise. Through people willing to listen carefully, act early, and work together toward better solutions for injured workers and employers alike.

At ÌÇÐÄ´«Ã½, we believe those moments matter. Helping organizations navigate risk, strengthen workplace outcomes, and build resilient partnerships takes more than technical knowledge alone — it requires people willing to meet challenges head-on and move the conversation forward together.

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Confidence in Workers’ Compensation Claims: Where Timing and Expertise Win /blog/confidence-in-workers-compensation-claims/ Tue, 18 Nov 2025 13:56:15 +0000 /?p=8365 Read more]]> When the unexpected happens on the worksite — a slip, a strain, an incident that triggers a claim — the clock starts ticking. For organizations in manufacturing, construction, or healthcare, that first response window can mean the difference between a manageable claim and a costly disruption.

Many businesses hesitate, hoping a minor injury resolves on its own or fearing a report might raise premiums. Yet experience consistently shows the opposite: when a workers’ compensation claim is reported promptly and handled by a carrier with specialized expertise, costs are contained, outcomes improve, and future rates stay stable. The first call after an incident often shapes every step that follows.

Why So Much Rides on “When�

Workplace injury data continues to paint a revealing picture of how timing influences cost and recovery. In 2023, private-industry employers roughly 2.6 million nonfatal workplace injuries and illnesses—a notable 8% decline from the prior year. Yet nearly one million of those cases involved days away from work, showing how even seemingly minor incidents can quickly disrupt operations and productivity.

Each number tells a story about timing and impact. Workers’ compensation claims that remain unreported for even a few days tend to grow more expensive—not simply because of rising medical costs, but because critical details fade, treatment is delayed, and uncertainty heightens stress for the injured employee. has consistently shown that waiting just one to two weeks can nearly double total claim costs, as the window for early intervention and return-to-work narrows. The sooner an adjuster can coordinate medical care and verify the circumstances, the greater the control over outcomes and overall exposure.

The impact also reaches beyond dollars and cents, touching how employees recover and how teams operate. allows carriers to engage nurse case managers, prevent unnecessary treatments, and reduce litigation potential. And staying compliant is another key part of the picture, ensuring businesses meet requirements while maintaining transparency and trust. Federal regulations under the OSHAÌý employers to document and submit severe injuries—such as hospitalizations, amputations, or fatalities—within tight timeframes, sometimes as short as eight hours for a fatal incident. Missing those deadlines can trigger penalties that start at thousands of dollars per violation and, more importantly, can signal to employees and regulators that safety accountability is lacking.

“Reporting an injury right away gives everyone the best chance for a positive outcome,â€� says Brandie McDonald, Director of Claims Compliance and Operations at ÌÇÐÄ´«Ã½. “It allows us to step in early to guide next steps and coordinate care, so the injured employee feels supported and the business can stay focused on recovery rather than red tape. That early connection really makes a difference.â€�

Timely claims handling, then, becomes more than a procedural task. It’s a safeguard that protects compliance, preserves culture, and demonstrates a company’s credibility and care long before a case ever reaches the settlement stage.

Expert Claims Handling Delivers

When an injury is reported right away, an experienced workers’ compensation claims partner like ÌÇÐÄ´«Ã½ can mobilize the right team: assigning an adjuster who knows your industry, engaging trusted medical providers, launching early return-to-work strategies, and deploying technology-driven tools to monitor progress. This isn’t about speed for its own sake — it’s about precision and prevention.

For high-risk industries such as manufacturing, construction, and healthcare, our expertise carries tangible value. Proactive management helps stabilize the — a key factor in workers’ compensation premiums — and protects renewal positioning. It also builds trust within the workforce, signaling that employee safety and well-being are priorities, not just paperwork.

Moving Ahead with Confidence

When handled quickly and thoughtfully, a claim becomes more than a response to an incident — it’s an opportunity to demonstrate care, accountability, and leadership. Prompt reporting shows responsibility to employees and commitment to the business itself, strengthening trust and reinforcing the values that define lasting partnerships. A timely approach not only reduces costs and downtime but also supports recovery, confidence, and culture — proving that how your business responds in critical moments says just as much about it as the outcome itself.

