Upload
pearl-peters
View
215
Download
0
Tags:
Embed Size (px)
Citation preview
Workers Comp Overview&
Accident Investigations
RCS Presentation
Overview
What is risk management?
Predators
Red Flags
Client Selection
Employee Orientation
Accident investigations
The Need for Risk Management
Staffing firms assume risk at the time a hiring decision is made and a job order is filled
Typically 2nd greatest expense
Cost containment becoming more critical
Goal of Risk Management . . .
Minimize exposure to loss
Reduce expenses related to loss
#1 cost containment strategy
Create advantage to sell at a more competitive price
Potential Predators
Applicants/Employees
Customers
Staffing Company
Fraudulent/Suspect Claims –Who files them?
Drug related individuals…………………………….70%
Criminals/Ex-cons…………………...60%People earning close to minimum
wage………………..………………….90%
Summary of Possible Red Flags in Prescreen/Intake Phase
Unwilling to:– complete our intake
materials– comply with substance
abuse policy– release background
history
Inquiries concerning:– drugs tested for– how far back criminal
history will be checked– workers comp benefits
Lethargic, inattentive, indifferent
Gaps in work history Many jobs in a short
period of time (job hopping)
No work history No references Incomplete
application
Client Selection
Staffing services must consider the following:
View client as individual risk with opportunity for profit or loss
Ensure good assessment and understanding of the risks assumed
Decision is more than “filling job orders”
Decision extends your insurance coverage to client work sites
Client Selection
Key areas of Client Qualification
Interview (communicationand documentation)
Facility tour
Summary
Follow up
Employee Orientation
General orientation– Staffing company’s concerns– Policies and procedures
General safety orientation– OSHA compliance– Industry hot topics
Client Site-Specific safety orientation– OSHA compliance– Task- and job-specific training
Accident Investigations
What do I do now?
We had an injury—now what?
An accident may be:
– A workplace injury
– An incident involving property
damage
– A near miss situation where no
one was injured, but corrective action is
needed to prevent future injuries
Purpose of an Investigation
Investigations should focus on:– Determining the actual cause of the incident
Dangerous conditions
Dangerous practices
Improper training
– Determining the validity of the claim
– Making recommendations for prevention
How soon should this be done?
Timeliness is critical for the following reasons:
– Evidence may be changed or destroyed by normal work activity.
– Witnesses will be more likely to give accurate accounts shortly after the incident.
– Serious cases involve OSHA notification—Fed OSHA guidelines require notification in 8 hours when a fatality occurs at the worksite or if 3 or more employees are hospitalized from a workplace injury incident.
The OSHA Regulation
1904.39(a) Basic requirement. Within eight (8) hours after the death of any employee from a work-related incident or the in-patient hospitalization of three or more employees as a result of a work-related incident, you must orally report the fatality/multiple hospitalization by telephone or in person to the Area Office of the Occupational Safety and Health Administration (OSHA), U.S. Department of Labor, that is nearest to the site of the incident. You may also use the OSHA toll-free central telephone number, 1-800-321-OSHA (1-800-321-6742).
Timeliness in reporting the claim to Corporate is also critical.
The Corporate Claims Department will need to report
the claim to the insurance carrier in a timely manner to
avoid penalties.
Getting the claims manager at
Corporate and the claims professionals
of the Insurance Carrier involved in the
process gives us the full advantage of their experience
and expertise before the claim gets out of control.
Corrective Actions
We should always conclude the investigation
with recommendations for preventive measures
to stop similar incidents from
happening in the future.
Share these recommendations
with employees and clients in an
effort to provide a better workplace for our
employees.
Accident Investigation Flow Chart
How does investigation tie in to Modified Duty?
The investigation does not stop at the incident scene, it may extend to the treating facility.– Determine work restrictions– Communicate with employee and treating
facility– Be prepared with assignments– Monitor the work– Do you remember the two primary
characteristics of a good modified duty assignment?
In Summary:
The goal of Risk Management is to minimize your exposure to loss.
Predators come in many different forms. Use risk management techniques to screen them out.
Red flags don’t necessarily equal red lights – just require further investigation.
Client selection is a process – don’t just accept any job orders.
Train employees during orientation on accident procedures.
In Summary:
An investigation should be done for all incidents that involve personal injury or property damage.
Near miss incidents are an opportunity for a quick investigation and recommendations to prevent an injury in the future.
Timeliness is critical.
Call Corporate for assistance anytime you have a question.
Special cases—a fatality or hospitalization of 3 or more workers is an OSHA reportable event.