The Stakes: A non-profit distribution company with 450 employees was in dire straits. Their Experience Mod had hit a punishing 2.04, forcing them into the state’s “assigned risk pool” and triggering heavy ARAP surcharges. The Investigation: The Advisor audited the loss runs and premium audit sheets. They found a chaotic paper trail: claims had been […]
The Wellness Win
The Stakes: An auto parts manufacturer with 170 employees saw their claims costs spiking. What had been a manageable 7% annual increase suddenly jumped to over 20%, threatening profitability. The Investigation: The Advisor walked the factory floor and reviewed the safety minutes. They identified a cultural problem: employees were afraid to report safety violations (like […]
The “Family Tree” Error
The Stakes: A family-owned business with 15 employees saw their Experience Mod inexplicably jump from 0.99 to 1.27. There were no major accidents to explain the increase, but the premium hike was real. The Investigation: The Advisor compared the WCIRB (Rating Bureau) worksheet against their own projections. The numbers didn’t match. The Breakthrough: The investigation […]
The 35-Error Audit
The Stakes: A social services agency with 315 employees was watching their Mod climb to 1.85. Management felt the system was “out of control.” They had no idea why premiums were soaring, only that they couldn’t stop it. The Investigation: The Advisor collected three years of loss data and compared it to the Mod worksheets. […]
The $40,000 Typo
The Stakes: A leasing company for construction trailers expected a Mod of 0.90 based on their safety record. But when the official worksheet arrived from the Rating Bureau, the Mod was set at 0.97—a costly difference. The Investigation: Most agents accept the Bureau’s math as gospel. The CWCA reviewed the worksheet line-by-line. The Breakthrough: They […]
The 14-Point Plan
The Stakes: A plastics manufacturer was facing a financial cliff. Their Mod was already 1.35, and a new hike was about to push it to 1.685, adding $78,000 to their bill. Their average annual injury costs were over $200,000. The Investigation: The Advisor found that the company had no set procedure for reporting injuries. Supervisors […]
The “Medical-Only” Mistake
The Stakes: A modular home manufacturer saw their Mod creeping up to 1.07. They couldn’t understand why small claims were having such a big impact. The Investigation: The Advisor reviewed the claim files and found a coding error. A series of knee, shoulder, and hand injuries had been coded as “Indemnity” (lost time) claims. The […]
The Zero Lost Time Standard
The Stakes: A plumbing contractor with 265 employees was struggling with a Mod of 0.98. The issue wasn’t just the number of claims; it was “malingering”—employees staying home longer than necessary. 80% of their claims included indemnity payments. The Investigation: The Advisor identified the lack of an injury management process as the root cause. Without […]
Getting a Grip on Costs
The Stakes: An electronics manufacturer spun off from a national parent company and immediately saw their Mod spike to 1.45. The culprit? Severe repetitive injuries to hands and wrists from light assembly work. The Investigation: The Advisor found that the company was hiring workers physically unsuited for repetitive tasks. Once injured, these workers drifted into […]
The “Worst Case” Reserve
The Stakes: A new home construction employee suffered a finger laceration. It was a bad cut, but the insurance carrier reacted by setting the reserves at the absolute maximum—accounting for potential disfigurement and permanent loss of use. The Investigation: The Advisor knew that carriers often set high reserves and forget about them. These inflated numbers […]