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Claims Management: Risk Check Survey
Claims Management: Risk Check Survey
The Risk Check Survey encompasses the degree to which your firm provides comprehensive policies, programs, and training focused on protecting your organization.
Date
*
Date Format: MM slash DD slash YYYY
Organization Name
*
Person Completing Survey
*
Title
*
Phone
*
Email
*
Rate the effectiveness or success of the organization’s actions:
1. To what degree has your claims management process proactively reduced claim frequency and severity?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
2.How effective has your agent or broker and carrier been in reviewing claims including investigative, medical, disability, litigation, subrogation and special investigation techniques?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
3. How effective has the claims coordinator (who was assigned to your organization by the insurance carrier/third-party administrator) been in handling claims administration goals, the claims adjusting process, and claims administration management?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
4. How effective is your organization in obtaining and reviewing loss runs at a minimum on a quarterly basis?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
5. How effective is the organization in conducting a qualified evaluation of reserves on a regular basis?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
6. How effective do you believe your agent or broker and carrier are in providing knowledgeable support in areas such as reporting procedures, claim reviews and reserve analysis, claim handling protocols as well as pre-unit report consultations on your workers’ compensation line of business?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
7. How effective do you believe your Risk Management Service Plan has been in holding the agent or broker and carrier accountable for sensitive service commitments including claims management?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
8. To what degree does your Special Claims Handling Guidelines represent a comprehensive set of written “special service instructions” outlining reporting requirements, reserve changes, settlement authority, and return to work policies as well as subrogation discussions?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
9. How effective is your organization at routinely reviewing medical panels at least annually?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
10. How effective is your Return-To-Work (RTW) program at helping injured employees return to work more quickly and safely while they heal?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
11. To what degree have you implemented annual pre-unit workers’ compensation claim reviews with the goal of understanding the premium calculation?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
12. How effective is your Back-On-The-Job Coordinator in overseeing workers’ compensation claims management as well as the injured employee rehabilitation process?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
13. To what degree are your settlement discussions with your broker and insurance carrier/TPA effective in insuring that claims are being handled in a manner consistent with your claims administration goals?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
14. How effective are your scheduled claim reviews with your agent or broker in getting claims closed?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
15. How effective are your claims metrics in guiding you in reducing claims frequency and severity?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
16. How effective is your business continuity/crisis management plan in safeguarding human life, preserving business operations and ensuring an efficient and effective resumption of operations to pre-event status?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
17. To what degree have you achieved organizational “buy-in” and participation as relates to risk management?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE