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Forklift Safety to Reduce Risk of Worker's Comp Claims

Posted by David Ross on Sat, Aug 03, 2024

Forklift Safety to Reduce Risk of Workers Comp Claims-1200

The average cost of workers' compensation claims in the U.S. is a staggering $0.46 per employee per hour worked. Businesses are paying out billions of dollars every year to cover legal costs. However, workers’ compensation insurance can be affordable if companies take the right approach to forklift safety. Improving standards in warehouses, yards, and other building areas can reduce the risk of injury and keep premiums low. 

Here’s how you can improve forklift safety and reduce the risk of employees making claims: 

Ensure Employees Remain Two Meters (Or More) From Forklifts In Operation

One method is to ensure employees remain two meters or more from forklifts in operation. This practice in warehouses and yards reduces the risk of crush injuries where drivers reverse into people they can’t see behind them. It may make things less efficient in some warehouses. but it can be managed. Forklift drivers can alternate their activities with pickers to optimize their movements. 

Wear Hi-Vis Clothing

Forklift operators should also dress in appropriate workwear to protect themselves and be more conspicuous to other site users. High-visibility jackets, luminous hard hats, and safety shoes are a must. 

No Loading While Moving

Avoiding loading while moving is another essential. Forklift drivers should avoid any actions that might cause the vehicle to topple over (which can happen during loaded directional changes). If forklift drivers take risks at your business, institute training and a disciplinary policy. Drivers who break the rules should face consequences. 

No Rides

Forklift truck drivers should also avoid giving rides to other people in the workplace. While it might be convenient or fun for staff, it is also dangerous. If you notice employees taking rides on forklifts, initiate disciplinary action. Ensure you send a message to your team that this sort of behavior is prohibited. 

Maintain 360-Degree Visibility

Another way to reduce worker’s comp claims is to ensure forklift drivers are maintaining 360-degree visibility of their vehicles. Staff should have a view of the rack and loading position. The OHSA also recommends: 

  • Looking in the direction of travel
  • Making use of mirrors
  • Using lights if working outdoors or at night
  • Warning approaching staff and making eye contact with them

Implement Floor Markings

It can also help to implement floor markings to reduce risks further. These boundaries show where it is safe for pedestrians to wal(610) 775-3848k (similar to sidewalks on the public highway). Zones keep drivers and staff separate and prevent new hires from straying into dangerous areas. 

Observe Equipment Capacity

Lastly, companies can reduce the risk of costly payouts by observing equipment capacity and avoiding overloading. Forklifts can only carry so much until they topple over. When they do, the risk of serious crush injury and death is high. 

Start Saving on Workers Compensation Insurance

Stop spending a fortune on your WC insurance premiums. Our independent agents specialize in comparing rates from competing carriers to find you the best price on quality insurance protection. Call (610) 775-3848 or  Contact us online today for the best rates on worker's compensation insurance.

Tags: Workers Compensation Insurance, workers comp costs, Safety Programs

Working from Home Safety Tips

Posted by David Ross on Sun, Jul 28, 2024

Save on work from home workers comp insurance in Philadelphia, Erie, Pittsburgh, Scranton, Allentown, Lancaster, York, Mechanicsburg, and throughout PA. 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.

Tags: Workers Compensation Insurance, workers comp, workers comp insurance, workers comp costs

Workers Compensation Fraud and Social Media

Posted by David Ross on Sat, May 11, 2024

Contact us for workers compensation insurance in Philadelphia, Pittsburgh, Erie, Lancaster, Harissburg, Reading, and throughout Pensylvania.In Pennsylvania, almost every employer is required to carry Workers' Compensation (WC) Insurance for their employers. WC is a type of small business insurance that covers employees for work-related injuries. A typical Workers Comp policy pays lost wages and medical expenses incurred due to a work-related accident while also protecting the employer against accident-related lawsuits. According to Forbes, the average cost per $100 in payroll in 2020 was $1.19.

