How to “Think like a Scientist”. DAY 1 Claims, Evidence, and Reasoning.
So You Think Your Claims Are Bad?
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Transcript of So You Think Your Claims Are Bad?
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So You Think Your Claims Are Bad?
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13 Runner Ups
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Trends: Causation
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Trends: Causation
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• Over 50% of our large loss injuries involve a back injury ($179 Million total) Lumbar (lower) regions account for 50% of back injuries Cervical (neck) regions account for 25% Average large loss when back injury is involved = $560K
• Brain injuries are the costliest large loss. They average nearly $700K.
* Total percentage is over 100% as some injuries involve more than one body part. 16
Trends: Injuries
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Trends: Departments
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Trends: Departments
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Trends: Departments
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• CRL has identified 40 large loss WC claims to date that address seat belt utilization within claim reports (i.e. yes or no to seat belt used).
• 27 (67%) of those cases have reported no seat belt use.
• Average large loss claim cost when no seat belt used is 32% higher (or approx. $200K higher) than when it is used.
• The worst loss with no seat belt: $5.25 Million
• The worst loss with seat belt used: $1.04 Million
The average time to buckleyour seat belt: 2.7 seconds1
1 http://www.themissouriinjurylawyer.com/2012/01/17/bottom-line-wearing-a-seatbelt-will-keep-you-alive-healthy-and-safe/
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Trends: Seat Belts
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• CRL has 18 large WC losses involving firefighters. 13 (or 72%) of those losses are from volunteers……totaling $11.7 Million in losses.
• Of those 13 volunteer cases, 10 (or 77%) were caused by motor vehicle accidents.
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Observations: Volunteer Firefighters
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• Emergency Services (Law Enforcement, EMS, Fire) produce the highest frequency and severity of large claims. This is true for all lines of coverage (Auto, GL, WC)
• Are county pools allocating loss control resources appropriately to these emergency services?
• Are the right people doing the training?
• Some loss control activities will be complicated (Emergency Services Policies and Procedures, hiring, etc.), but some are very simple (Seat Belts).
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Trends: Conclusions
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Questions or Comments?