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The COVID-19 pandemic resulted in a severe uptick in the number of employees working remotely. While working from home offers many benefits to both employee and employer, it also introduces many safety challenges that can affect Workers' Compensation Insurance.

According to U.S.A. Today, approximately 22 million U.S. employees work from home all the time. That is roughly 14% of the adult workforce, and experts predict that by 2025, more than one in five Americans will work remotely.

Safety Challenges When Employees Work Remotely

"A fast-emerging concern is the long-term health and safety of people working at home," one expert states. "The slips, falls, and other accidents associated with in-person workplace injuries have migrated to home. Safeguards normally found in the workplace may be missing at home. Few home working spaces can replicate the environments of well-planned business spaces. Not all workers have access to a dedicated home office space, good chairs and desks, ergonomic monitors and keyboard placements, specialized lighting, [and] other office basics that help reduce accidents." In fact, household injuries have risen from a rate of 14.3% in 2017 to 28% in 2020. Most of these injuries are due to falls (32%) or cuts (11%).

People working from home also tend to work longer hours with fewer breaks, causing physical fatigue and injuries like carpal tunnel. Challenges in balancing work and home, in-home distractions, and the loss of collaboration with colleagues can increase stress and anxiety.

And finally, people working remotely have become the primary target for cyberattacks, which has risen 238% in volume since the beginning of the pandemic. Statistics show that 30% of remote workers don't get regular training from their employers, 44% engage in cybersecurity training once per year or less, and 75% pay for their home office-related costs.

6 Safety Tips for Remote Employees:

1. Regularly Communicate With Remote Workers
   Good communication lets your employees know what is happening, what is expected of them, what cyber threats to be aware of, and how to protect themselves when working remotely.
   
   
2. Provide Appropriate Training
   Appropriate training will be unique to each situation, but some examples may include home safety training, cyber-security training, and proper ergonomic training.
   
   
3. Encourage Regular Breaks
   When working remotely, it's more tempting to work through breaks and lunches than when working onsite. However, according to Michigan State University, "Skipping breaks can lead to faster burnout and higher stress levels. Employees stepping away from work for a few minutes increases their productivity, job satisfaction, mental health and well-being, and are overall more engaged in their work."
   
   
4. Consider Offering Stipends to Employees
   As mentioned above, 75% of remote employees pay for their home office-related costs. Providing a stipend to employees for things like ergonomic chairs, surge protectors, fire extinguishers, etc., can help minimize safety risks.
   
   
5. Address Workplace Ergonomics
   Typical workplace ergonomic issues include monitors that are too low, improperly used armrests, using phones without a headset, and more. Addressing these issues with training or stipends can help reduce many musculoskeletal disorders, such as tendonitis, tension neck syndrome, and carpal tunnel.
   
   
6. Create a Telecommuting Policy

   A telecommuting policy should outline the hours an employee will be working, list employer-owned equipment the employee can use outside the workplace, describe how employees should store and dispose of sensitive information, details about how work-related injury investigations will occur, etc.

Quality Worker's Compensation Insurance

At American Insuring Group, Ltd., we offer cost-effective worker's compensation insurance from many competing insurance companies. We work hard to get you the best price on quality insurance to protect your business and your employees, whether they work remotely or onsite.

Call us today at (800) 947-1270 or (610) 775-3848, or connect with us online.

Regarding Workers' Compensation (WC) Insurance, ignorance is definitely not bliss. In fact, ignorance can cost your company a lot of money when it comes to WC claims. Therefore, the more you understand medical terminology, the better you'll be able to control Workers' Compensation costs.

Two terms you may see physicians use in a WC claim are "aggravation" and "exacerbation." Sometimes, the terms are used interchangeably, but there is a subtle difference in the definition of each. Both describe the worsening of an existing medical condition.

Aggravation Vs. Exacerbation

The difference is that Exacerbation is "a temporary increase in the symptoms of a pre-existing condition that returns to its prior level within a reasonable period of time (typically two to eight weeks)." An aggravation is "an increase in the severity of a pre-existing condition where the underlying pathology is permanently moved to a higher level."

In Pennsylvania, pre-existing injuries or conditions that are aggravated or exacerbated on the job typically qualify for Workers' Compensation benefits. An injury that is exacerbated or aggravated at work does not change the diagnosis or location of the injury or condition; it just means it was made worse by a work-related activity. However, an aggravated injury will have a bigger impact on the cost of a WC claim.