Discover how ÌÇÐÄ´«Ã½ helps organizations turn claims into confidence through timely, expert claims handling that protects what matters most — your people, your operations, and your future.

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Driving Change: Michael Hatcher & Associates Transforms the Landscape of Auto Claims /blog/driving-change-michael-hatcher-associates-transforms-the-landscape-of-auto-claims/ Mon, 11 Mar 2024 18:26:01 +0000 /driving-change-michael-hatcher-associates-transforms-the-landscape-of-auto-claims/ Read more]]> Since opening their doors in 1986, has become one of the most respected names in the Memphis area landscape industry. If you take a drive around the Mid-South and see a beautifully maintained property, chances are that you’ll see one of their hard-working teams there. They have a Commercial Landscape division that specializes in landscape installation and maintenance, including irrigation, with a service portfolio that includes professional offices, medical facilities, retail centers, industrial complexes, multifamily developments, and retirement and homeowner association communities. The company’s Lawn Care division, Master Lawn, offers lawn care fertilization and weed control.

Now situated in Olive Branch, Mississippi, with a workforce exceeding 200 and a fleet of over 70 vehicles on the road every day, Michael Hatcher & Associates is deeply invested in maintaining the highest standards of safety and operational efficiency.

´¡³¾±ð°ù¾±²õ³Ü°ù±ð’s partnership and safety journey with agency, , started with Michael Hatcher & Associates in 2010. Initially, the service delivery was focused on improving the overall safety culture and safety procedures for their employees. After making great strides in reducing the frequency and severity of worker’s compensation claims, the next step switched to improving key leading indicators in their fleet safety program.

In 2020, a strategic initiative was launched in collaboration with Josh Wilder, Safety Manager at Michael Hatcher & Associates. This initiative aimed to fortify driver selection procedures and leverage cutting-edge fleet technology solutions. Measures included the implementation of annual Motor Vehicle Records (MVR) reviews and the integration of advanced telematics controls.

Wilder expressed the impact of the partnership:

Working with the ÌÇÐÄ´«Ã½ and Insight team has been great. By implementing both MVR & telematics, we have been able to get in front of potential driver issues. Anytime I need help, they are quick to respond and provide feedback too. Our team has bought into the process, and we are reaping the benefits.

A critical aspect of this improvement strategy was the introduction of a third-party vendor, iiX, recommended by ÌÇÐÄ´«Ã½. This partnership allowed for comprehensive MVR checks on all company drivers, benefiting from preferred pricing arrangements with iiX. In 2021, Michael Hatcher & Associates fully institutionalized an annual MVR check for all company drivers, adhering to meticulously defined criteria to ensure the safest drivers were operating company vehicles. 

Building on this foundation, ÌÇÐÄ´«Ã½ Risk Management teams collaborated with Michael Hatcher & Associates to enhance the utilization of existing telematics systems. This involved monitoring driver speed, aggressive driving behaviors (such as hard braking, turning, and acceleration), and seatbelt usage. The resulting data facilitated the creation of weekly driver reports by Wilder, enabling company managers to instill accountability and find opportunities to address at-risk behaviors by immediately coaching the driver.

Pat Siano, agency producer and Insight Risk Management Vice President, highlighted the longstanding commitment to safety:

Michael Hatcher & Associates has been a long-time ÌÇÐÄ´«Ã½ policyholder, and their commitment to safety is second to none. They are proactive in their relationship with their ÌÇÐÄ´«Ã½ Risk Management Consultant, Jeremy Biggs, whether it is including him in safety discussions or putting in place any recommendations that he makes to help them improve their safety culture.

The outcomes of these strategic enhancements are more than noteworthy. Michael Hatcher & Associates has achieved an average annual reduction of 95% in the cost of auto claims, coupled with an 87% reduction in the frequency of auto claims. This success underscores their unwavering commitment to safety, operational excellence, and continuous improvement, positioning them as a benchmark in the industry.

