2222222222

2015 Teddy Award Winner

Checking Out Solutions

From celebrating safety success to aggressively rooting out fraud and abuse, Stater Bros. Markets is making workers’ comp risk management gains on multiple fronts.
By: | November 2, 2015 • 7 min read

Tamara Ulufanua-Ciraulo likes to think of the workers at her grocery store chain as “industrial athletes” — and all of the company’s safety, loss prevention, workers’ compensation and return-to-work programs are geared toward having them perform at their competitive best.

Advertisement




“The grocery industry is a physically demanding job, and you have to be fit, like an athlete — they are lifting, running, pushing, stretching, straining every day,” said Ulufanua-Ciraulo, director of insurance at Stater Bros. Supermarkets in San Bernardino, Calif.

The grocer supports its industrial athletes not only with measures to expedite their recovery after injuries, but also with a myriad of incentive programs to avoid injuries altogether, Ulufanua-Ciraulo said — “We’re pushing safety in all avenues of the store.”

Indeed, the team has developed a wide swath of innovative programs, from safety awareness training using dedicated onsite loss prevention consultants, to incentivizing employees for loss prevention, to expanding modified duty to accelerate workers’ return-to-work, to clamping down on workers’ comp fraud, prescription abuse and drug selling.

Tamara Ulufanua-Ciraulo, director of insurance, Stater Bros. Markets

Tamara Ulufanua-Ciraulo, director of insurance, Stater Bros. Markets

The results have been impressive, with a reduction in injuries and a drop in workers’ comp costs.

Unlike most grocers, Stater Bros. has four dedicated loss control professionals from The Hartford, its workers’ comp insurance provider. The consultants work onsite to aid the grocer’s team in controlling exposure, reducing losses, improving operations and resolving compliance issues. The Hartford group reports directly to Steve Toscano, Stater Bros.’ supervisor of support services.

“We all look at the claims we have, which gives us the ability to identify and systematically eliminate risks that come on our plate as soon as they are trending,” Toscano said. “That approach is what gives us the edge.”

For example, after analyzing knife cuts within the meat department, The Hartford group suggested that meat cutters wear wire mesh gloves, resulting in an immediate reduction in lacerations.

“We are the only grocer in California to have all of our meat cutters state-certified,” Ulufanua-Ciraulo said.

“We care about our brothers and sisters. We care about our team. Our great leader Jack H. Brown always tells us, ‘Do the right thing for the right reasons.’ And we do.” — Tamara Ulufanua-Ciraulo, director of insurance, Stater Bros. Markets

The grocer is particularly focused on teaching workers how to be more aware of safety, said Mark Ramer, safety supervisor for Stater Bros.’ distribution center. For example, the company developed a concise directive on how to best handle hazardous materials: “Double bag it. Label it. Tag it.”

Playing on the “industrial athlete” theme, Stater Bros. offers the ICE PACK Program. ICE PACK is a lengthy but fitting acronym for “Industrial athlete Care and Evaluation working towards Prevention, Aid, Consultation and Knowledge.” The grocer offers free first aid, advice, taping, wrapping, and icing for aches, pains and injuries to distribution and transportation employees four days a week, in excess of two hours per day, provided by physical therapists. It’s “like an athletic training room with preventive care,” Ulufanua-Ciraulo said.

Because of this program, along with other safety initiatives, injuries at the distribution center fell from 118 in 2012, to 68 in 2014. The ICE PACK program was added to the transportation department this April, and since that time, there have been zero recordable driver injuries.

Celebrating Safety

Incentive programs for safe practices are a big deal at Stater Bros. Its “Safety Recognition Program” offers an increasing number of incentives for every year a store has had zero recordable industrial injuries, with rewards such as catered employee appreciation parties, Stater Bros. gift cards, in-store drawings, and Stater Bros. apparel gift certificates. In 2015, 25 stores exceeded the two-year mark of zero recordable industrial injuries, and the number of stores that logged one year without any reportable workers’ compensation claims rose from 33 in 2014, to 53 in 2015.

Stater Bros.’ employees share their appreciation for the store’s safety leadership during a party celebrating two accident-free years at Store #139 in Murrieta, Calif.

