Peggy E. Downard Manager, Workers' Compensation Self Insured Workers' Compensation Program.

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Peggy E. Downard Manager, Workers' Compensation Self Insured Workers' Compensation Program

Transcript of Peggy E. Downard Manager, Workers' Compensation Self Insured Workers' Compensation Program.

Page 1: Peggy E. Downard Manager, Workers' Compensation Self Insured Workers' Compensation Program.

Peggy E. DownardManager, Workers' Compensation

Self Insured Workers' Compensation Program

Page 2: Peggy E. Downard Manager, Workers' Compensation Self Insured Workers' Compensation Program.

Nearly 100 Years in the Tire Business

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Cooper's rich, storied history dates to 1914

Giant Tire & Rubber Company employees pose for group photo, 1917

Ira J. Cooper

Women work to produce pontoon boats during WWII

Cooper's early business plan: a square deal

Page 3: Peggy E. Downard Manager, Workers' Compensation Self Insured Workers' Compensation Program.
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Page 5: Peggy E. Downard Manager, Workers' Compensation Self Insured Workers' Compensation Program.

Keeping all facilities on the same page

• Created companywide guidelines on how to handle Workers' Compensation

• Utilized representatives from each facility, both union and non union representatives

• Union attends the SI conferences along with each of our facilities workers' compensation administrators

• Meet weekly with Union rep to discuss on-going cases

• Quarterly Claim Reserve Review, 1 off-site meeting with each plant and adjustor.

Page 6: Peggy E. Downard Manager, Workers' Compensation Self Insured Workers' Compensation Program.

Strike/Lockout Strategy• Deny all requests for Temporary Total after lockout date• Schedule Independent Medical Exam (IME) as far out as

possible• Write letters to claimants indicating we had light duty

available• Existing Temporary Total claims – write attending physician

asking for light duty restrictions/return to work• Schedule IME for those still off to determine work ability• Weekly phone conference with union workers'

compensation representative to discuss claim status and quash rumors

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Savings – Not just fee schedule2011

State Total Total Fee Schedule Professional PPO Total

Gross % Net % Service ROI

  Bills Charges Reductions Review Reductions Reductions

Savings Savings Fee  

        Reductions &                    Cost to Charge                                                      

Totals 5946 $ 4,860,555.83 $ 1,030,405.13 $ 1,145,937.19 $ 625,934.36 $2,802,276.68 58% 53% $ 226,945.01 $ 12.35

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Savings Continued2010

  Total Total Fee Schedule Professional PPO Total Gross % Net % Service ROI  Bills Charges Reductions Review Reductions Reductions Savings Savings Fee  

        Reductions &                    Cost to Charge            

                     

                     

Totals 6130 $ 5,086,327.21 $ 1,239,747.58 $ 1,222,085.36 $ 495,554.67 $ 2,957,387.61 58% 54% $ 190,414.52 $ 15.53

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Future

• Job Safety Analysis• Physical Demands Analysis• Accident Reporting System• Paperless Files

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Thank you!