So, regarding Workers' Compensation claims, the question becomes, "When will the symptoms end?" Are WC benefits limited to a few weeks or indefinite? Medical costs are constantly rising, so insurance carriers don't want to pay for treatments that do not fall within the purview of their responsibility.

Therefore, adjusters will always review medical records, especially with an aggravated injury. Often, they will request an Independent Medical Evaluation (IME) to determine whether the pre-existing condition has been aggravated or exacerbated, which will either move the case along or cause it to be disputed.

Common Causes Of Aggravated and Exacerbated Injuries and Conditions

Any injury or condition that is made worse by a work-related activity can result in a WC claim for an aggravated or exacerbated injury or condition. However, various forms of arthritis are pre-existing medical conditions commonly exacerbated or aggravated at work.

There are more than 150 types of arthritis, such as degenerative disc disease, bone spurring, osteophytes, spondylolistheses, and spondylosis. Many can be caused by disease, infection, genetic defect, injury, or overuse; sometimes, the cause is unknown. Arthritis symptoms include pain, stiffness, inflammation, reduced mobility, and skin redness around a joint.

According to the Centers for Disease Control and Prevention (CDC), an estimated 53.2 million (21.2%) American adults have been diagnosed with some form of arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia. Furthermore, while many people might assume that arthritis is limited to older workers, 5% of people ages 18-44 and 26% of people ages 45-64 have been diagnosed with arthritis.

Repetitive stress injuries, such as chronic back pain, tennis elbow, and carpal tunnel syndrome, are another common cause of aggravated or exacerbated WC claims. Federal laws require that employers accommodate employees to help prevent repetitive stress injuries. Furthermore, minimizing the risk of a repetitive stress injury can help lower employee absenteeism, improve productivity, lower the risk of aggravated or exacerbated injuries, and lower WC costs, making it a win-win situation.

Lower Your Workers' Compensation Insurance Costs!

Understanding the difference between aggravated and exacerbated injuries and conditions is just one way to lower Workers' Compensation costs. Another way is to work with one of the experienced agents at American Insuring Group, who specializes in WC insurance.

As independent agents, we work hard to get you the lowest price on all your insurance needs by comparing costs among many competing insurance companies.

So call us today at (800) 947-1270 or (610) 775-3848, or connect with us online.

Workers' Compensation (WC) Insurance pays for medical costs and lost wages for work-related injuries and deaths. For example, if someone falls and is injured on the job, is exposed to dangerous chemicals at work, or is injured by faulty machinery while working, they will – in all probability - be covered by WC. But what about workers who are injured or killed by workplace violence?

What is PA Workers' Compensation Insurance?

PA Workers' Compensation is a no-fault insurance most employers are required to carry in Pennsylvania. "The workers' compensation system protects employees and employers," the PA Department of Labor & Industry (DLI) explains. "Employees receive medical treatment and are compensated for lost wages associated with work-related injuries and disease, and employers provide for the cost of such coverage while being protected from direct lawsuits by employees."

What is Workplace Violence?

Workplace violence can involve employees, clients, customers, or visitors. "Workplace violence is the act or threat of violence, ranging from verbal abuse to physical assaults directed toward persons at work or on duty," according to the National Institute for Occupational Safety and Health (NIOSH). "The impact of workplace violence can range from psychological issues to physical injury or even death."

Here are some examples of workplace violence:

• Physical and verbal altercations among employees
• Criminal activities, such as robbery
• Physical confrontations between customers and employees
• Active shooting incidents
• Violence that occurs between an employee and their partner that happens in the workplace

Service occupations, such as health care, law enforcement, education, and retail, are most at risk for workplace violence, but violence can occur anywhere. According to the U.S. Department of Labor, acts of violence are the third-leading cause of fatal occupational injuries in the U.S.

According to the NIOSH, 20,050 workers in the private industry experienced trauma from nonfatal workplace violence that resulted in days away from work in 2020. 76% of those injuries occurred in the healthcare and social assistance industry, and 22% required 31 or more days away from work. In 2020, 392 workers were workplace homicide victims. 30% of them were performing retail-related tasks.

Does Workers' Compensation Insurance cover Workplace Violence?

