SlideShare a Scribd company logo
Workers Compensation
Program Overview
In This Presentation
 About Sunbelt Insurance Holdings
 Workers compensation program background
 Our partners
 Workers compensation cost drivers
 Tailored solutions for the long term
Workers Compensation Program
PROGRAM BACKGROUND
 Created in 2009 from scratch.
Designed to address the needs of high risk
clients and hard to place exposures.
 Core competency: addressing true WC cost
drivers and catalysts for long term premium
increase.
 Secondary competency was market access
and placement.
 Tertiary focus was near term premium
reduction through policy brokerage.
WHERE WE ARE TODAY
 Program focus still centers on addressing catalysts for
long term premium increase.
 Unparalleled market access as a result of focused
expertise.
 Portfolio includes the most advanced work comp
solutions including
Guaranteed cost programs, performance based dividend
programs, loss sensitive retrospective plans, collateralized
deductible programs, captive insurance solutions.
Currently serve 1,140 policy holders, over 5,000
employees, and over 2,500 independent contractors in
26 states across the U.S. (*BOB data as of 05/2015)
 Year over year growth in excess of 100% for last 24
consecutive months with client retention in excess of
90% over the same period..
Our Carrier Partners
Not a complete list.
Our Ancillary Partners
Our Clients
Our Focus - Workers Compensation Cost Drivers
NON CONTROLLABLE
 State posted manual rates
 Industry loss trends
 NCCI industry statistical rating data & factors
 Carrier appetites and filed rate deviations
 Premium discount schedules
 Your competition’s performance
CONTROLLABLE
 Your Experience Mod
The Experience Mod
WHAT IS IT?
 Simply expressed, the mod is a ratio of actual losses to expected
losses over a 3 year period.
 If your actual losses are more than expected, then your mod is
over 1.0.
 If your actual losses are less than expected, then your mod is
under 1.0
A mod of 1.0 is exactly average. How much better than average
are you, or would you like to be?
Your mod determines your final workers compensation costs –
your premiums equal the manual premium multiplied by our mod.
WHAT CAUSES IT TO CHANGE?
In order of importance:
 Frequency of claim – indicated by “primary losses”
 Severity of claim – indicated by “excess losses”
 Incorrect reporting of claim data
 Misclassification of payroll
Industry peer performance
 Payroll / Premium size
Solutions – The to do list….
Reduce
frequency of
losses
Reduce severity
of losses
Review
experience mod
for accuracy
Correct errors
prior to the unit
state filing date
Assure that your
WC classification
is correct
Address fraud
And who does all of this…..
Our comprehensive solutions
….We do!
Frequency
Preventative safety measures
such as on site training*
Claims Triage
Severity
Comp claims management
(calculation, reserves, &
filings)
Return to work programs &
light duty
Data & Claim
Accuracy
Review of WC classifications
Annual review of e-mod for
accuracy
Correction of reserves prior to
unit stat filing
Fraud
Employee Background checks
SIU fraud analysis
Claims shadowing
Surveillance
Medical/Hospital Canvasing
Court & county record retrieval
Subrogation & apportionment
The Results - Reduced costs in perpetuity!
We seek to accomplish the following:
Reduce frequency of claim by up to 30%.
 Keep severity of claim to an absolute minimum.
 Reduce/Eliminate non “type 6” claims.
 Eliminate indemnity compensation entirely.
 Assist clients in achieving their minimum
statistical e-mod (maximum performance).
 Reduce fraud to zero.
 Maximize policy purchase options at renewal.
Maintain a happy and positive workforce
through the process.
Tailored solutions for our clients…
 We work with clients to determine what
portion of our client solution portfolio fits their
unique situation.
 Select & implement relevant solutions.
 Set mutually agreed upon performance goals.
 Track, measure, and report performance.
 Re-position and repeat year over year.
 Note – Sunbelt designs a custom cost sharing
program to fund the implementation of our
solutions.
End of presentation
Thank you for your time & consideration.

