What to do When an Employee Becomes Injured

midwestern logoThere are a variety of incidents that can constitute a Workers’ Compensation Insurance claim. While businesses of all types do their best to prevent against injuries, accidents happen. Therefore, securing the right insurance policy is a must. Further, here is how employers can navigate the incident when an accident happens to increase efficiency and get the employee back to work as soon as possible.

According to an article on Business.com, businesses should follow certain guidelines when formulating a Workers’ Comp plan. They are as follows:

  1. Take quick action when it comes to injuries. If the injury is life-threatening or requires emergency medical attention, immediately call 911.  Failing to seek immediate medical assistance could cause the business to become entangled in a lawsuit.
  2. Employers are required to file a claim with the insurance company immediately. Failing to do so can result in heftier fines, delayed treatment, and increased risk for workers’ compensation fraud. In fact, according to the National Insurance Crime Bureau, workers’ Comp scams cost businesses $7.2 million a year. Therefore, it pays to report the incident immediately.
  3. Never prevent an employee from filing a claim. Instead, employers should follow up with the injured employee, communicate with their treating physicians, and implement their return to work programs.
  4. Update claim paperwork during the process of waiting to hear back from the claims administrator. As it can take up to 90 days for approval or denial, ensure the employee’s health and recovery are processed and updated and stay up to date with their compensation.

The staff members at Midwestern Insurance Alliance are experts in providing Workers’ Compensation coverage, and view their relationship with policyholders as a partnership. To learn more, please contact MIA today.

K2 Insurance Services, LLC was formed by two insurance industry veterans with the purpose of acquiring managing general agents and developing multi-line programs. Our goal is to distribute innovative products through retail and wholesale distribution channels. To learn more about our services and partners, please contact us today at (855) 976-8113 or visit K2INS.COM

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Employer Tips for Preventing Workers’ Comp Fraud

midwestern logoWorkers’ Compensation Insurance is a necessary coverage for the majority of employers. Unfortunately, businesses of all types are at risk for experiencing some kind of workers’ compensation schemes. In order to prevent these fraudulent activities from occurring in the first place, employers can practice the following techniques.

  1. Report injuries immediately to insurance provider- According to EHS Today, the primary goal is to make sure the injured worker receives the proper treatment and that the recovery protocols are followed to facilitate a speedy recovery so the injured worker is returned to health and the job as quickly as possible- when this process is followed, the possibility of fraud is less likely.
  2. Provide proper training and supervision- As the manager of the company is often the point of contact for the injured employee, ensure they know how to handle workers’ compensation claims. In addition, managers should accompany the injured worker to their medical appointments whenever possible in order to reduce the chances of fraudulent claims. Next, managers should be encouraged to communicate with the physician and the worker about the status of their recovery. This will prevent the worker from feeling neglected and reduce the chances of a potential lawsuit.
  3. Investigate the accident immediately- While the injury is still new, investigate how and why the accident occurred. This can help to determine where the issue lies and identify how it can be prevented from happening again in the future. Further, the more facts and evidence gathered can prevent a scam from occurring.
  4. Background checks- Past criminal history can indicate a theme for fraud. By performing background checks, employers can understand who exactly they are hiring to protect their business in the long run.

The staff members at Midwestern Insurance Alliance are experts in providing Workers’ Compensation coverage, and view their relationship with policyholders as a partnership. To learn more, please contact MIA today.

At K2 Insurance Services, LLC, we are dedicated to creating a leading underwriting and distribution franchise both in the standard and specialty program insurance markets. K2 was formed by two insurance industry veterans with the purpose of acquiring managing general agents and developing multi-line programs. Our goal is to distribute innovative products through retail and wholesale distribution channels. To learn more about our services and partners, please contact us today at (855) 976-8113 or visit K2INS.COM.

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Creating an Effective Return to Work Program

As discussed in previous blog posts, it is the employers’ sole responsibility to carry workers’ compensation coverage for their employees. While handling common employee errors in workers’ compensation cases is critical, so is establishing an effective return to work program. By being proactive and implementing this coverage before an employee is injured, business owners’ expenses and workers’ compensation liability can be reduced. Here are some steps to take toward a sound return to work program.

  • Assign a dedicated member of the team to be responsible for implementing the program and enforcing its rules, says the National Association of Wholesaler-Distributors (NAW).
  • Ensure the program is reflective of your clients’ desire to have its employees return quickly. The policy should be committed to bringing employees back immediately and business owners need to ensure that each employee participates in this program in order for it to be effective.
  • Educate owners and employees about the importance of such programs and how it relates to productivity, cost savings, and improved workplace morale.
  • Seek medical attention immediately after an injury and maintain contact with the employee throughout his or her recovery.
  • Once cleared by their doctor, employees should be encouraged to return to work as soon as possible.