Stater Bros.’ “Jump Start Program” targets stores that have difficulty controlling workers’ comp injuries. The company recognizes store employees with incremental rewards on a fast-paced scale to keep employees engaged and thinking about safety, and as a result, the number of injuries have declined.

There is also an incentive program for safe practices for distribution center workers. Employees who work without a reportable injury during each quarter are eligible for a drawing of Stater Bros. gift cards, and 10 percent of all eligible employees receive a gift card. In addition, every employee who completes one year without a workers’ comp injury receives a gift card.

The grocer has also expanded its comprehensive modified work program for the transportation and distribution centers, from five days to seven days, to better accommodate injured employees’ current work week schedules.

Advertisement




Employees are temporarily accommodated at retail locations based on their restrictions, and receive various types of scheduled training for the modified duty period, including training videos with testing and discussions that focus on body parts susceptable to injuries. In addition, third-party occupational therapists train and monitor the recovery progress of workers.

The expanded program complies with Stater Bros.’ collective bargaining agreement with the Teamsters Union, as workers have been able to maintain their regular rate of pay without moving to long-term status, Ulufanua-Ciraulo said.

“I’m sure our workers recognize how much the company is concerned about them personally and that we’re trying to ensure a smooth transition in their return-to-work, by allowing them to have a modified schedule for a period of time,” she said.

Tackling Abuse

The grocer is also particularly aggressive in its prescription monitoring, going above and beyond checking the state’s database system to make sure physicians are not over-prescribing medications to its workers. The company also conducts drug tests to determine whether workers are actually taking their drugs and not selling them, Ulufanua-Ciraulo said.

For example, if the grocer spends $4,000 a month in prescriptions for an individual worker who then tests “zero” because they are not taking their medications, Stater Bros. asks the treating physician to review the scripts.

The grocer has been able to overturn a “complex regional pain syndrome” claim because the doctor stated the employee could not do without the medications based on the diagnosis — even though the worker was actually not taking them.

Stater Bros. has implemented reviews for complex pharmacy claims to identify employees who may need an prescription drug intervention. It also uses “narcotics contracts” with employees to set expections for use of prescription medications.

Under the program, the grocer saw a reduction in prescription medication for “high utilizers” over a four-month period, resulting in savings of $100,000.

The company also closely monitors for workers’ comp fraud. The grocer learned about several Facebook and YouTube posts showing Shawna Palmer, a Stater Bros. employee who was off duty on a workers’ comp claim for an fractured toe, subsequently competing in local beauty pageants in high heels without any apparent discomfort.

Stater Bros. Markets’ Workers’ Compensation, General Liability & Safety Team

The grocer worked with its third-party administrator, Sedgwick Claims Management Services Inc., and the California Department of Insurance to collect more evidence of Palmer’s fraud, leading to her arrest last year.

In September, Palmer pleaded guilty to one misdemeanor count of workers’ comp fraud and was sentenced to 36 months’ probation, 50 hours of community service and ordered to pay a $1,000 fine and more than $5,000 restitution. The unusual story was picked up by news outlets nationally.

Because of its multi-faceted efforts, Stater Bros. has experienced a decline in workers’ comp claims frequency, Ulufanua-Ciraulo said. Workers’ comp claims decreased 12.5 percent from 2013 to 2014, on top of falling 7 percent from 2012 to 2013.

The grocer also has an extensive wellness program that includes an annual health and education fair to promote healthy and safe lifestyles, with onsite biometric screenings and ergonomic assessments of work stations. Stater Bros. was recognized as a 2015 Platinum Level recipient of the American Heart Association’s Fit-Friendly Worksite Award, for its commitment to providing physical activity and wellness opportunities to employees.

Toscano said that the grocer is successful because everyone works very closely to collaborate on risk management, safety and workers’ comp issues.

Advertisement




“I also credit the success of our programs to the leadership of our company and those individuals who have set such high standards in my current role,” he said.

“These individuals have encouraged our team to continue to improve programs to meet the needs of our employees.”

Ulufanua-Ciraulo said her team’s approach fits with the company’s culture, summed up nicely in a Stater Bros. TV commercial jingle used years ago:

“Up in the morning, stay late at night. … Hard work and value, that is the key.”

“That is who we are,” she said. “We care about our brothers and sisters. We care about our team. Our great leader Jack H. Brown always tells us, ‘Do the right thing for the right reasons.’ And we do.”