More Related Content

What's hot

Software Audit Assist Introduction forLinkedIn
Software Audit Assist Introduction forLinkedInSoftware Audit Assist Introduction forLinkedIn
Software Audit Assist Introduction forLinkedIn
Sean Gilbert
 
Managing Employment Practices Liability
Managing Employment Practices LiabilityManaging Employment Practices Liability
Managing Employment Practices Liability
bethpatrick
 
Ac Os Bundled Payments
Ac Os Bundled PaymentsAc Os Bundled Payments
Ac Os Bundled Payments
Joe White
 
HR : Flexible Benefits
HR : Flexible BenefitsHR : Flexible Benefits
HR : Flexible Benefits
Hafizullah Mohd Amin
 
Benefit innovators actuarial services and healthcare reform
Benefit innovators actuarial services and healthcare reformBenefit innovators actuarial services and healthcare reform
Benefit innovators actuarial services and healthcare reform
Brad Vernon
 
21 Key Questions About Optimizing Payments
21 Key Questions About Optimizing Payments21 Key Questions About Optimizing Payments
21 Key Questions About Optimizing Payments
3 Point Alliance
 
Cost Savings Presentation
Cost Savings  PresentationCost Savings  Presentation
Cost Savings Presentation
krausekenneth
 
2012 stop loss associated benefits consultants - bob mc collins
2012 stop loss   associated benefits consultants - bob mc collins2012 stop loss   associated benefits consultants - bob mc collins
2012 stop loss associated benefits consultants - bob mc collins
Bob McCollins
 
Continual Summary
Continual SummaryContinual Summary
Continual Summary
Justin O'Rourke
 
Integrated Receivables: 5 Critical Factors For Adoption
Integrated Receivables: 5 Critical Factors For AdoptionIntegrated Receivables: 5 Critical Factors For Adoption
Integrated Receivables: 5 Critical Factors For Adoption
3 Point Alliance
 
Ifrs9 infographic
Ifrs9 infographicIfrs9 infographic
Ifrs9 infographic
Federica Tasselli
 
What is churn
What is churnWhat is churn
What is churn
Joya Cousin
 
Lawley Insurance - New York State Workers Compensation
Lawley Insurance - New York State Workers CompensationLawley Insurance - New York State Workers Compensation
Lawley Insurance - New York State Workers Compensation
Lawley Insurance
 
Ctq's,specs,defects
Ctq's,specs,defectsCtq's,specs,defects
Ctq's,specs,defects
Rashid Mehmood, ACCA
 
Broker Partnership
Broker PartnershipBroker Partnership
Broker Partnership
Jamie Coburn
 
MDM comparatively less mature; plans seem to be in place to transform further...
MDM comparatively less mature; plans seem to be in place to transform further...MDM comparatively less mature; plans seem to be in place to transform further...
MDM comparatively less mature; plans seem to be in place to transform further...
Genpact Ltd
 

What's hot (16)

Software Audit Assist Introduction forLinkedIn
Software Audit Assist Introduction forLinkedInSoftware Audit Assist Introduction forLinkedIn
Software Audit Assist Introduction forLinkedIn
 
Managing Employment Practices Liability
Managing Employment Practices LiabilityManaging Employment Practices Liability
Managing Employment Practices Liability
 
Ac Os Bundled Payments
Ac Os Bundled PaymentsAc Os Bundled Payments
Ac Os Bundled Payments
 
HR : Flexible Benefits
HR : Flexible BenefitsHR : Flexible Benefits
HR : Flexible Benefits
 
Benefit innovators actuarial services and healthcare reform
Benefit innovators actuarial services and healthcare reformBenefit innovators actuarial services and healthcare reform
Benefit innovators actuarial services and healthcare reform
 
21 Key Questions About Optimizing Payments
21 Key Questions About Optimizing Payments21 Key Questions About Optimizing Payments
21 Key Questions About Optimizing Payments
 
Cost Savings Presentation
Cost Savings  PresentationCost Savings  Presentation
Cost Savings Presentation
 
2012 stop loss associated benefits consultants - bob mc collins
2012 stop loss   associated benefits consultants - bob mc collins2012 stop loss   associated benefits consultants - bob mc collins
2012 stop loss associated benefits consultants - bob mc collins
 
Continual Summary
Continual SummaryContinual Summary
Continual Summary
 
Integrated Receivables: 5 Critical Factors For Adoption
Integrated Receivables: 5 Critical Factors For AdoptionIntegrated Receivables: 5 Critical Factors For Adoption
Integrated Receivables: 5 Critical Factors For Adoption
 
