The Fraud-Busting Overhaul
The Stakes: A scaffolding company saw claims spike from $45,000 to $107,000 in one year. Fraud was rampant, and the company had already wasted money on an external risk firm that delivered no results. The Investigation: The Advisor found a...
Continue ReadingThe “Conglomerate” Mess
The Stakes: A rapidly growing nursing home group had acquired multiple companies over five years. The result was a data disaster: loss ratios hit 86%, and the Experience Mod contained $329,000 in errors because the various entities were never properly...
Continue ReadingThe Sawdust Solution
The Stakes: A manufacturer with 25 employees saw their premium double in three years, hitting $50,000. Their Mod had spiked to 1.26, driven by a constant stream of 10-15 minor claims per month. The Investigation: The Advisor found that the...
Continue ReadingThe Surgery “Vacation”
The Stakes: A wholesaler with 50 employees was facing a Mod jump from 0.92 to 1.15. The owner thought he was being "nice" by letting an employee with a hand injury stay home for four weeks after surgery, fully paid...
Continue ReadingThe $100,000 “Unbiddable” Contractor
The Stakes: A commercial roofing company hit a Mod of 1.0. This was the "death zone" for a subcontractor—general contractors generally won't hire anyone with a Mod of 1.0 or higher. They were losing business fast. The Investigation: The Advisor...
Continue ReadingThe $600,000 Turnaround
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...
Continue Reading