_______________________________________________________

Read more about all of the 2015 Teddy Award winners:

AA LAX TuesdayRevamped Program Takes Flight: The American Airlines and U.S. Airways merger meant integrating workers’ compensation programs for a massive workforce. The results are stellar.

 

112015_03_stater 150X150Checking Out Solutions: From celebrating safety success to aggressively rooting out fraud and abuse, Stater Bros. Markets is making workers’ comp risk management gains on multiple fronts.

 

112015_04_columbus 150X150Revitalizing the Program: In three years, the Columbus Consolidated Government was able to substantially reduce workers’ compensation claims costs, revamp return-to-work and enhance safety training.

 

112015_05_barnabas 150X150Spreading Success: Barnabas Health wins a Teddy Award for pushing one hospital’s success in workers’ comp systemwide.

 

Katie Kuehner-Hebert is a freelance writer based in California. She has more than two decades of journalism experience and expertise in financial writing. She can be reached at [email protected]

More from Risk & Insurance

More from Risk & Insurance

Cyber Resilience

No, Seriously. You Need a Comprehensive Cyber Incident Response Plan Before It’s Too Late.

Awareness of cyber risk is increasing, but some companies may be neglecting to prepare adequate response plans that could save them millions. 
By: | June 1, 2018 • 7 min read

To minimize the financial and reputational damage from a cyber attack, it is absolutely critical that businesses have a cyber incident response plan.

“Sadly, not all yet do,” said David Legassick, head of life sciences, tech and cyber, CNA Hardy.

Advertisement




In the event of a breach, a company must be able to quickly identify and contain the problem, assess the level of impact, communicate internally and externally, recover where possible any lost data or functionality needed to resume business operations and act quickly to manage potential reputational risk.

This can only be achieved with help from the right external experts and the design and practice of a well-honed internal response.

The first step a company must take, said Legassick, is to understand its cyber exposures through asset identification, classification, risk assessment and protection measures, both technological and human.

According to Raf Sanchez, international breach response manager, Beazley, cyber-response plans should be flexible and applicable to a wide range of incidents, “not just a list of consecutive steps.”

They also should bring together key stakeholders and specify end goals.

Jason J. Hogg, CEO, Aon Cyber Solutions

With bad actors becoming increasingly sophisticated and often acting in groups, attack vectors can hit companies from multiple angles simultaneously, meaning a holistic approach is essential, agreed Jason J. Hogg, CEO, Aon Cyber Solutions.

“Collaboration is key — you have to take silos down and work in a cross-functional manner.”

This means assembling a response team including individuals from IT, legal, operations, risk management, HR, finance and the board — each of whom must be well drilled in their responsibilities in the event of a breach.

“You can’t pick your players on the day of the game,” said Hogg. “Response times are critical, so speed and timing are of the essence. You should also have a very clear communication plan to keep the CEO and board of directors informed of recommended courses of action and timing expectations.”

People on the incident response team must have sufficient technical skills and access to critical third parties to be able to make decisions and move to contain incidents fast. Knowledge of the company’s data and network topology is also key, said Legassick.

“Perhaps most important of all,” he added, “is to capture in detail how, when, where and why an incident occurred so there is a feedback loop that ensures each threat makes the cyber defense stronger.”

Cyber insurance can play a key role by providing a range of experts such as forensic analysts to help manage a cyber breach quickly and effectively (as well as PR and legal help). However, the learning process should begin before a breach occurs.

Practice Makes Perfect

“Any incident response plan is only as strong as the practice that goes into it,” explained Mike Peters, vice president, IT, RIMS — who also conducts stress testing through his firm Sentinel Cyber Defense Advisors.

Advertisement




Unless companies have an ethical hacker or certified information security officer on board who can conduct sophisticated simulated attacks, Peters recommended they hire third-party experts to test their networks for weaknesses, remediate these issues and retest again for vulnerabilities that haven’t been patched or have newly appeared.

“You need to plan for every type of threat that’s out there,” he added.

Hogg agreed that bringing third parties in to conduct tests brings “fresh thinking, best practice and cross-pollination of learnings from testing plans across a multitude of industries and enterprises.”

“Collaboration is key — you have to take silos down and work in a cross-functional manner.” — Jason J. Hogg, CEO, Aon Cyber Solutions

Legassick added that companies should test their plans at least annually, updating procedures whenever there is a significant change in business activity, technology or location.