Ifrs9 infographic
Ifrs9 infographicIfrs9 infographic
Ifrs9 infographic
 
What is churn
What is churnWhat is churn
What is churn
 
Lawley Insurance - New York State Workers Compensation
Lawley Insurance - New York State Workers CompensationLawley Insurance - New York State Workers Compensation
Lawley Insurance - New York State Workers Compensation
 
Ctq's,specs,defects
Ctq's,specs,defectsCtq's,specs,defects
Ctq's,specs,defects
 
Broker Partnership
Broker PartnershipBroker Partnership
Broker Partnership
 
MDM comparatively less mature; plans seem to be in place to transform further...
MDM comparatively less mature; plans seem to be in place to transform further...MDM comparatively less mature; plans seem to be in place to transform further...
MDM comparatively less mature; plans seem to be in place to transform further...
 

Similar to Workers Compensation Program Overview

Understanding & Managing Your Workers' Compensation Experience Modification F...
Understanding & Managing Your Workers' Compensation Experience Modification F...Understanding & Managing Your Workers' Compensation Experience Modification F...
Understanding & Managing Your Workers' Compensation Experience Modification F...
DeanDCamera
 
Shopping The Market For Employee Benefits
Shopping The Market For Employee BenefitsShopping The Market For Employee Benefits
Shopping The Market For Employee Benefits
Vince Principato
 
Because The Partner You Choose Counts
Because The Partner You Choose CountsBecause The Partner You Choose Counts
Because The Partner You Choose Counts
evaguzman
 
Recruiting Powerpoint
Recruiting PowerpointRecruiting Powerpoint
Recruiting Powerpoint
LouCroce
 
Because The Partner You Choose Counts
Because The Partner You Choose CountsBecause The Partner You Choose Counts
Because The Partner You Choose Counts
Mike Duarte
 
SFPA Services Piece final
SFPA Services Piece finalSFPA Services Piece final
SFPA Services Piece final
Nick Helser
 
Insurance Issues for IKECA Owners/Operators
Insurance Issues for IKECA Owners/OperatorsInsurance Issues for IKECA Owners/Operators
Insurance Issues for IKECA Owners/Operators
CBIZ, Inc.
 
Ppt
PptPpt
Ppt
PptPpt
Risk Management Presentation Powerpoint 2008
Risk Management Presentation Powerpoint 2008Risk Management Presentation Powerpoint 2008
Risk Management Presentation Powerpoint 2008
Praxiom
 
If you cant measure it you cant manage it
If you cant measure it you cant manage itIf you cant measure it you cant manage it
If you cant measure it you cant manage it
PCO Bookkeepers
 
AP & Working Capital – Increasing Revenues from Early Payments
AP & Working Capital – Increasing Revenues from Early PaymentsAP & Working Capital – Increasing Revenues from Early Payments
AP & Working Capital – Increasing Revenues from Early Payments
Tradeshift
 
Increasing Reimbursement for Ambulatory Surgical Center (Part 2)
Increasing Reimbursement for Ambulatory Surgical Center (Part 2)Increasing Reimbursement for Ambulatory Surgical Center (Part 2)
Increasing Reimbursement for Ambulatory Surgical Center (Part 2)
Jessica Parker
 
Building an Effective Safety Culture
Building an Effective Safety CultureBuilding an Effective Safety Culture
Building an Effective Safety Culture
James Rhoad
 
Self-Funding for the Mid-Sized Employer: Can It Save Your Company Time, Money...
Self-Funding for the Mid-Sized Employer: Can It Save Your Company Time, Money...Self-Funding for the Mid-Sized Employer: Can It Save Your Company Time, Money...
Self-Funding for the Mid-Sized Employer: Can It Save Your Company Time, Money...
CBIZ, Inc.
 
