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Case Study # 2: The Medium Size Manufacturer

Problem: A visitor to WorkersCompKit.com requested personal consulting for 20 hours. This manufacturing company is self-insured and uses a third-party administrator (TPA) to handle their workers' comp claims. Through their TPA they have access to a variety of services including loss control expertise, bill review services and nurse case management.

However, they still had three existing WC claims that involved employees out of work too long.

Solution # 1: From Workers' Comp Kit®, the company obtained the tools to establish a wide-spread communication program for their post injury response and transitional duty programs.

  • One employee went out on comp for an ankle injury and remained out for longer than durations stated in the Injury Duration Guidelines.
  • Using WorkersCompKit.com Submit-A-Claim service, the company contacted a Medical Advisor who contacted the employee's treating physician.

Results: The Medical Advisor asked the treating physician if it was possible for the employee to work with modifications such as a taped ankle or working at a more sedentary position without stairs.  Based on this conversation:

  • The treating physician released the employee for transitional duty
  • The employee returned to work in a transitional duty assignment where he could alternately sit and walk until the injury was healed

At that point, the employee was released to return to his original job full-time

Solution # 2: Another claimant who had a long-term injury moved to a remote cabin in Maine where there was no labor market (other than hunting guides and the farming industry).

  • The employer worked with a Workers Comp Kit® resource to identify a home-based job for this employee
  • The employee interviewed by phone from his attorney's office and was offered a position
  • Then his attorney told the company the claimant could not participate in this program due to the absence of local phone service:
    • The phone company said it would cost $72,000 to run a line 3 miles to his cabin!
    • Finally, the company was told that there was no cell phone coverage in the area

Results: With our resource's encouragement and guidance, the company refused to take no for an answer and had our resource research the issue.

  • A satellite phone was found that worked in this remote area
  • Once authorization was given for employee use, he was able to participate in the home-based business located by our partner
  • The case settled favorably within weeks for $12,000
  • This resulted in a savings of over $60,000

With a profit margin of 7%, this was the same as increasing sales by approximately $857,000.

Do you have a specific workers' comp related problem that you don't know how to handle like this mid-sized manufacturer. Workers' Comp Kit® can provide the solutions you need to control your workers' compensation costs.



"Workers Compensation Management Program: Reduce Costs 20% to 50%"

To learn more about how to lower your workers compensation expense, read the guidebook from Advisen and the Workers Comp Resource Center, Workers Compensation Management Program: Reduce Costs 20% to 50%, which covers the following:

•   BONUS CHAPTER! Process Overview for Workers Compensation Managers
Workers Compensation Basics
•   Fundamentals of Cost Containment
Best Practices Roles and Responsibilities
Management Commitment
Employee Communications
Controlling Fraud and Abuse
•   Return to Work and Transitional Duty
Claim Reporting
•   Other Indemnity Cost Containment Services
•   Directing Medical Care
Medical Cost Containment
Physical Therapy & Physical Rehabilitation
Pharmacy Benefits Management
Training Supervisors
Working with the Insurance Company and TPA
•   Claim Resolution and Settlement
•   Safety and Loss Control

Workers Compensation Management Program 2012: Reduce Costs 20-50%
Learn more about the comprehensive guidebook from Advisen and the Workers Comp Resource Center: Workers Compensation Management Program: Reduce Costs 20% to 50%.

Learn more: Workers Compensation Management Program: Reduce Costs 20% to 50%
Learn more about included documents, bulk pricing, and custom imprinted covers for brokers, carriers, and associations.