Most businesses need this crucial insurance to obey the law and to help protect their business and employees. While most employees are honest and most Workers' Comp claims are legitimate, Workers' Compensation insurance fraud does occur, increasing the cost of WC premiums.

What is Workers' Comp Fraud?

Experts estimate that WC insurance fraud costs companies $5 to $7 billion annually, representing 1-2% of all WC benefits paid. Fraud can be perpetrated by the employer, the insurance company, or the employee, and it can be claim or premium-related. According to a 2024 Marketdata report, claim-related fraud accounts for about 80% of the cases, and about 82% of claim and premium-related fraud is perpetrated by employees.

Employee claim-related fraud occurs when an employee provides false information on a claim, such as filing a claim for an injury that didn't happen, filing a claim for an injury or illness that is not work-related, exaggerating the severity of the injury, misrepresenting their ability to work, or filing a claim for an old injury that didn't heal.

One way to minimize the risk of Workers' Compensation fraud and lower Workers' Compensation costs is to investigate every workplace accident.

What is an Accident Investigation?

When a workplace accident occurs, it's in the employer's best interest to investigate the accident. Investigations provide many benefits, including identifying hazards and shortcomings in a business's safety and health programs, uncovering fraudulent claims, and lowering Workers' Compensation Insurance costs.

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."

 

Surveillance may be a part of any WC claim investigation, but it can be expensive and time-consuming. Social media is a cost-effective surveillance tool that investigators can use to help verify the legitimacy of a claim.

How Can Social Media Assist in Workers' Comp Claim Investigations?

"Social media is a part of everyday life for most internet users in the United States and is frequently used for socializing, business, and dating," Statista reports. "As of 2022, the United States had the third-largest social media audience worldwide, after China and India. The United States is home to over 302 million social media users at a social networking penetration rate of over 91 percent."

Facebook is the most popular social media platform, followed by YouTube, Instagram, and TikTok. People of all generations frequently share information, photos, videos, and more on social media platforms.

Many people falsely believe that their social media accounts are private and that no one can see them. However, Aura reports, "In some cases, posts you share privately with friends or in private groups can be shared publicly without your permission. And if your friends don't follow the same stringent social media privacy settings that you do, this information could be accessed by anyone—even scammers and employers." Furthermore, everything posted on social media leaves a "paper trail." Social media is considered a public record in every state.

This makes social media a helpful tool when investigating WC claims. Investigators can gather information for free while in the comfort of their office. By searching the claimant's social media, investigators may find background information, monitor post-injury activities, discover information confirming or contradicting statements in the WC claim, and find evidence that the worker is lying about a disability or physical limitation.

While social media is a great tool, investigators should ensure they are using the tool ethically and that the information they are gathering is admissible.

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.

Tags: Workers Compensation Insurance, workers comp costs, Workers Compensation Insurance Fraud

Effective Accident Investigations Can Lower Workers Comp Costs

Posted by David Ross on Sat, Jan 06, 2024

Contact us to learn more about saving on Workers Comp Insurance in Philadelphia, Pittsburgh, Erie, Reading, Lancaster, Allentown, and throughout Pennsylvania.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.

Tags: Workers Compensation Insurance, workers comp, workers comp costs, Workers Compensation Insurance Fraud

Mental Health in the Workplace and Workers' Comp Costs

Posted by David Ross on Sat, Dec 02, 2023

Mental health can impact workers comp costs. Contact us to save on Workers Comp Insurance in Philadelphia, Pittsburgh, Erie, Harrisburg, Allentown, Lancaster, Reading, and throughout PA.Many businesses focus on physical health and overlook the impact mental health can have on their employees, the success of their business, and Workers' Compensation Insurance costs. However, one in five U.S. adults (22.8%) experience mental illness each year, according to the National Alliance on Mental Illness (NAMI).