Workers' Comp is a no-fault insurance, which means it doesn't matter who or what caused the injury. However, for an injury or death to be covered under WC, it must occur in the "course and scope of employment."

In other words, for an injury or death to be covered under Workers Comp, it must be directly related to employment. Therefore, injuries may not be covered under WC if it's a personal dispute unrelated to employment.

While each incident is unique, the following scenarios will typically be covered under WC:

• A police officer is shot in the line of duty.
• A customer attacks an employee because they are unhappy with your company's return policy.
• Co-workers fight over how a work task should be performed.
• Psychological injuries are caused by witnessing a violent event at work.

The following scenarios are typically not covered under WC:

• Someone who has a personal issue with an employee comes into their workplace and causes injury.
• An employee is attacked by someone whom they have a criminal relationship with.
• A husband attacks his wife at her place of employment.
• Two employees fight over a personal matter not related to work.

Are You Paying Too Much for Worker's Compensation Insurance?

At American Insuring Group, we offer cost-effective worker's compensation insurance from many competing insurance companies. We'll work hard to get you the best price on quality insurance for all your business needs.

Call us today at (800) 947-1270 or (610) 775-3848, or connect with us online.

Workers' Comp Insurance is designed to help pay medical costs for workers injured while on the job. However, approximately 1.3 million business trips are taken daily in the U.S., and whether or not employees are covered under Workers' Comp when traveling can be a bit murky.

What is Pennsylvania Workers' Compensation Insurance?

"Workers' Compensation (WC) is mandatory, employer-financed, no-fault insurance which ensures that employees disabled due to a work-related injury or disease will be compensated for lost wages and provides necessary medical treatment to return them to the workforce," according to the Pennsylvania Department of Labor & Industry. "The workers' compensation system provides an 'exclusive remedy' to employers and employees and is designed to simultaneously achieve the goals of safer workplaces, prompt compensation and treatment of those it protects, and reduced litigation costs to all parties."

Failure to provide WC coverage for employees can lead to heavy fines and civil and criminal prosecution.

What is a Work-Related Injury or Disease?

"If you are injured in Pennsylvania, you are entitled to Workers' Compensation benefits if the injury occurred while you were in the course and scope of employment," one attorney explains. "However, the 'course and scope' issue is not always that simple, and in fact, is the basis for a lot of Workers' Compensation litigation." 

WC claims for injuries that occur on the clock on the job site are typically relatively cut and dry. For example, if an employee is injured while using equipment at work, that is generally considered a work-related injury and covered under Workers' Comp. If an employee develops carpal tunnel syndrome after keying in data for years at work, that is probably a work-related injury covered under Workers' Comp.

That "course and scope of employment" can make WC claims a bit complicated. For example, what if an employee is injured in an accident on his way to or from an employer-sponsored event? What if an employee is injured while running an errand for their boss? Whether or not these are examples of injuries that occurred during the "course and scope of employment" thereby covered by WC is not always clear.

Typically, the following examples are covered under Workers' Comp:

• Injuries that occur when traveling between job sites.
• Injuries that occur while running an errand at the request of the employer.
• Injuries that occur while traveling to or from a training session, conference, meeting, or similar work-related event.
• When travel is an integral job duty (i.e., couriers and delivery drivers).

An injury that occurs while commuting to and from work is typically not covered by WC Insurance.

Considerations for determining if an injury occurred in the course and scope of employment:

• Did the injury occur while the employee was furthering the employer's interests?
• Who requested that a service be performed?
• Was the task being performed a regular task?
• Did the employee extend their trip for personal benefit?
• Was the employee engaging in illegal or prohibited activities?
• Was the employee engaged in activities unrelated to business?
• Was the employee driving while intoxicated?

There are many nuances courts look at when determining whether or not an injury is compensable. For example, if an employee is injured while getting lunch, they are typically not covered under WC insurance. However, they are usually covered if they also pick up lunch for the boss.

Minimizing Risk

You can't eliminate all risks to your employees, but here are some tips for minimizing the risk of injuries while traveling for work:

• Make social events optional.
• Only send employees on business trips when necessary.
• Avoid sending employees on errands.
• Limit the use of company vehicles for work only.
• If an employee is traveling internationally for work, check the laws in the country they're traveling to.

