Claims

Another way in which Tegner-Miller’s experience and expertise can be of assistance to their clients in controlling insurance costs is in the area of claims. As noted above, an employer’s experience modification is directly affected by his own claims experience. In addition, a few insurers pay dividends based on their insureds’ claim history. A good loss control program can help prevent injuries and industrial illnesses. Nonetheless, accidents happen and then control of the size of the claim depends on disciplined follow up procedures on the part of the employer or, as is more often the case, his insurance broker. Tegner-Miller excels in their organized claim follow up procedures, based on a time frame that stems from the date the insurer must report its experience to WCIRB for calculation of the next year’s experience modification. An insurer must set up a reserve for every claim and often claims are neglected or over estimated, with the result being the reporting of an inflated claim. Our review process often brings to light neglected or over reserved claims. Sometimes a claim could be closed except for misunderstanding by the injured employee. Counseling of the employee by his employer on the advice of his broker often solves this. These are just a few examples of the effectiveness of the excellent workers’ compensation claim follow up procedures in place at Tegner-Miller Insurance Brokers.