Q&A: What is a Vigilant claims review anyway?
Curious what a Vigilant claims review is all about and what it can reveal? Great! Are you a Washington manufacturing or agribusiness looking to better understand your workers’ comp performance and uncover opportunities for improvement? If so, you’re in the right place. Let’s explore the claims review process and why it’s so important.
Step one: You fill out a release form (without obligation)
This allows us to obtain your claims data from L&I and take a thorough look at where things stand with your claims.
Step two: The magic – where the data nerds get to do their thing
Once we have the data, that’s when the real magic begins. In this in-depth review, we analyze your claims, uncovering factors that could significantly drive up your claims’ costs, such as:
- Late protests that lead to extended time loss
- Kept-on-salary was used for too long
- Not identifying strategic claims issues, such as missed opportunities for Independent Medical Exam’s (IME’s), improper liability apportionment, contended conditions, prorate opportunities, incorrect account assignments, incorrect Experience Modification Factor (EMF) calculations
- Failure to focus on the highest impact areas to reduce costs
Step three: We share the valuable insights with you
Once we’ve analyzed your claims data, we share valuable insights to give you a clear picture of where you stand and your options.
For instance, if we discover claims are not being closed in a timely manner, we’ll focus not only on improving closure timelines moving forward but also how past delays may have affected your current EMF. If delays have negatively impacted your EMF, we’ll work to get it adjusted for the affected years. We just saw this happen for a member company, saving them more than $90,000 in premium!
Step four: You use the claims review insights to guide your next steps
If during this process we uncover you’re paying more in claims costs than you should, it may be a good time to take a step back and evaluate your workers’ comp processes.
Not all workers’ comp costs are within your control, but many are—the key lies in understanding what you can influence and choosing the right partner to advise and assist. A partner who digs deep and keeps you on track can make all the difference in driving your costs down.
Ready for a claims review? Request one today.
request a claims review! fill out a release form
It’s true, our claims reviews aren’t just for anyone. They are tailored specifically for Washington manufacturers or agribusinesses who are ready to take a closer look at their workers’ comp performance. If you’re eager to understand where you stand and uncover opportunities for improvement, this might be the perfect next step for you.
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