Don't Overpay for Workers' Compensation Insurance!

At American Insuring Group, we offer cost-effective worker's compensation insurance from various competing insurance companies. We'll work hard to get you the best price on quality insurance to protect your employees and business.

Call us today at (800) 947-1270 or (610) 775-3848, or connect with us online.

When a workplace accident occurs, it’s in the employer's best interest to investigate the accident. Investigations provide many benefits, including lower Workers’ Compensation Insurance costs.

What is Pennsylvania Workers’ Compensation Insurance?

“Workers’ Compensation (WC) is mandatory, employer-financed, no-fault insurance which ensures that employees disabled due to a work-related injury or disease will be compensated for lost wages and provides necessary medical treatment to return them to the workforce,” the PA Department of Labor & Industry (DLI) explains.

If an employer does not have WC Insurance and an employee files a WC claim, the employer will be required to reimburse the Uninsured Employers Guaranty Fund in relation to the claim, including costs, interests, penalties, attorney fees, and fees under section 440 of the Worker’s Compensation Act. Failure to carry WC coverage can also result in “grave civil and criminal risks.”

What is an Accident Investigation?”

The PA DLI defines an accident (incident) Investigation as “An organized process using written procedures that are applied every time an accident occurs regardless of its severity.” According to the PA DLI, “The purpose of the accident investigation is to determine the direct cause of the incident and to prevent similar occurrences by documenting facts, providing cost data, and reinforcing the joint labor-management commitment to safety in the workplace. Identifying the causal or contributing factors in a workplace accident provides the opportunity for these facts to be evaluated in order that corrective actions may be taken.”

Benefits of an Accident Investigation

Yes, an accident investigation will take time and resources, but the benefits it provides far outweigh the costs. And remember, the sole purpose of the investigation is not to lay blame but to determine the root cause of the accident.

Here are some benefits of an accident investigation:

• Detects and prevents any violations or misconduct, including WC fraud
• Ensures compliance with applicable laws and regulations
• Helps identify hazards and shortcomings in a business’s safety and health programs and allows for corrective measures to avoid future accidents.
• If an insurance company questions a Workers’ Compensation Insurance claim, they will launch an investigation. A thorough accident investigation performed immediately following the accident can help expedite the insurance company’s investigation and get the claim closed more quickly, which is in everyone’s best interest.

Accident Investigation Procedures

“The amount of action will depend on the severity of the accident. Follow established company procedure. Begin your investigation as soon as possible,” according to the PA DLI.

Experts recommend the following steps immediately after a workplace accident:

1. Provide Medical Care – Address minor injuries with a first aid kit. For more serious accidents, call 911 immediately.
   
   
2. Secure the Scene – Keep the scene as intact as possible to ensure an accurate investigation.
   
   
3. Collect Evidence – Collect physical evidence, record or photograph the scene, study conditions and environment, and take notes.
   
   
4. Interview Involved Parties – Interview the injured employee and any witnesses. Ask questions such as, what did you witness? Do you know the cause of the accident? Who else witnessed the accident? Is any PPE required for this task, and was the employee wearing it?”
   
   
5. Identify the Root Cause – Remember that an accident may have multiple causes.
   
   
6. Prepare an Investigation Report to communicate the findings to management.
   
   
7. Implement a Corrective and Preventive Action (CAPA) Plan to prevent future accidents. The plan should include corrective and preventative actions
   
   
8. Follow Up to ensure the CAPA Plan is being implemented.

Lower Your Workers’ Compensation Insurance Costs

At American Insuring Group, Ltd., we offer cost-effective Workers’ Compensation Insurance from multiple competing insurance companies. It's our mission to get you the best price on quality insurance to protect your employees and your business!

Call us today at (800) 947-1270 or (610) 775-3848, or connect with us online.

The best way to lower Workers' Compensation (WC) Insurance costs is to create a safer work environment, thereby reducing the number of injuries and the number of WC claims. According to the U.S. Bureau of Labor Statistics (BLS), there were 2,607,900 nonfatal injuries and illnesses in the private industry in 2021 and 5,190 fatal injuries.

