LYCOS RETRIEVER 
Workers Compensation: Claims
built 216 days ago
The reserve increase related to the 1997-2001 underwriting years, excluding Workers' Compensation, was principally driven by recently reported claims in Umbrella Liability, Errors & Omissions and Directors & Officers lines of business in those underwriting years. The professional lines claims activity arises largely from a limited number of cedents. This reserve
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CRM is a leading provider of fee-based management and other services for workers' compensation self-insured groups in New York and California. CRM has been in the business of forming and managing self-insured groups in New York since 1999 and, in 2003, the business was expanded into California. CRM provides self-insured groups with a comprehensive range of services, including assistance in the formation of groups, underwriting, risk assessment, safety and loss control services, medical bill review and case management, general management and recordkeeping, regulatory compliance and, in New York, claims management services. CRM ... acts as a broker by placing excess coverage insurance and any required surety bonds for the groups, and reinsures a portion of this excess coverage through its subsidiary, Twin Bridges. Further information can be found on the CRM website at http://www.CRMHoldingsLtd.bm.
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In its study, The Hartford analyzed more than 41,000 lost-time workers' compensation claims filed between 2000 and 2003. The injuries that prompted the claims fell into three categories - back injuries, carpal-tunnel syndrome and other nerve disorders, and miscellaneous injuries - which together represent about two-thirds of all lost-time workers' compensation claims. The study excluded claims for open wounds, fractures and dislocations, which are almost always reported within 48 hours of occurrence. The analysis shows that reporting back sprain and back strain during the first week can save an average of 25 percent of medical and lost-time costs, up from a 10 percent savings in The Hartford's previous study of 53,000 claims from 1996 to 1999.
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DORN Technology Group specializes in providing risk and claims management information systems to Fortune 1000 companies involved in workers' compensation, general liability and other property/casualty-based insurance programs. It serves one of the largest installed user bases in the industry with more than 500 client locations employing its RISKMASTER and QUEST product lines. Based in Livonia, Mich., DTG is a private corporation with projected revenues of more than $8 million this year. It employs 50, including five managing principals. SOURCE DORN Technology Group
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IHI's Special Investigation Unit investigates all types of workers' compensation insurance fraud and has an excellent track record in the prosecution of workers' compensation fraud. Over 80% of the claims submitted to District Attorney Offices by Intercare have resulted in the filing of criminal complaints. IHI and Intercare sent 15 cases to district attorneys throughout California in 2003.
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Sedgwick CMS will provide administration of workers' compensation and disability claims as well as FMLA and other absence management services. UnitedHealth Group will provide health insurance, vision, dental, life, wellness, employee assistance program (EAP) and related customer services through its Uniprise affiliate. Additionally, on-site rehabilitation and vocational specialists will be available to assist the clinical team with return-to-work issues.
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