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2015 Teddy Awards

Commitment to Care

This year’s Teddy Award winners focused on building programs that put employees first and get injured workers back on the job quickly.  
By: | November 2, 2015 • 8 min read

The worlds of workers’ comp and claims management grow more complex almost by the day. A workers’ comp program that used to be managed in-house by a handful of people now involves a far broader field of expertise, with a small army of specialty partners, each armed with terabytes of data.

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For the past 20 years, Risk & Insurance® has given the Theodore Roosevelt Workers’ Compensation and Disability Management Award to exceptional programs that innovate to produce the best results.

But even the leaders of those top-notch programs of decades past would likely be bewildered trying to navigate the ins and outs of managing today’s workplace illness and injury challenges.

The above factors are what made judging the winners of this year’s Teddy Award, sponsored by Sedgwick, so challenging and educational.

It was interesting to see that in addition to relying on advanced tools and strategies, the people leading top programs across the country have an old-fashioned streak. They aren’t just sitting behind desks and directing their teams by email or conference calls.

They’re out in the field, putting eyes on the situation, getting face-to-face with those with boots on the ground, and making things happen. They’re forging the kind of personal relationships necessary to drive meaningful progress.

2015JudgesSidebarThey also have a deep understanding of the fact that it doesn’t matter how you crunch the data, doing what’s right for injured employees will always be what’s right for the company.

Without exception, every Teddy Award application we received gave us something to applaud. It’s never easy to isolate which ones to introduce to readers as Teddy Award winners. To help with the task, we enlisted the help of a panel of experts with decades of experience.

This year’s panel included Ron Ehrhardt, vice president of operational safety, Compass Group, a 2014 Teddy Award winner; Wendell Hughes, environmental, health and safety manager, Honda of South Carolina, a 2014 Teddy Award winner; 2014 Risk All Star Patricia Hostine, former U.S. director of disability management at Flex-N-Gate; Mark Noonan, managing principal at Integro Insurance Brokers; and Roberto Ceniceros, senior editor of Risk & Insurance® and co-chair of the National Workers’ Compensation and Disability Conference® & Expo.

Judges reviewed Teddy applications independently, and then gathered via conference call to share their thoughts and opinions. They then rated each finalist numerically in five separate categories. The overall average ratings determined the winners.

Results are typically the easiest place to start. Injury frequency, lost time, and medical and indemnity cost data is carefully evaluated with an eye toward year-over-year improvement in performance. Judges considered mergers, fluctuations in staffing levels and other factors that may have influenced outcomes.

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But numbers are just one piece of the puzzle. Program longevity is also evaluated. Most new programs produce impressive numbers in the early years, when low-hanging fruit is easiest to pick. However, a longstanding program showing modest, steady gains year after year may be equally impressive.

Hazard levels and complexity are considered as well — health care facilities, for instance, face a dramatically different set of risk exposures than supermarkets.

Top programs exemplify an absolute commitment to bringing injured employees back to work, keeping them at work, and accommodating virtually any kind of restriction, by any means necessary.

Judges evaluate the finalists based on their own knowledge and experience of what works and what doesn’t, with an eye toward selecting programs that are not only successful today, but have the tools in place to remain successful for the long haul. Flexible, sustainable programs have the infrastructure in place that can adapt over time as the company grows and evolves.

Up Close and Personal

Anne-Marie Amiel, risk manager, Columbus Consolidated Government, Georgia

Anne-Marie Amiel, risk manager, Columbus Consolidated Government, Georgia

A common thread among this year’s Teddy Award candidates was that top workers’ comp professionals don’t shy away from getting in the thick of things. Anne-Marie Amiel, risk manager for 2015 Teddy Award winner Columbus Consolidated Government, received reports that there had been multiple trips and falls in the city’s Fleet Yard body shop. So she went to inspect the shop herself. Spotting a raised lip on a step going into the shop, she asked that the raised edge be painted a bright cautionary color. Result: no more tripping incidents.

She also visits with all of the medical providers who treat injured city workers, to put a “face” on the city so providers know who to call if they have a question about an employee or light-duty options.

Similarly, management at Teddy Award finalist SEEK, a staffing agency based in Grafton, Wis., does onsite visits with clients and conducts safety walkthroughs to get a first-hand look at any location into which they might be sending employees.