"The total cost of work injuries in 2021 was $167.0 billion. This figure includes wage and productivity losses of $47.4 billion, medical expenses of $36.6 billion, and administrative expenses of $57.5 billion," according to the National Safety Council (NSC). "This total also includes employers' uninsured costs of $13.8 billion, including the value of time lost by workers other than those with disabling injuries who are directly or indirectly involved in injuries, and the cost of time required to investigate injuries, write up injury reports, and so forth. The total also includes damage to motor vehicles in work-related injuries of $5.4 billion and fire losses of $6.3 billion."

One way to minimize these costs in your workplace is to create a safer work environment. First, you need to understand the most common causes and the most common types of injuries. Then, you can take steps to eliminate those causes and minimize injuries.

Most Common Causes of Workplace Injuries, Accidents, Illnesses, and Fatalities:

Falls, slips, and trips – Falls, slips, and trips can result in sprains, strains, bruises, fractures, cuts, etc. According to the Centers for Disease Control and Prevention (CDC), 18% of nonfatal work injuries that resulted in days away from work in 2020 were related to slips, trips, and falls.

Transportation incidents - According to the CDC, 1,038 U.S. workers died in work-related crashes involving motor vehicles (22% of all deaths) in 2020.

Overexertion and bodily reaction – Common activities that can cause overexertion and bodily reaction injuries include lifting, pushing, turning, carrying, and throwing. According to the NSC, in 2020, overexertion and bodily reaction were the second leading nonfatal injury or illness event involving days away from work, representing 22% of all such injuries.

Contact with objects and equipment – According to the NSC, "Prior to 2020, contact with objects and equipment was the third leading cause of injury and illness involving days away from work and accounts for 16.7% of cases in 2020."

Exposure to harmful substances or environments – This can include exposure to electricity, radiation, noise, extreme temperatures, harmful substances, etc. "Because of illness cases related to COVID-19 (coded as Other diseases due to viruses, not elsewhere classified [n.e.c.]), the leading cause of work-related injuries and illnesses involving days away from work in 2020 was exposure to harmful substances or environments," according to the NSC. Still, exposure to harmful substances or environments was the sixth-ranked cause before 2020.

Fire and Explosions – According to the NSC, in 2020, 1,770 workplace injuries resulted from fire and explosions.

Most Common Workplace Injuries:

• Ligament Sprains and Tears
• Tendon and Muscle Strains and Tears
• Herniated Discs
• Repetitive Use Injuries
• Cuts, Lacerations, Punctures
• Lacerations
• Bruises and Contusions
• Broken Bones
• Neck and Back Injuries
• Shoulder Injuries
• Burns
• Electrocutions

Tips to Minimize the Risk of Workplace Injuries:

• Conduct Regular Risk Assessments
• Conduct physical assessments for demanding roles
• Provide safety and wellness training
• Hire qualified workers
• Hire enough workers
• Keep workspaces clean and walkways clear
• Post proper signage
• Provide adequate lighting
• Practice good equipment and vehicle maintenance
• Provide appropriate PPE
• Require employees to dress appropriately for their roles
• Discourage employees from taking shortcuts
• Understand Safety Standards and Regulations
• Consider workplace ergonomics to reduce the risk of Repetitive Stress Injuries

Lower Your Workers' Compensation Insurance Costs

Understanding the most common causes and types of injuries and taking steps to minimize the risk of those injuries is one way to lower WC costs.

Another way is to work with the experienced independent agents at American Insuring Group, Ltd. We offer cost-effective Worker's Compensation insurance from various competing insurance companies. We'll work hard to get you the best price on quality insurance to protect your employees and your business!

Call us today at (800) 947-1270 or (610) 775-3848, or connect with us online.

Most states, including Pennsylvania, require employers to provide Workers' Compensation Insurance for their employees. "Failure to comply with these laws subjects employers to lawsuits by employees and criminal prosecution which could result in substantial fines, imprisonment or both," according to the PA Department of Labor & Industry.

What is Workers' Compensation Insurance?

If an employee is injured in the workplace or becomes ill due to their work environment, Workers' Compensation (WC) Insurance helps cover medical costs and lost wages. In Pennsylvania, WC covers health care expenses, ongoing care, illnesses, repetitive injuries, partial or total disability payments, permanent injury payments, and death benefits. It doesn't matter who or what caused the injury – a faulty machine, the employee, a co-worker, etc.

WC also benefits the employer by limiting an injured employee's right to sue an employer directly for damages that injury or illness causes.