If you are interested in implementing an MVR program or utilizing telematics to improve your company’s overall fleet risk, please contact your ÌÇÐÄ´«Ã½ Risk Management consultant. If you are interested in coverage and our risk management services, find an agency here and one of our partners will assist you.

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Understanding The Importance of Proper & Timely Claims Handling /blog/understanding-the-importance-of-proper-timely-claims-handling/ Tue, 12 Sep 2023 21:58:16 +0000 /understanding-the-importance-of-proper-timely-claims-handling/ Read more]]> One of the key benefits of partnering with an insurance provider with expertise in your business sector is the ability to appropriately handle claims. When a claim occurs – no matter the size – it may be a concern that your premium rates could rise the following year. Although tempting to self-handle claims or delay the claims handling process, ultimately this practice could cost more money and cause rates to increase to a greater extent than if a business immediately reports the claim to their insurance carrier.

When following the proper channels, businesses can benefit from the support that comes with coordinating the claims process through an expert. Claims representatives have proven knowledge and experience to settle claims at the lowest possible amount while also providing lifecycle claims handling, offering customized support, and detecting potential fraud. Claims representatives are also able to close the claim as soon as possible, helping with the prevention of high litigation costs.

Claims Costs & Reporting Lag Time

Depending on business size, the cost of a claim can impact a company’s Experience Modification Rate (for Workers’ Compensation) and underwriting discretionary pricing. (EMR), also known as experience modification factors or an experience modifier, are a comparison of a company’s expected Workers’ Compensation claim costs versus the actual claim costs.

To support strong EMR results and reduce overall costs, it is in a company’s best interest to report a claim as soon as it occurs. There are numerous studies confirming that the sooner an insurance carrier can work on claim management, the lower the ultimate payout will be. In fact, according to a research brief on the relationship between accident reporting lag times and claim cost in Workers’ Compensation by the the median cost of claims reported one day after an incident was significantly lower than claims that were reported two weeks after an incident.

Best Practices for Claims Handling

It is crucial to report a claim immediately to your company’s insurance carrier to enable the carrier to assign an expert to handle the claim, create a case number for the incident, and begin to control the cost. If a claim occurs during your policy period, make sure to report the claim as soon as possible directly through the insurance carrier’s website or phone number.

Reporting claims promptly will benefit your company and, ultimately, help keep insurance costs low.

Learn More

´¡³¾±ð°ù¾±²õ³Ü°ù±ð’s SureClaimsâ„¢ experience leverages cost-saving practices to help protect your bottom line. Minimize total costs through technology, clinical expertise, medical provider collaboration, and negotiation services, including medical bill review, injury fraud prevention, early return-to-work programs, risk mitigation, managed medical costs and our digital first notice of loss portal.

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Problem Solver Kimberly Vaughn Levels-Up the Claims Experience /blog/problem-solver-kimberly-vaughn-levels-up-the-claims-experience/ Mon, 13 Mar 2023 22:38:05 +0000 /problem-solver-kimberly-vaughn-levels-up-the-claims-experience/ Read more]]> Throughout Women’s History Month, we will feature female change-makers and leaders at ÌÇÐÄ´«Ã½ who are providing an industry-leading experience and making an impact within the insurance space.

Kimberly Vaughn has applied her expertise, passion for great outcomes, and emphasis on teamwork to deliver second-to-none service and grow in her career – and she’s not slowing down anytime soon.

Kimberly Vaughn, Stars of Claims
Kimberly Vaughn, Presenting on stage at Connected Claims 2022

In her role as vice president of claims experience & customer analytics at ÌÇÐÄ´«Ã½, Kimberly is focused on providing an exceptional claims experience for agency customers and policyholders. She is responsible for developing and executing a roadmap for the claims customer experience and uncovering ways to leverage data and provide insights to policyholders that positively impact their loss experiences.