The Cost of Mental Illness in the Workplace

In the workplace, mental illness can negatively impact employee morale, performance, communication, productivity, and physical capabilities. It can also increase absenteeism and employee turnover. Untreated mental health concerns cost businesses $60,000 annually and $105 billion nationwide, according to Modern Health.

Mental illness also impacts our physical health and can cost businesses even more. "People with depression have a 40% higher risk of developing cardiovascular and metabolic diseases than the general population. People with serious mental illness are nearly twice as likely to develop these conditions," NAMI reports.

Work and Mental Health

As of October 2023, 134.82 million Americans worked full-time, spending about one-third of their lives at work. An employee's work environment can have a positive or a negative effect on their mental health.

The World Health Organization (WHO) reports. "All workers have the right to a safe and healthy environment at work. Decent work supports good mental health by providing:

  • a livelihood;
  • a sense of confidence, purpose, and achievement;
  • an opportunity for positive relationships and inclusion in a community and
  • a platform for structured routines, among many other benefits."

Satisfaction at work can also improve recovery, confidence, and social functioning.

On the other hand, "Poor working environments – including discrimination and inequality, excessive workloads, low job control, and job insecurity – pose a risk to mental health," WHO reports.

Workplace mental health risks include the following:

  • Excessive workloads
  • Understaffing
  • Long or inflexible hours
  • Being over or under-qualified for a job
  • Unclear job role
  • Lack of control related to job
  • Unsafe physical working conditions
  • Negative organizational culture
  • Limited support
  • Violence, harassment, or bullying
  • Discrimination or exclusion
  • Job insecurity
  • Inadequate pay
  • Lack of investment in career development
  • Conflicting home and work demands

Tips to Improve Employee Mental Health

If you want to improve employee morale and production and lower absenteeism, employee turnover, and Workers' Comp Insurance costs, there are steps you can take to improve employee mental health.

  • Properly train both managers and workers in mental health literacy and awareness
  • Increase employees' options regarding when, where, and how they work
  • Ensure health insurance that focuses on employee mental health and provides low out-of-pocket costs for depression medication and counseling
  • Include employees' input in decisions
  • Look at your business culture, including diversity and inclusion policies
  • Make mental health tools – brochures, self-assessments, clinical screening, counseling, etc. - available to employees
  • Host seminars that cover depression and stress management

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

Worker's Compensation Insurance is a type of small business insurance that is mandatory in most states, including Pennsylvania. It covers employees for work-related injuries. A typical "workers comp" insurance policy pays lost wages and medical expenses incurred due to a work-related accident while protecting the employer against accident-related lawsuits. 

At American Insuring Group, Ltd., we offer cost-effective Worker's Compensation Insurance from various competing insurance companies, so we can 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.

Tags: Workers Compensation Insurance, workers comp costs

Save on Workers' Compensation Costs With Transitional Work

Posted by David Ross on Sat, Oct 07, 2023

Contact us for ways to save on Workers Compensation Insurance in Philadelphia, Reading, Pittsburgh, Harrisburg, Allentown, Erie, Lancaster, and throughout Pennsylvania.Transitional work – part of a return-to-work program - can help lower Worker Compensation Insurance rates and provide many additional benefits.

What is Transitional Work?

Transitional work allows employees injured on the job to get back to work more quickly and safely. Transitional work is a temporary situation that acts as a "transition" until they can return to their full work duties. The transitional work must always be within the injured employee's physician's restrictions, or you risk aggravating the injury.

3 types of transitional work

  1. Alternate or Light Duty – With this type of work, the injured employee does less physically demanding work than their regular job.
  2. Modified Duty – With this type of work, the injured employee continues to do his regular job but with engineering modifications to the employee's workstation.
  3. Work Hardening – With this type of work, the injured employee performs their regular job but slowly increases the difficulty level until they reach their pre-injury work level. This may mean working reduced hours.

What Are the Benefits of Transitional Work?