Jennifer Saddy, director of workers’ compensation, director of corporate insurance and risk management, American Airlines

Jennifer Saddy, director of workers’ compensation, director of corporate insurance and risk management, American Airlines

2015 Teddy Award winner American Airlines’ workers’ compensation director Jennifer Saddy and her team also meet face-to-face with clinical personnel to discuss expectations and parameters. They conduct in-person training sessions for their TPAs, medical providers, physical therapists and case managers to ensure that everyone involved has a complete understanding of the environment that airline employees work in and the risks they face.

Bringing Them Back

Only a decade ago, the return-to-work programs of many Teddy Award applicants could have been summed up as, “We bring employees back to work as soon as a doctor clears them to return to their jobs.” Some tried to accommodate limits like lifting restrictions. But the overall picture was typically basic.

In 2015, however, return-to-work is the arena where most Teddy Award applicants and winners shine brightest. Top programs exemplify an absolute commitment to bringing injured employees back to work safely, keeping them at work and accommodating virtually any kind of restriction, by any means necessary.

A number of Teddy Award applicants took a proactive approach to secure alternative funding to pay workers on modified duty to ensure there are no RTW obstacles.

They also eschew the past trend of using “busywork” for light-duty jobs, and seek out ways that recovering employees can make meaningful and productive contributions to their workplaces.

In the City of Sunnyvale, Calif., police and firefighters — the source of most of the city’s injury claims — are fully cross-trained. That doubles the field of potential modified-duty positions for both groups. An injured police officer, for instance, could easily be employed training new firefighters.

At Columbus Consolidated Government, a police officer with a knee injury was tasked with unravelling a database problem that resulted in unbilled trash collection. She was able to heal from her injury and help the city recoup $100,000 at the same time.

At Brookdale Senior Living, recovering workers engage in anything from planning holiday parties to reorganizing linen closets, to putting together sales and marketing packets — all tasks that need doing, but are a struggle for other workers to fit into their packed workdays.

At staffing agency SEEK, finding modified duty at client locations can be particularly challenging. SEEK uses the opportunity to offer injured workers training that will upgrade their skills or even teach them new skills that can broaden their placement opportunities.

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“While our employees are assigned to light duty, we use the opportunity to better our product — the employee,” wrote Lynne Kossow, SEEK’s health and safety administrator.

For some companies, budgetary concerns make even simple RTW accommodations a difficult choice.

And there is the perennial struggle of how to pay the salaries of those on modified duty while at the same time possibly needing extra manpower to help with whatever tasks the injured worker is unable to do.

We noticed that a number of Teddy Award applicants are taking a proactive approach to securing funding for these concerns, and ensuring that there aren’t any obstacles preventing employees from getting back to work.

The State of Montana, for one, negotiated a program with its insurer that allows it to earn back a certain percentage of its annual premium. Those funds are then earmarked for making accommodations, restructuring work environments, redesigning workstations, and any of the other incidental costs of returning injured workers to the job.

The best part is that with the money saved by enabling more effective RTW, the state is gaining even more return on the premium it earns back.

Caryl Russo, senior vice president for Corporate Care, Barnabas Health

Caryl Russo, senior vice president for Corporate Care, Barnabas Health

2015 Teddy Award winner Barnabas Health, a hospital system facing departmental reluctance to place workers on modified duty due to payroll budget issues, carved out a line item in the HR budget to cover injured workers’ salaries during transitional work.

Brookdale Senior Living took a similar approach, allocating a special budget to pay workers on modified duty so it would not negatively impact the budget of individual communities. They chose to spin the arrangement as the company providing a “free” worker the community would have to help them. “WOW … did the attitudes change!” the company noted in its application.

Employees First

While there is still little collaboration between workers’ comp and group health at most companies, we saw evidence that some lines can blur, particularly when there is an obvious benefit to employees’ well-being and overall safety.

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

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

2015 Teddy Award winner Stater Bros. Markets instituted something it calls the ICE PACK program, which puts physical therapists on-site to offer free advice, taping, wrapping and icing for any aches, pains or injuries, whether the problems are industrial or non-industrial in origin. The program made an impact on overall employee health and resulted in fewer minor injuries becoming workers’ comp claims.