How Workers' Comp Claims Affect Your Business

According to the Occupational Safety and Health Administration's (OSHA) $afety Pays Program, the following are both direct and indirect costs of Workers' Compensation claims:

• Any wages paid to injured workers for absences not covered by workers' compensation
• The wage costs related to time lost through work stoppage associated with the worker injury
• The overtime costs necessitated by the injury
• Administrative time spent by supervisors, safety personnel, and clerical workers after an injury
• Training costs for a replacement worker
• Lost productivity related to work rescheduling, new employee learning curves, and accommodation of injured employees
• Clean-up, repair, and replacement costs of damaged material, machinery, and property
• The costs of OSHA fines and any associated legal action
• Third-party liability and legal costs
• Worker pain and suffering
• Loss of goodwill from bad publicity

 Cost of Not Filing a WC Claim When an Employee is Injured on the Job

We want to clarify that we are NOT suggesting that you not file a claim when an employee is injured on the job. We understand that filing a claim takes time and may increase your WC costs, but failing to report a WC claim promptly can hurt your business, your injured employee, and your worker's comp insurance costs. It can result in legal action against your business, a minor injury morphing into a more severe injury, bad relationships with all employees, bad publicity, and more.

On the other hand, there are many benefits of reporting a WC claim promptly – preservation of evidence, lower cost of claims, quicker return to work, decreased litigation, fraud prevention, and more. There are better ways to lower the cost of WC claims.

15 Tips to Lower the Costs of WC Claims

• Develop a Safety Program
• Provide Appropriate Training
• Work with an independent insurance agent who will compare costs for worker's compensation insurance.
• Use the correct job classification codes.
• Follow OSHA's requirements and standards.
• Implement a Return-to-Work Program
• Design and Injury Response Protocol
• Ensure that your insurance provider has accurate payroll info
• Work With Your Medical Team
• Manage Claims
• Investigate Injuries
• Submit all WC notifications and claim forms promptly
• Prevent Fraud, Waste, and Abuse
• Review Your Loss Run Report
• Utilize OSHA's Estimated Costs of Occupational Injuries and Illnesses and Estimated Impact on a Company's Profitability Worksheet

Are You Paying Too Much for Worker's Compensation Insurance?

American Insuring Group offers cost-effective Worker's Compensation Insurance from many competing insurance companies. We'll work hard to get you the best price on quality insurance to protect your employees and your business.

Don't wait! Call our independent agents today at (800) 947-1270 or (610) 775-3848, or connect with us online.

One way to lower Workers’ Compensation (WC) Insurance is to close claims quickly. Unfortunately, some claims seem to take on a life of their own, and what starts out as a small medical claim morphs into a lost time claim. Proactively and carefully managing WC claims is key to minimizing the risk of that happening and affecting your bottom line (higher WC costs, lower productivity, unnecessary use of resources, lower employee morale, and lost time). The first step is to recognize what causes small claims to morph into big ones.

6 Things that Cause Small Workers Comp Claims To Morph Into Big Workers Comp Claims

1. Lack of Communication With Injured Employees

As with any relationship, communication is vital. Unfortunately, many business owners are under the false impression that communicating with injured employees can cause WC claims and increase the cost of those claims. Nothing could be further from the truth. 

An injury can be frightening for an employee. They may worry about their injury, recovery, or how they’ll continue to support their family. They may be in pain or facing unfamiliar medical treatments. Furthermore, WC claims can be complicated. Regular communication helps employees understand your policies related to injuries and return-to-work programs, helps ease their minds, and creates a more collaborative relationship to bring claims to a close quickly.

Furthermore, one study found that “46% [of injured employees] said they hired attorneys because they felt the claim had been denied when, in fact, it had not yet been accepted into the process.” And the truth is that WC cases that involve attorneys often cost more. 

2. Lack of Medical Care

Continuing to work with the injury may cause a minor injury to turn into a more severe injury. But sometimes injured employees are not aware that their medical expenses will be paid in full by WC if the injury occurs in the workplace, or they may be concerned about losing time from work, so they don’t go to a physician.

Furthermore, it may seem easier for the supervisor/manager to make an incident-only record instead of a WC claim when the injury occurs. That can lead to many headaches and cost more down the road, so injured employees must be encouraged to seek medical attention if injured on the job immediately.

