High California ex mod, or experience modification factors, can contribute to a variety of challenges in obtaining and affording workers’ compensation insurance, and often indicate a number of serious issues within an organization.
Do you understand where your experience modification factor is derived? What analyses and protocols has your organization put in place to minimize risk and maximize effectiveness of your work comp and safety programs?
If California workers comp insurance was only required to cover basic medical treatments for predictable kinds of injuries, it might have been a simpler system. But health care and employment are both difficult topics to capture in simple ways.
Some workers’ compensation claims are straightforward. A sprained ankle or a dislocated finger might involve simple treatments and little or no downtime for the patient. But many claims are tricky. If an injury entitles an employee to disability benefits or leads to medical complications, the claims process may go on for some time. Paperwork needs to be completed accurately and on time. Claims need to be coded correctly to avoid delays in benefits and misunderstandings with insurance providers. Where is your system failing?
Contact us to learn more about how your organization can improve its high California ex mod and risk and safety practices.