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You are here: Home / Claim Management / Powerful Work Comp Claim Strategy Because You DO NOT Know Everything

Powerful Work Comp Claim Strategy Because You DO NOT Know Everything

August 6, 2018 By //  by Michael B. Stack

You don’t know everything about workers’ compensation. You do not know everything about workers’ compensation. And neither do I. Hello. My name is Michael Stack, CEO of Amaxx. If you’re going to accept that statement, that no one really knows everything there is to know about workers’ compensation, then you can do very well with a concept that I’m going to be teaching today, which is the weekly claims roundtable.

Leverage Shared Knowledge to Drive Positive Outcomes

Workers’ comp could be very simple, but it could also be very complicated, particularly as you get into individual claims handling. The biopsychosocial factors, the additional risk factors, the environmental factors. All these complicated things that go into making us up as individuals, as humans, throw in an injury, throw in a whole bunch of different stakeholders, and you can have a very hairy and complicated claim and trying to figure out the exact best thing to do with that particular individual can often be a daunting task.

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“How Do I Get My Adjusters To Follow My Account Handling Instructions?”

Let me tell you about this weekly claims roundtable. It is an extraordinarily effective system to partner with your claims handling team, to be able to tackle these very complicated claims and come up with a plan to properly handle them to create the best outcome at the lowest possible cost.

Weekly Claims Roundtable Agenda

Let me give you a real quick agenda and tell you exactly how this can work so that you can implement this strategy within your organization. Three things that you’re going to cover, and this is the basic agenda:

  • Basic claim information
  • Claim status
  • Action plan

This is your three-part agenda for your weekly claims roundtable. Discussion in each claim should last between five and 15 minutes, tapping into the expertise, tapping into the experience, tapping into the prospective of your claims handling team, which could include your employer, it certainly could include your insurance broker, your insurance adjuster, your claims handling account representative from that organization, it could be a medical advisor, it could be an attorney, it could be other relevant stakeholders as it makes sense. But that’s the basic … That’s the core group of individuals that are going to be meeting on a weekly basis to go over these claims, five to 15 minutes. Come prepared to knock these things out and talk about this action plan.

FREE DOWNLOAD: “How Do I Get My Adjusters To Follow My Account Handling Instructions?”

Share Ideas & Perspectives to Create Plan For Best Claim Outcome

Let’s review this agenda very quickly. Basics. What’s the basic claim information? What’s the name? What is the date of the injury? What type of injury? Where does this claim kind of currently stand? What is the status? Is this individual back to work? Are they not back to work? How many days have they missed? How many days have they been on modified duty? Do they have a surgery coming up? Are they going through physical therapy? Are they seeing a specialist? Whatever that current status is of where this claim currently stands. Then, finally, talking about the action plan. Based on where this thing currently stands, based on what’s going on in the claim, let’s discuss as a group, share ideas, share perspectives, share experiences, share knowledge to create the best possible action plan to create the best possible outcome.

Implement this weekly claims round table in your organization. Start small. Start with a handful of claims. Start with your most difficult claims and build from there. Because, remember, your work today in workers’ compensation, it can have a dramatic effect on your company’s bottom line. But it will have a dramatic impact on someone’s life. So, be great.

Michael Stack - Amaxx

Author Michael Stack, CEO Amaxx LLC. He is an expert in workers’ compensation cost containment systems and helps employers reduce their workers’ comp costs by 20% to 50%.  He works as a consultant to large and mid-market clients, is a co-author of Your Ultimate Guide To Mastering Workers Comp Costs, a comprehensive step-by-step manual of cost containment strategies based on hands-on field experience, and is founder & lead trainer of Amaxx Workers’ Comp Training Center .

Contact: mstack@reduceyourworkerscomp.com.

Workers’ Comp Roundup Blog: https://blog.reduceyourworkerscomp.com/

©2018 Amaxx LLC. All rights reserved under International Copyright Law.

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker, attorney, or qualified professional.

FREE DOWNLOAD: “How Do I Get My Adjusters To Follow My Account Handling Instructions?”

Filed Under: Claim Management

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