“As companies expand, cyber security is not always front of mind, but new operations and territories all expose a company to new risks.”

For smaller companies that might not have the resources or the expertise to develop an internal cyber response plan from whole cloth, some carriers offer their own cyber risk resources online.

Evan Fenaroli, an underwriting product manager with the Philadelphia Insurance Companies (PHLY), said his company hosts an eRiskHub, which gives PHLY clients a place to start looking for cyber event response answers.

That includes access to a pool of attorneys who can guide company executives in creating a plan.

“It’s something at the highest level that needs to be a priority,” Fenaroli said. For those just getting started, Fenaroli provided a checklist for consideration:

  • Purchase cyber insurance, read the policy and understand its notice requirements.
  • Work with an attorney to develop a cyber event response plan that you can customize to your business.
  • Identify stakeholders within the company who will own the plan and its execution.
  • Find outside forensics experts that the company can call in an emergency.
  • Identify a public relations expert who can be called in the case of an event that could be leaked to the press or otherwise become newsworthy.

“When all of these things fall into place, the outcome is far better in that there isn’t a panic,” said Fenaroli, who, like others, recommends the plan be tested at least annually.

Cyber’s Physical Threat

With the digital and physical worlds converging due to the rise of the Internet of Things, Hogg reminded companies: “You can’t just test in the virtual world — testing physical end-point security is critical too.”

Advertisement




How that testing is communicated to underwriters should also be a key focus, said Rich DePiero, head of cyber, North America, Swiss Re Corporate Solutions.

Don’t just report on what went well; it’s far more believable for an underwriter to hear what didn’t go well, he said.

“If I hear a client say it is perfect and then I look at some of the results of the responses to breaches last year, there is a disconnect. Help us understand what you learned and what you worked out. You want things to fail during these incident response tests, because that is how we learn,” he explained.

“Bringing in these outside firms, detailing what they learned and defining roles and responsibilities in the event of an incident is really the best practice, and we are seeing more and more companies do that.”

Support from the Board

Good cyber protection is built around a combination of process, technology, learning and people. While not every cyber incident needs to be reported to the boardroom, senior management has a key role in creating a culture of planning and risk awareness.

David Legassick, head of life sciences, tech and cyber, CNA Hardy

“Cyber is a boardroom risk. If it is not taken seriously at boardroom level, you are more than likely to suffer a network breach,” Legassick said.

However, getting board buy-in or buy-in from the C-suite is not always easy.

“C-suite executives often put off testing crisis plans as they get in the way of the day job. The irony here is obvious given how disruptive an incident can be,” said Sanchez.

“The C-suite must demonstrate its support for incident response planning and that it expects staff at all levels of the organization to play their part in recovering from serious incidents.”

“What these people need from the board is support,” said Jill Salmon, New York-based vice president, head of cyber/tech/MPL, Berkshire Hathaway Specialty Insurance.

“I don’t know that the information security folks are looking for direction from the board as much as they are looking for support from a resources standpoint and a visibility standpoint.

“They’ve got to be aware of what they need and they need to have the money to be able to build it up to that level,” she said.

Without that support, according to Legassick, failure to empower and encourage the IT team to manage cyber threats holistically through integration with the rest of the organization, particularly risk managers, becomes a common mistake.

He also warned that “blame culture” can prevent staff from escalating problems to management in a timely manner.

Collaboration and Communication

Given that cyber incident response truly is a team effort, it is therefore essential that a culture of collaboration, preparation and practice is embedded from the top down.

Advertisement




One of the biggest tripping points for companies — and an area that has done the most damage from a reputational perspective — is in how quickly and effectively the company communicates to the public in the aftermath of a cyber event.

Salmon said of all the cyber incident response plans she has seen, the companies that have impressed her most are those that have written mock press releases and rehearsed how they are going to respond to the media in the aftermath of an event.

“We have seen so many companies trip up in that regard,” she said. “There have been examples of companies taking too long and then not explaining why it took them so long. It’s like any other crisis — the way that you are communicating it to the public is really important.” &

Antony Ireland is a London-based financial journalist. He can be reached at [email protected] Dan Reynolds is editor-in-chief of Risk & Insurance. He can be reached at [email protected]