3. Lack of Proper Medical Triage

Some bigger businesses and insurers have triage nurses who can evaluate an injured employee and recommend appropriate medical treatment. Many small to medium-sized businesses do not have this luxury and rely on a physician in an emergency room or urgent care.

As an employer, you need to ensure that employees understand your Return-to-Work program and encourage them to describe their regular work duties to the physician who treats them, so the physician can make an informed decision about whether an injured employee can go back to their regular work duties or perhaps lighter duties.

4. Improper Medical Care

Primary care physicians are great at handling routine sickness but may not be the best choice for workplace injuries. However, there are medical care providers who specialize in work-related injuries and realize that many employers offer RTW programs and the benefits of these programs to both employer and employee.

The PA Workers’ Compensation Act allows employers to establish a list of designated healthcare providers and states that injured employees “must seek treatment for the work injury or illness with one of the designated providers for 90 days from the date of the first visit.” Without this list, injured employees can seek medical treatment from any provider. Creating a list of good healthcare providers for your injured employees not only helps you manage healthcare costs and lower WC insurance; it also helps ensure that your injured employees receive the best care possible. 

5. Fraud

Fortunately, most employees are honest and hardworking; however, a few will try to take advantage of the system by committing WC Fraud. Examples of fraud include faking an injury, inflating an injury, and reporting an injury that happened off the job. Employers and medical providers can also engage in fraudulent WC activities. There are steps you can take to recognize and prevent WC fraud.

6. Not Having a Return-to-Work (RTW) Program

We’ve mentioned RTWs several times, so it may be obvious how crucial they are to prevent small claims from morphing into big claims and, of course, lowering WC costs. An RTW program is designed to get injured employees back to work as soon as possible (based on their doctor’s recommendation). That could mean the injured employee returns to modified duties or a temporary position to accommodate any limitations caused by the injury.

Lower Your Workers’ Compensation Costs

Doing what you can to ensure that small WC claims don’t morph into big WC claims is one way to lower your Workers’ Comp costs. Buying the right WC Insurance is another. Our experienced independent agents at American Insuring Group can help you save on the insurance that's right for you.

Call us today at (800) 947-1270 or (610) 775-3848, or connect with us online!

Workers' Compensation (WC) Insurance is required for almost every employer in nearly every state, including Pennsylvania. WC provides wage-loss and medical benefits to employees injured on the job and reduces employer litigation costs. However, no employer wants to pay more for WC insurance than necessary, so savvy businesses are always on the lookout for ways to lower WC costs.

Good job descriptions can lower Workers' Comp and other operating costs, but sadly, many businesses have inadequate or no written job descriptions.

What is a Good Job Description?

"A job description is a tool that explains the tasks, duties, function, and responsibilities of a position," according to Strategic Human Resource Management (SHRM). "It details who performs a specific type of work, how that work is to be completed, and the frequency and the purpose of the work as it relates to the organization's mission and goals."

HR experts suggest that all job descriptions include the following elements:

• Heading Information – job title, pay range, reporting relationship, hours, and likelihood of overtime or weekend work
• Summary of Objectives of the Job – general responsibilities, essential tasks, expected results
• Qualifications – education, experience, training, technical skills
• Physical Requirements (essential for lowering WC costs) – Is heavy lifting required? Are there long periods of standing? Does the job require climbing? Is driving a part of the job? Are specific body parts taxed more than others?
• Job Duties and Responsibilities – what tasks need to be performed and accomplished

SHRM recommends the following steps to create a good job description:

1. Perform a Job Analysis
2. Establish the Essential Functions
3. Organize the Data Concisely
4. Add the Disclaimer
5. Add the Signature Lines
6. Finalize

Why Are Good Job Descriptions Helpful?

No law requires employers to create job descriptions, but they can be extremely useful for the following:

• Recruiting and hiring purposes – A detailed job description will attract candidates with the right qualifications to perform the job, limiting the number of applicants and saving you time.
  
  
• Determining salaries – When job requirements are laid out – education, training, certification, physical requirements, etc., it's easier to determine appropriate compensation.
  
  
• Conducting performance reviews – A detailed job description provides a gauge managers can use to evaluate an employee's performance.
  
  
• Mitigating risk and limiting liability – An accurate and updated job description can become a helpful legal document if an employee files a lawsuit against you.
  
