Office Furniture Co.
Sees Mod Drop 22%
Insured
This assembler of office furniture employs 86 and has revenues in excess
of $32 million annually.
Situation
The employer saw its Experience Mod escalating steadily up to 1.22.
Assessment
Certified WorkComp Advisors (CWCAs) found that one reason for the increase
in the Experience Mod was the claim reserve for an employee who suffered
a shoulder injury, resulting in numerous surgeries. Based on the extent
of the injury, the carrier set a loss reserve in excess of $100,000, resulting
in an increase in the Mod.
Solution
Upon researching the case, it was determined that even though the claim
was actually settled for $19,000, it remained on the books at $100,000.
The CWCAs had the insurance company reopen the claim and re-file it with
the state in order to have the lower amount reflected on its state Experience
Mod worksheet.
Result
With the identification and correction of this error, the company saw a
22% drop in its Experience Modification Factor from 1.22 to 1.0, lowering
its annual premiums by $6,000-$7,000. |