Studies show that getting an injured employee back to work as quickly and safely as possible benefits the employer, the employee, and even co-workers.

Benefits of getting an employee back to work for the employer:

  • Claims are resolved more quickly
  • Reduced WC claim costs
  • Increased productivity
  • Retention of experienced employees
  • Reduced accidents
  • Reduced absenteeism
  • Reduced staff turnover
  • Lower training costs
  • Reduced overtime pay
  • Reduced administrative costs
  • Decreased number of grievances and arbitrations
  • Improved employee morale and employee relations
  • Shows employees that the employer cares about the well-being of its employees

 Benefits of getting an employee back to work for the employee:

  • Maintained employment relationship
  • Minimizes loss of physical fitness
  • Maintained skills
  • Maintained pension plans, medical benefits, and group life insurance
  • Maintained vacation and sick day benefits
  • Maintained social connections and a sense of purpose
  • Focuses on abilities rather than disabilities
  • Quicker recovery time

How to Develop a Transitional Work Program

"Unfortunately, too many employers see a transitional duty program, also known as a return-to-work program, as a 'make work' situation for both the employer and the injured employee," Michael Stack from the Workers Comp Resource Center explains. "This approach to a return-to-work program often frustrates both employer and employee."

While transitional work needs to be tailored to each individual's work tasks and physical abilities, it should not be quickly thrown together to respond to a crisis. Employers should develop a transitional duty program before it is needed.

Transitional Work Program Tips:

  • Create a written return-to-work (RTW) program
  • Communicate the RTW program to all supervisors, managers, and employees
  • Develop detailed job descriptions for every employee - A detailed job description is an essential tool for a physician to determine whether an injured worker can return to work in either a full or modified capacity.
  • Create a list of less demanding tasks that need to be done, such as filing, answering phones, training, or inventory.
  • Keep the transitional work as close to the employee's original job duties as possible
  • Review the transitional work with the injured employee and address any concerns or issues
  • Consult with the treating physician as needed
  • Let your insurance agent know when the employee returns to work

Lower Your Workers' Compensation Insurance Costs!

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 business.

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

Tags: Workers Compensation Insurance, workers comp costs, Return-To-Work Programs

How Does a WC Claim Affect My Business?

Posted by David Ross on Sat, Sep 09, 2023

Contact us to buy Workers Compensation Insurance in Pittsburgh, Erie, Philadelphia, Lancaster, Harrisburg, Allentown, Reading, York, and throughout Pennsylvania.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

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.

Tags: Workers Compensation Insurance, workers comp, workers comp costs

How Do Small Workers Comp Claims Morph Into Big Workers Comp Claims?

Posted by David Ross on Sat, Aug 05, 2023

Avoid Workers Comp Insurance Claims. We Offer the Best Workers Comp Insurance in Philadelphia, Pittsburgh, Harrisburg, Allentown, Reading, Lancaster, Erie, and throughout Pennsylvania. Call today.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. 

  1. 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.

  1. 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.

  1. 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. 

  1. 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.

  1. 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!

Tags: Workers Compensation Insurance, workers comp, workers comp costs, Workers Compensation Insurance Fraud

Reduce WC Costs With Better Job Descriptions

Posted by David Ross on Sat, Jul 08, 2023

Write better job descriptions and save on Worker's Comp Insurance in Philadelphia, Allentown, Pittsburgh, Harrisburg, Lancaster, Reading, and throughout PAWorkers' 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!

Tags: Workers Compensation Insurance, workers comp, workers comp costs, Return-To-Work Programs

How do Job Classification Codes Affect Workers’ Comp Premiums?

Posted by David Ross on Wed, Jun 07, 2023

Contact us for the right workers comp classification codes for workers comp insurance in Philadelphia, Pittsburgh, Erie, Lancaster, Allentown, Reading, and throughout PANo 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.

Tags: Workers Compensation Insurance, workers comp, workers comp costs