  
• Exempt vs. non-exempt – A job description can help justify an employee's exemption status under the Fair Labor Standards Act.
  
  
• Lowering Workers' Compensation costs – Correctly matching a worker's physical abilities to the physical demands of a job can decrease the risk of an injury and a resulting WC claim. Fewer claims mean lower WC premiums. Also, a detailed job description is an essential tool for a physician who is determining whether an injured worker is capable of returning to work in either a full or modified capacity. Studies have shown that getting an injured employee back to work as quickly and safely as possible is the best approach for both the employee and the company because claims are resolved more quickly; administrative costs, overtime pay, absenteeism, lawsuits, and staff turnover are reduced; productivity, employee morale, and employee relations are improved.

Do You Want to Lower Your Workers' Compensation Costs?

At American Insuring Group, we offer cost-effective Workers' Comp insurance from various competing insurance companies. We work diligently to ensure you receive the best price on quality insurance that protects your employees and your business.

Ready to save? Call us today at (800) 947-1270 or (610) 775-3848, or connect with us online!

No employer wants to pay more for Workers’ Compensation Insurance than necessary. Still, they also don’t want to be caught being underinsured, which is why assigning the correct job classification codes is crucial.

What are Job Classification Codes?

A job classification code is a three- or four-digit code that is assigned to every employee based on the type of duties they perform. Most states use the National Council on Compensation Insurance (NCCI) classification system. However, other states use their own classification system. As of this writing, those states include:

• Pennsylvania
• Delaware
• New Jersey
• New York
• North Carolina
• Indiana
• Massachusetts
• Michigan
• Minnesota
• Wisconsin
• California

In Pennsylvania, the Pennsylvania Compensation Rating Bureau (PCRB) is the Workers’ Compensation rating authority.

How do Job Classification Codes Affect WC Premiums?

Whatever classification system is used, these codes are based on the amount of risk a job or work environment may pose. Each code is assigned a specific value based on these risks, which then helps insurance companies determine the cost of WC premiums. The higher the risk, the higher the value assigned.

This is the basic (oversimplified) formula used to calculate your premiums:

RATE x (PAYROLL/100) x EXPERIENCE MODIFIER = PREMIUM

RATE is determined by an employee’s classification code value based on the likelihood of that employee being injured on the job. An employee performing a more dangerous job, such as a construction worker, will have a classification code with a higher value than someone in a less risky position, such as an office worker.

If you were to accidentally assign the code for a construction worker to an office worker, you’d end up paying more for WC insurance than necessary. On the other hand, if you accidentally (or purposely) assign the code for an office worker to a construction worker, you could face fines and potential lapses in coverage.

Employee vs. Independent Contractor

In most states, any business with one or more employees is required to carry Workers’ Compensation Insurance for its employees. As we said, EVERY employee is assigned a classification code. If you higher an independent contractor, you are not required to carry Workers’ Compensation for that individual, which is why many business owners are tempted to classify an employee as an independent contractor. This is not a good idea for many reasons.

“In the event, an employer is uninsured at the time an employee suffers a compensable work-related injury, the department will pursue reimbursement from the employer of monies paid from the Uninsured Employers Guaranty Fund in relation to the claim. Reimbursement will include costs, interest, penalties, fees under section 440 of the Worker’s Compensation Act and attorney fees,” according to the Pennsylvania Department of Labor & Industry. “The department will also pursue prosecution against the uninsured employer under section 305 of the Act.”

Misdemeanor convictions can result in a $2,500 fine and up to one year in prison for each day the employer is in violation. Felony convictions can result in a $15,000 fine and up to seven days in jail for each day the employer intentionally violated the requirement.

The injured employee can also sue the employer for work-related injuries or diseases.

Get The Right Worker's Comp Insurance

Ensuring that the correct job classification code is assigned to each employee can be overwhelming, especially if you have thousands of employees or locations in multiple states.

The agents at American Insuring Group specialize in Workers’ Comp insurance and can help ensure that the correct job classification codes are assigned to each employee. And, remember that job duties can change, so a regular review of job codes can help ensure that your employees have the right Workers’ Comp coverage.

Don't overpay for WC Insurance! Contact one of our agents specializing in Workers Compensation Insurance today at (800) 947-1270 or (610) 775-3848, or connect with us online.