5 P&C underwriting metrics to increase profitability
5 P&C underwriting metrics to increase profitability5 P&C underwriting metrics to increase profitability
5 P&C underwriting metrics to increase profitability
Grant Thornton LLP
 
California Workers Compensation Rates - How to Lower Your Rates
California Workers Compensation Rates - How to Lower Your RatesCalifornia Workers Compensation Rates - How to Lower Your Rates
California Workers Compensation Rates - How to Lower Your Rates
Darrin King
 
The Colonial Opportunity
The Colonial OpportunityThe Colonial Opportunity
The Colonial Opportunity
dalecamillo
 
Benefit Commerce Groups Neutralizer-Health Plan Strategy
Benefit Commerce Groups Neutralizer-Health Plan StrategyBenefit Commerce Groups Neutralizer-Health Plan Strategy
Benefit Commerce Groups Neutralizer-Health Plan Strategy
Ronald Lain
 
2016 MIPS Final Rule: What you need to know NOW
2016 MIPS Final Rule: What you need to know NOW2016 MIPS Final Rule: What you need to know NOW
2016 MIPS Final Rule: What you need to know NOW
Ben Quirk
 

Similar to Workers Compensation Program Overview (20)

Understanding & Managing Your Workers' Compensation Experience Modification F...
Understanding & Managing Your Workers' Compensation Experience Modification F...Understanding & Managing Your Workers' Compensation Experience Modification F...
Understanding & Managing Your Workers' Compensation Experience Modification F...
 
Shopping The Market For Employee Benefits
Shopping The Market For Employee BenefitsShopping The Market For Employee Benefits
Shopping The Market For Employee Benefits
 
Because The Partner You Choose Counts
Because The Partner You Choose CountsBecause The Partner You Choose Counts
Because The Partner You Choose Counts
 
Recruiting Powerpoint
Recruiting PowerpointRecruiting Powerpoint
Recruiting Powerpoint
 
Because The Partner You Choose Counts
Because The Partner You Choose CountsBecause The Partner You Choose Counts
Because The Partner You Choose Counts
 
SFPA Services Piece final
SFPA Services Piece finalSFPA Services Piece final
SFPA Services Piece final
 
Insurance Issues for IKECA Owners/Operators
Insurance Issues for IKECA Owners/OperatorsInsurance Issues for IKECA Owners/Operators
Insurance Issues for IKECA Owners/Operators
 
Ppt
PptPpt
Ppt
 
Ppt
PptPpt
Ppt
 
Risk Management Presentation Powerpoint 2008
Risk Management Presentation Powerpoint 2008Risk Management Presentation Powerpoint 2008
Risk Management Presentation Powerpoint 2008
 
If you cant measure it you cant manage it
If you cant measure it you cant manage itIf you cant measure it you cant manage it
If you cant measure it you cant manage it
 
AP & Working Capital – Increasing Revenues from Early Payments
AP & Working Capital – Increasing Revenues from Early PaymentsAP & Working Capital – Increasing Revenues from Early Payments
AP & Working Capital – Increasing Revenues from Early Payments
 
Increasing Reimbursement for Ambulatory Surgical Center (Part 2)
Increasing Reimbursement for Ambulatory Surgical Center (Part 2)Increasing Reimbursement for Ambulatory Surgical Center (Part 2)
Increasing Reimbursement for Ambulatory Surgical Center (Part 2)
 
Building an Effective Safety Culture
Building an Effective Safety CultureBuilding an Effective Safety Culture
Building an Effective Safety Culture
 
Self-Funding for the Mid-Sized Employer: Can It Save Your Company Time, Money...
Self-Funding for the Mid-Sized Employer: Can It Save Your Company Time, Money...Self-Funding for the Mid-Sized Employer: Can It Save Your Company Time, Money...
Self-Funding for the Mid-Sized Employer: Can It Save Your Company Time, Money...
 
