If you are a public entity or school district that initially handles all your claims in-house because you are totally self-insured or have a self-insured retention of over $100,000, this blog is going to discuss procedures that should be put together and the areas of a claim that you need to analyze before determining the level of exposure you may be facing.  There are many aspects of a case that you need to investigate, even if they initially appear to be somewhat insignificant. 

What are the most important things to consider when implementing predictive models into your claim handling process?

Once in a blue moon, the U.S. government allows the implementation of a program that affords employers the opportunity to save money without inconveniencing employees. While you process that statement, think of what your current spend is on pharmacy. What just a few years ago was a small percentage of your medical cost may now occupy a higher percentage of the total spend without a cost control method in sight… until now.

The purpose of most actuarial methods is to estimate ultimate losses, or total losses, for a particular accident period. Once an estimate of the ultimate losses is determined, outstanding losses or required reserves are easily calculated by subtracting the paid losses from these total losses.

I’m possibly facing an uphill battle here – how in the world will I convince public entity risk managers that their internally driven unemployment activity is a part and parcel component of the larger risk management function?

According to a recent report by the Bureau of Labor Statistics, roadway incidents accounted for 1264 work-related fatalities in 2015. That is about one out of every four fatal work injuries in the United States, which easily makes it the top cause of work-related fatalities followed by falls (800), contact with objects and equipment (722) and violence and other injuries by persons or animals (703).