Claims Experience Organization – A Unique Service Approach

Kimberly’s passion for commercial insurance and a collaborative claims process is reflected in the strength of her team – the Claims Experience Organization (CXO). Officially launched in November 2021, the CXO serves a broad portfolio of customers and policyholders by facilitating connections, solving problems, providing critical data insight, and supporting the delivery of a consistent claims experience.

In its first full year and as part of the company’s One ÌÇÐÄ´«Ã½ service value proposition, Kimberly and the CXO team accomplished a number of feats, including instituting policyholder welcome kits to onboard new policyholders to ´¡³¾±ð°ù¾±²õ³Ü°ù±ð’s service offerings; rolling out account and agency-level dashboards for easy access to claims data; streamlining the claims review process by centralizing the scheduling, coordinating and creating action plan packets; supporting the company’s field marketing & underwriting teams to earn new business; and hosting policyholder presentations and training.

Building Up Those Around Her

Kimberly believes the most effective work environment is one in which a team can sort through many ideas by sharing them aloud, and building off one other’s ideas to ultimately create a better product. Her leadership style can be described as “clear and direct� – she believes everyone would rather be operating with the shared set of information and prefers to make transparent decisions.

Kimberly has a passion for teaching and inspiring other professionals within the industry. She also believes in recognizing opportunities for women and recommending talent within her professional orbit.
“I have personally been the beneficiary of those who have given me a chance to professionally develop,� said Vaughn. “I would not be where I am today if I hadn’t been given those chances.�

Kimberly has made significant contributions to the advancement of younger colleagues, especially in helping them build their confidence. When asked to offer her insight to young women thinking of joining the industry, she shares: “I love to tell young professionals, ‘Own your seat at the table, you’re there for a reason.’ I am passionate about encouraging women colleagues to plan their future and own their place in their professional universe. This helps to move them out of the common mind frame of ‘who am I to say?’â¶Ä�

Making Waves

Kimberly Vaughn triathlon
Kimberly at the starting area of a triathlon

Kimberly has experienced growth both personally and professionally and strives to try new things. She is a member of the Ann Arbor Triathlon Club, which has over 200 members. She has served on the board of the club, including as president, and as a member of the board helped cultivate a welcoming environment to all levels of athletes, whether elite or casual.

Kimberly’s favorite sport is swimming, and she is a certified lifeguard and a U.S. Masters Swimming Adult Learn-to-Swim certified instructor. She spends time serving as an instructor at the YMCA to coach water-shy adult swimmers. This activity allows Kimberly to positively influence the lives of other adults outside of her professional landscape.

“My area of specialty is working with adults who are scared of the water. Many of my students start too afraid to even put their faces in the water. The day my first-ever student treaded water in the deep end without my help, we both cried! It is really rewarding,� said Vaughn.

Looking ahead, Kimberly is excited about further developing claims team talent and coaching future leaders for ÌÇÐÄ´«Ã½, as well as continuing to serve as a positive influence on the insurance industry.

 

 

__________________

About Kimberly Vaughn

Kimberly joined ÌÇÐÄ´«Ã½ in 2013 as a member of the technical claims team, focusing on high severity and high complexity Workers’ Compensation claims. In 2016, she was promoted to Assistant Vice President (AVP) of Workers’ Compensation Claims, before moving into the role of AVP of Claims for the North Region in 2018 and then launching the CXO in 2021. She began her career practicing law in Chicago, first as a member of the plaintiffs’ bar, then as a defense attorney, before returning to her home state of Michigan to join ÌÇÐÄ´«Ã½. She earned her Bachelor of Arts and Juris Doctor degrees from Michigan State University and is licensed to practice law in Illinois and Michigan. She is admitted to the U.S. District Court for the Northern District of Illinois, the Northern District of Indiana, and the United State Supreme Court..

