Explain How Employer Priorities Affect Claim Adjudication And Management In Workers Compensation Systems
How do employer priorities affect claim adjudication and management in workers’ compensation systems?
A company’s main priority is to be successful, which means making profit. The global market is becoming more competitive and as a result, many businesses adopt strategies that cut costs to ensure that they do not run bankrupt. When employees injure themselves, the potential cost of injury claims impacts a company’s WCB premiums. Workers compensation boards are responsible for adjusting a company’s premium based on its injury prevention performance and not on the industry’s average. A company’s performance compared to the industry’s average determines whether employers are presented with a surcharge or awarded a rebate. The workers compensation boards use rating systems that are designed to provide incentives to employers to ensure they prevent injuries and improve safety performance, but it also creates pressure to minimize claim costs. However, instead of improving safety in company operations, employers adopt aggressive adjudication and claim management s #mtrategies. These strategies are intended to perform three things that include
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During the workers’ compensation process, healthcare providers do not always have time to fill clear and concise information on compensation documents. Moreover, the injured workers may have problems in communication that hinders the delivery of clear information. These factors create delays that make the return to work difficult. In addition, doctors avoid treating injured workers because they are frustrated by the assessment processes and workers recommendations are not always accepted by the compensation decision makers. For a successful return to work process, health providers need to be patience and there should be clear communication between them and the injured
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703 Words | 3 PagesAlthough it is designed to assist employees who have sustained a workplace injury, the author continuously illustrates how injured workers are worse off after coming through the machine of workers’ compensation. Barnetson concludes that the “moral commitment to worker welfare is clearly absent,” as employers design jobs to maximize profit regardless of the harm to workers. Weak legal regulations also indicate “intentionally prioritizing profitability over safety.” The author
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655 Words | 3 PagesJust earlier this very year, there was a horrible fire at the Triangle Shirtwaist Factory where 146 workers perished. Some died from the fire and others from jumping from the windows in order to escape it. Triangle Shirtwaist has brought the plight of these poor workers to the forefront as the public takes notice of the lack of safety measures in place at not just this factory, but many similar workplaces, and demands that something be done to prevent such a tragedy from occurring again. I believe one of the first steps to creating a safer workplace is having government regulations in place that prevent the mistreatment of workers and ensure that employees can escape in case of emergency. The regulations themselves should not be just broad, but address the many issues that workers face in order to give the workers the safest and healthiest working environment possible.
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Target Risk Management Case Study
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