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Get the most out of workers comp claims management |
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- Smaller firms should consider using regional or local TPAs to prevent getting “lost in a file cabinet.”
- Employers should ask for on-site visits from claims adjusters to facilitate familiarity with the organization's business model and risk profile.
- Employers should establish a clear set of service expectations with the adjuster and conduct regular evaluations of their performance in meeting those expectations.
- To ensure the employer is perceived as a client, employers should develop a personal rapport with the claims adjuster.
- Employers should treat the adjuster or TPA as a part of an in-house risk management team, instead of an external agent.
- Employers shouldn't take it personally when an adjuster or TPA advises against their preferred course of action.
- Employers should provide their adjusters with as much accurate information about the claimant and the nature of the injury as soon as a claim arises.
- If an employer suspects that an employee has submitted a fraudulent claim, it should inform its adjuster or TPA but be prepared to provide hard evidence to support the allegation.
- Employers should keep abreast of law changes and developments the workers comp arena; continuing education courses and industry seminars can be useful.
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Workers' Comp Program 