Kimberly earned the Certified Litigation Management Professional (CLMP) designation in 2015, the Advanced Claims Professional (ACP) designation in 2020, and the Construction Risk and Insurance Specialist (CRIS) designation in 2021. She is active with Chief, an organization connecting women executive leaders, the Claims and Litigation Management Alliance (CLM), previously serving as dean and faculty member for the CLM Claims College School of Workers’ Compensation, and with RISE Professionals, an organization supporting young professionals in the insurance industry.Ìý She is a frequent speaker on industry topics, most recently with Reuters, ClaimsXchange, and the CLM’s Litigation Management Symposium.

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Top ÌÇÐÄ´«Ã½ Insights of 2022 /blog/top-blog-posts-of-2022/ Wed, 21 Dec 2022 02:45:43 +0000 /top-amerisure-insights-of-2022/ Read more]]> This year, ÌÇÐÄ´«Ã½ shared 30 blog posts on industry trends, risk management best practices, and important national recognitions. As 2022 comes to a close, be sure to check out (or enjoy again!) our most-read blog articles.

Top Blogs of 2022

OSHA Announces Top 10 Safety Violations for 2022

The Occupational Safety and Health Administration (OSHA) released its list of the most frequently cited safety standards for fiscal year 2022. The annual list, announced at the National Safety Council Safety Congress & Expo, is determined from worksite inspections and aims to alert employers and safety professionals about frequent citations and violations to help prevent their occurrence.

Manufacturing Industry Trends: What Successful Companies Are Doing Differently

Safety, technology, and strong teamwork to enhance collaboration are just some of the factors that manufacturers are focusing on to create improved efficiencies. As the manufacturing industry eyes positive economic indicators amid continued supply chain disruptions, now is the time for companies to consider some of the key characteristics of future-ready manufacturers.

Honorable Mention
ÌÇÐÄ´«Ã½-Sponsored Athlete J.J. Spaun Earns Victory in San Antonio, Ticket to Augusta

It’s an exciting time for 31-year-old J.J. Spaun, an ÌÇÐÄ´«Ã½-sponsored golf professional who rallied from a double bogey start in the final round at the Valero Texas Open in San Antonio, Texas, producing birdies and pars thereafter to regain the lead. He dropped to 13 under par and held it, winding up with his first PGA TOUR victory by two shots and an invitation to the Masters this weekend. Fans, followers, and the ÌÇÐÄ´«Ã½ family cheered him on and are ecstatic for Spaun and his hard-fought victory.

Top Blogs of All Time

ÌÇÐÄ´«Ã½ has been sharing helpful information for policyholders on our Insights Blog for nearly a decade. Below are some of our most-read blogs of all time.

 

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Workers’ Compensation Claims: 3 Ways to Reduce Workplace Injury /blog/workers-compensation-claims-severity/ Wed, 07 Dec 2022 05:53:43 +0000 /workers-compensation-claims-severity-on-the-rise-3-focus-areas-can-help-reduce-wc-claims/ Read more]]> The severity of Workers’ Compensation claims . At the National Council on Compensation Insurance (NCCI) Annual Issues Symposium held earlier this year, the NCCI showed data confirming an industry-wide trend in increasing claim severity. The aging workforce, medical inflation from expensive technology, and rising wages leading to higher indemnity costs are some of the reasons claims severity is increasing, .

One common misstep companies can make during a Workers’ Compensation insurance claim is to cut off communication with the involved parties. Communication is a vital method to keeping down costs related to this aspect of insurance, and injured workers want to be kept in the loop with the process.

Additionally, proactive strategies at your workplace can help reduce the likelihood of Workers’ Compensation claims. Consider these key methods to reduce Workers’ Compensation claims:

  • Encourage Employees to Take Breaks: Many issues can lead to an increase in workplace injuries, illnesses or accidents. These aren’t always directly related to hazards on the job, and employers should strive to create an environment that promotes healthy behavior. Encourage employees to take breaks, go for walks or perform a variety of tasks throughout the day.
  • Rethink Your Workspace: According to California’s Commission on Health and Safety and Workers’ Compensation, poorly designed workspaces can be detrimental to a person’s health. Working in the same area for a prolonged period can lead to damage in the hands, arms, neck, back, feet or legs. Measures should be taken to prevent workers from unsafely repeating the same motions throughout the day.
  • Reduce Worker Stress: Chronic stress can be caused by work overload or pressure, an accelerated work pace, harassment, and job insecurity, among other factors. This stress can cause health conditions such as high blood pressure, heart disease and emotional distress. Employees who are stressed can make mistakes or ignore safety protocols. This could lead to an increase in serious accidents and, ultimately, more Workers’ Compensation insurance costs.