The staff members at Midwestern Insurance Alliance are experts in providing Workers’ Compensation coverage, and view their relationship with policyholders as a partnership. To learn more, please contact MIA today.

At K2 Insurance Services, LLC, we are dedicated to creating a leading underwriting and distribution franchise both in the standard and specialty program insurance markets. K2 was formed by two insurance industry veterans with the purpose of acquiring managing general agents and developing multi-line programs. Our goal is to distribute innovative products through retail and wholesale distribution channels. To learn more about our services and partners, please contact us today at (855) 976-8113 or visit K2INS.COM.

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Workers’ Compensation Claims Handling: Common Employer Errors

When it comes to controlling workers’ compensation claims, business owners and company directors must execute all necessary actions in a prompt and correct manner. This will not only help companies to control costs, but is also an essential part of a strong risk management program. How can employers best handle workers’ compensation claims? Avoiding the common employer errors listed below, highlighted by a recent HNI article, is a good start.

Reporting the Claim Too Late

When a workplace injury occurs, memories are fresh and evidence is preserved the sooner the injury is reported. Claims representatives are required to work with a medical provider to keep their injured employee working in a light duty capacity, and this cannot be done without the timely reporting of a claim.

Not Investigating the Injury Right When it Occurs

The right person needs to be aware of an employee injury. In almost all cases, this is going to be the employees’ immediate supervisor; who knows all the details of the workers job and will be the best person to determine if the accident or injury was a result of a hazardous work environment or the workers’ own negligence. This investigation should also be done right when the injury occurs so the supervisor can see the status of the work area.

Not Offering a Return-To-Work Program

A return to work program helps to reduce or potentially even eliminate lost-time claims by brining injured workers back to work sooner than they would have been able to return otherwise. This has many benefits; it saves the company time and money, and helps the worker feel like a valued member of the team who cannot be replaced.

The above mentioned errors are just a few common mistakes employers make when it comes to workers’ compensation claims. Other mistakes include not securing a medical release at the time of the injury, hiring unqualified employees and/or not conducting proper safety training, and not having a general understanding of workers’ compensation in general.

The staff members at Midwestern Insurance Alliance are experts in providing Workers’ Compensation coverage, and view their relationship with policyholders as a partnership. To learn more, please contact MIA today.
K2 Insurance Services, LLC was formed by two insurance industry veterans with the purpose of acquiring managing general agents and developing multi-line programs. Our goal is to distribute innovative products through retail and wholesale distribution channels. To learn more about our services and partners, please contact us today at (855) 976-8113 or visit K2INS.COM

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Helping Employers Understand Workers Comp Awards

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In last month’s blog post, we went over some details that employers should be aware of when it comes to Workers’ Compensation coverage, the most important factor being that your clients are 100% responsible for providing this type of coverage to their workers. When it comes to explaining how Workers Compensation Awards work, however, what should your clients tell their employees? Much of how their claim is handled has little to do with their employer and much more to do with the state in which they reside.

How so? A recent infographic published by ProPublica illustrated how Workers’ Compensation is surprisingly unequal between states. They referred to a recent story of two men who live on either side of the Alabama-Georgia state line. These two men had extremely similar jobs, roles, and injuries, yet the worker who lived and worked in Alabama received $45,000 for the loss of his arm, while the man in Georgia received an award of over $740,000 after losing his arm. Even the two men’s ages were fairly similar, one being 25 and one being 27. So why the discrepancy?

Nearly every state has what’s known as a “schedule of benefits” that divides up a person’s body parts on a chart. Employees are then awarded a portion of their wages up to the maximum allowed in their state, for the specified number of weeks assigned to each body. While logically many people feel that if you lose a limb on the job, the cost should be the same throughout the country regardless, the fact is that workers in different states are compensated in different ways.

Some employers are quick to assume that the real problem is that the cost of contributing to Workers’ Compensation Insurance Programs are eating at their profits too much. However, Workers’ Comp premiums are reportedly at historic lows, despite increases in health care costs. Curious as to what employers in your state are paying for Workers’ Compensation coverage? Look up your state’s results here.

The staff members at Midwestern Insurance Alliance are experts in providing Workers’ Compensation coverage, and view their relationship with policyholders as a partnership. To learn more, please contact MIA today.

K2 Insurance Services, LLC was formed by two insurance industry veterans with the purpose of acquiring managing general agents and developing multi-line programs. Our goal is to distribute innovative products through retail and wholesale distribution channels. To learn more about our services and partners, please contact us today at (855) 976-8113 or visit K2INS.COM

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