5 P&C underwriting metrics to increase profitability
5 P&C underwriting metrics to increase profitability5 P&C underwriting metrics to increase profitability
5 P&C underwriting metrics to increase profitability
 
California Workers Compensation Rates - How to Lower Your Rates
California Workers Compensation Rates - How to Lower Your RatesCalifornia Workers Compensation Rates - How to Lower Your Rates
California Workers Compensation Rates - How to Lower Your Rates
 
The Colonial Opportunity
The Colonial OpportunityThe Colonial Opportunity
The Colonial Opportunity
 
Benefit Commerce Groups Neutralizer-Health Plan Strategy
Benefit Commerce Groups Neutralizer-Health Plan StrategyBenefit Commerce Groups Neutralizer-Health Plan Strategy
Benefit Commerce Groups Neutralizer-Health Plan Strategy
 
2016 MIPS Final Rule: What you need to know NOW
2016 MIPS Final Rule: What you need to know NOW2016 MIPS Final Rule: What you need to know NOW
2016 MIPS Final Rule: What you need to know NOW
 

Workers Compensation Program Overview

  • 2. In This Presentation  About Sunbelt Insurance Holdings  Workers compensation program background  Our partners  Workers compensation cost drivers  Tailored solutions for the long term
  • 3.
  • 4. Workers Compensation Program PROGRAM BACKGROUND  Created in 2009 from scratch. Designed to address the needs of high risk clients and hard to place exposures.  Core competency: addressing true WC cost drivers and catalysts for long term premium increase.  Secondary competency was market access and placement.  Tertiary focus was near term premium reduction through policy brokerage. WHERE WE ARE TODAY  Program focus still centers on addressing catalysts for long term premium increase.  Unparalleled market access as a result of focused expertise.  Portfolio includes the most advanced work comp solutions including Guaranteed cost programs, performance based dividend programs, loss sensitive retrospective plans, collateralized deductible programs, captive insurance solutions. Currently serve 1,140 policy holders, over 5,000 employees, and over 2,500 independent contractors in 26 states across the U.S. (*BOB data as of 05/2015)  Year over year growth in excess of 100% for last 24 consecutive months with client retention in excess of 90% over the same period..
  • 5. Our Carrier Partners Not a complete list.
  • 8. Our Focus - Workers Compensation Cost Drivers NON CONTROLLABLE  State posted manual rates  Industry loss trends  NCCI industry statistical rating data & factors  Carrier appetites and filed rate deviations  Premium discount schedules  Your competition’s performance CONTROLLABLE  Your Experience Mod
  • 9. The Experience Mod WHAT IS IT?  Simply expressed, the mod is a ratio of actual losses to expected losses over a 3 year period.  If your actual losses are more than expected, then your mod is over 1.0.  If your actual losses are less than expected, then your mod is under 1.0 A mod of 1.0 is exactly average. How much better than average are you, or would you like to be? Your mod determines your final workers compensation costs – your premiums equal the manual premium multiplied by our mod. WHAT CAUSES IT TO CHANGE? In order of importance:  Frequency of claim – indicated by “primary losses”  Severity of claim – indicated by “excess losses”  Incorrect reporting of claim data  Misclassification of payroll Industry peer performance  Payroll / Premium size
  • 10. Solutions – The to do list…. Reduce frequency of losses Reduce severity of losses Review experience mod for accuracy Correct errors prior to the unit state filing date Assure that your WC classification is correct Address fraud And who does all of this…..
  • 11. Our comprehensive solutions ….We do! Frequency Preventative safety measures such as on site training* Claims Triage Severity Comp claims management (calculation, reserves, & filings) Return to work programs & light duty Data & Claim Accuracy Review of WC classifications Annual review of e-mod for accuracy Correction of reserves prior to unit stat filing Fraud Employee Background checks SIU fraud analysis Claims shadowing Surveillance Medical/Hospital Canvasing Court & county record retrieval Subrogation & apportionment
  • 12. The Results - Reduced costs in perpetuity! We seek to accomplish the following: Reduce frequency of claim by up to 30%.  Keep severity of claim to an absolute minimum.  Reduce/Eliminate non “type 6” claims.  Eliminate indemnity compensation entirely.  Assist clients in achieving their minimum statistical e-mod (maximum performance).  Reduce fraud to zero.  Maximize policy purchase options at renewal. Maintain a happy and positive workforce through the process.
  • 13. Tailored solutions for our clients…  We work with clients to determine what portion of our client solution portfolio fits their unique situation.  Select & implement relevant solutions.  Set mutually agreed upon performance goals.  Track, measure, and report performance.  Re-position and repeat year over year.  Note – Sunbelt designs a custom cost sharing program to fund the implementation of our solutions.
  • 14. End of presentation Thank you for your time & consideration.