Businesses should remain proactive when considering ways to reduce Workers’ Compensation claims. Any lapse in these areas could have negative effects throughout the company and to your bottom line.

LEARN MORE:

For more information on the ins and outs of a Workers’ Compensation claim, click here.

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Leveraging the Latest Technology Improves Insurance Operations and Services /blog/leveraging-the-latest-technology/ Sat, 13 Aug 2022 01:23:25 +0000 /leveraging-the-latest-technology-improves-insurance-operations-and-services/ Read more]]> The exploration of technologies and search for differentiation in the insurance industry is driving an increased focus by insurance carriers on providing superior service to agency partners and customers. Being tuned into today’s options can empower companies to find innovative solutions, and many carriers are implementing scaled improvements to advance operations and ultimately create a more seamless experience for policyholders.

Omni-Channel Service Ìý

Insurance companies are responding to where customers choose to conduct business, whether it’s through a digital channel, over the phone, or a little of both. This optionality provides the autonomy and flexibility for customers to opt-in and out of digital channels depending on their circumstances.

Enhanced Core Systems
Forward-thinking carriers in the insurance space are identifying unique ways to optimize their core systems to Multi-functional core software makes it easier to innovate and integrate other new capabilities.

Predictive Analytics
By leveraging predictive analytics, today’s claims adjusters can help minimize the impact worksite injuries have on businesses and their employees. The usage of artificial intelligence helps carriers for a claimant’s specific injuries, enabling a faster recovery.

Multi-Area Solutions
Many companies are focused on opportunities to leverage software across multiple areas for enhanced solutions. For example, utilizing the same vendor for processing claims and underwriting. This synergy improves the user experience as well as enhances efficiencies for employees and customers.

ÌÇÐÄ´«Ã½ is proud to implement technological advancements to help improve processes and outcomes. Learn more about our cutting-edge capabilities and industry-leading customer service.

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ÌÇÐÄ´«Ã½ Employees, Leaders Participate in Claims College Event /blog/amerisure-employees-leaders-participate-in-claims-college-event/ Fri, 10 Sep 2021 01:04:50 +0000 /amerisure-employees-leaders-participate-in-claims-college-event/ Read more]]> ÌÇÐÄ´«Ã½ will make an impressive showing at the this year, with five leaders teaching courses and 17 employees attending to further their professional development.

Held in Baltimore, and virtually, Sept. 8-11, Claims College is an educational event hosted by The Claims and Litigation Management Alliance (CLM) designed to help educate and grow the claims profession. Attendees build toward a Certi�ed Claims Professional (CCP) designation.

The diverse courses being taught by ÌÇÐÄ´«Ã½ leadership at Claims College will include: Anatomy of a Construction Defect Lawsuit; Casualty Claims Evaluation; 360 Degree Leadership, Claims Investigation Strategy, and Workers’ Compensation Medicare Set-Asides. ÌÇÐÄ´«Ã½ leaders teaching these courses have over a century of combined experience.

“We are pleased to showcase our expertise and provide our employees with the opportunity to strengthen their skills at this year’s Claims College,â€� said Kimberly Vaughn, AVP of claims experience and customer analytics for ÌÇÐÄ´«Ã½. “We are dedicated to developing our team’s specializations and participating in industry events to further transform the claims experience.â€�

ÌÇÐÄ´«Ã½ congratulates its employees for their dedication to increasing their professional knowledge and sharing their expertise throughout the industry. To learn more, visit .

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Anatomy of a Simple Workers’ Compensation Claim: Breaking Down the Worker’s Comp Process /blog/anatomy-of-a-simple-workers-compensation-claim/ Fri, 09 Oct 2020 01:16:59 +0000 /anatomy-of-a-simple-workers-compensation-claim/ Read more]]> What is the definition of a simple Workers’ Compensation (WC) claim? Typically, claim professionals define a simple WC claim as one that only involves medical treatment with a return to work so that no indemnity dollars are involved in the claim.

Examples of these types of claims include: cuts, bruises and minor strains. With these medical-only claims, the employee is treated and then returns to work with no long-term impairment. In other words, after a conservative course of treatment, they are back to normal. Seems like that should be pretty “simple�, but the process involves the injured worker, the employer, the insurance agent, the medical provider and the insurance carrier. So, it can get complicated without a clearly defined process.

The Ins and Outs of a Medical-Only Claim
The good news is that ÌÇÐÄ´«Ã½ has a proven process that begins as soon as the claim is reported. While the exact process varies by state, let’s explore how the process usually plays out:

  • The employee is injured at work and notifies the employer.
  • The employer can direct the initial point of treatment in most states. Employers often have a neighborhood industrial clinic that provides a point of entry for most injuries. If an injury is more severe or occurs outside of regular hours, it may be necessary to go to the emergency room.
  • The employer reports the injury to the carrier within a specified timeframe (the sooner, the better). This report is called a First Report of Injury (FROI) and is state specific.
  • WC claims can be reported to ÌÇÐÄ´«Ã½ over the phone, the internet, by fax or e-mail.Ìý The employer usually provides the FROI but it can also be provided by the agent who has gathered the necessary information from the employer.
  • The FROI typically includes the following information in addition to the employee’s personal data.
    • The time, date and location of the injury.
    • The nature and/or cause of the injury, such as: a fall, laceration, machine or human error, etc.
    • The parts of the body that were affected by the injury (and may have room to note any previous injuries to these areas).
    • How the injury occurred, such as lifting, bending, etc.
    • The names and contact information of witnesses and the direct supervisor
    • Depending on the state, the FROI may include return-to-work dates, wage information and provider details.
  • Once the claim is received, ÌÇÐÄ´«Ã½ provides same day contact with the employer, usually by phone, giving the policyholder a chance to provide additional details and identify any concerns.
  • The claim representative then confirms the details of the claim to determine compensability. This includes confirmation that:
    • The injured person is an employee and not an independent contractor.
    • The employer has Workers’ Compensation coverage.
    • The injury occurred within the course and scope of employment.
  • The claim representative will also address any coding necessary to file state reports via electronic data interchange (EDI) or by form.
  • The claim representative will coordinate medical appointments and maintain contact with the employer representative to ensure that the employee is able to return to work, following their medical evaluation. The authorized treating physician will address work status and note any restrictions, if applicable.

Wrapping Up the Claim
All of these steps are required for a work-related injury, so it’s not surprising that the average timeframe for a medical-only claim to close runs from 45 to 90 days. ´¡³¾±ð°ù¾±²õ³Ü°ù±ð’s claims team works closely with the risk management team throughout the claims process to help the employer develop a plan to avoid recurrence of similar claims.

“We have a service team approach to all Workers’ Compensation claims, which includes partnering with our Risk Management Consultants and Marketing Underwriters within ÌÇÐÄ´«Ã½,â€� commented Kerri Friederich, ACA, CCP, Workers’ Compensation Unit Manager at ÌÇÐÄ´«Ã½. “That’s what sets us apart from other carriers; Our holistic approach for better claim outcomes. Then we work with network providers who understand work-related trauma, manage our pharmacy utilization with a prescription benefit manager and all while assuring accuracy of our claim spend through bill review.Ìý And, since we provide same-day contact with employers, we can identify anything that needs special attention from the get-go.â€�

In other words, a simple medical-only Workers’ Compensation claim at ÌÇÐÄ´«Ã½ is managed through a tight but empathetic process that helps the employer manage the medical component of these losses. That adds up to lower costs for the employer and better outcomes for employees.

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