Stamford, Ct.-based Pitney Bowes manages an impressive array of employee programs and services that benefit those with either occupational or non-occupational injuries or illnesses. These programs are designed to help employees manage the many struggles that can arise in the course of an injury or disability.

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“Pitney Bowes recognizes the connection between mental and physical health, and when evaluating any illness or injury, psychosocial, medical, psychological, economic and vocational considerations are explored and addressed as needed.  This enables us to identify potential barriers to wellness, and our ability to remove those barriers to increase a timely, safe and successful return to work,” the company explained in its application.

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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.

 

Michelle Kerr is associate editor of Risk & Insurance. She can be reached at [email protected]

More from Risk & Insurance

More from Risk & Insurance

Insurtech

Kiss Your Annual Renewal Goodbye; On-Demand Insurance Challenges the Traditional Policy

Gig workers' unique insurance needs drive delivery of on-demand coverage.
By: | September 14, 2018 • 6 min read

The gig economy is growing. Nearly six million Americans, or 3.8 percent of the U.S. workforce, now have “contingent” work arrangements, with a further 10.6 million in categories such as independent contractors, on-call workers or temporary help agency staff and for-contract firms, often with well-known names such as Uber, Lyft and Airbnb.

Scott Walchek, founding chairman and CEO, Trōv

The number of Americans owning a drone is also increasing — one recent survey suggested as much as one in 12 of the population — sparking vigorous debate on how regulation should apply to where and when the devices operate.

Add to this other 21st century societal changes, such as consumers’ appetite for other electronic gadgets and the advent of autonomous vehicles. It’s clear that the cover offered by the annually renewable traditional insurance policy is often not fit for purpose. Helped by the sophistication of insurance technology, the response has been an expanding range of ‘on-demand’ covers.

The term ‘on-demand’ is open to various interpretations. For Scott Walchek, founding chairman and CEO of pioneering on-demand insurance platform Trōv, it’s about “giving people agency over the items they own and enabling them to turn on insurance cover whenever they want for whatever they want — often for just a single item.”

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“On-demand represents a whole new behavior and attitude towards insurance, which for years has very much been a case of ‘get it and forget it,’ ” said Walchek.

Trōv’s mobile app enables users to insure just a single item, such as a laptop, whenever they wish and to also select the period of cover required. When ready to buy insurance, they then snap a picture of the sales receipt or product code of the item they want covered.

Welcoming Trōv: A New On-Demand Arrival

While Walchek, who set up Trōv in 2012, stressed it’s a technology company and not an insurance company, it has attracted industry giants such as AXA and Munich Re as partners. Trōv began the U.S. roll-out of its on-demand personal property products this summer by launching in Arizona, having already established itself in Australia and the United Kingdom.

“Australia and the UK were great testing grounds, thanks to their single regulatory authorities,” said Walchek. “Trōv is already approved in 45 states, and we expect to complete the process in all by November.

“On-demand products have a particular appeal to millennials who love the idea of having control via their smart devices and have embraced the concept of an unbundling of experiences: 75 percent of our users are in the 18 to 35 age group.” – Scott Walchek, founding chairman and CEO, Trōv

“On-demand products have a particular appeal to millennials who love the idea of having control via their smart devices and have embraced the concept of an unbundling of experiences: 75 percent of our users are in the 18 to 35 age group,” he added.

“But a mass of tectonic societal shifts is also impacting older generations — on-demand cover fits the new ways in which they work, particularly the ‘untethered’ who aren’t always in the same workplace or using the same device. So we see on-demand going into societal lifestyle changes.”

Wooing Baby Boomers

In addition to its backing for Trōv, across the Atlantic, AXA has partnered with Insurtech start-up By Miles, launching a pay-as-you-go car insurance policy in the UK. The product is promoted as low-cost car insurance for drivers who travel no more than 140 miles per week, or 7,000 miles annually.

“Due to the growing need for these products, companies such as Marmalade — cover for learner drivers — and Cuvva — cover for part-time drivers — have also increased in popularity, and we expect to see more enter the market in the near future,” said AXA UK’s head of telematics, Katy Simpson.

Simpson confirmed that the new products’ initial appeal is to younger motorists, who are more regular users of new technology, while older drivers are warier about sharing too much personal information. However, she expects this to change as on-demand products become more prevalent.

“Looking at mileage-based insurance, such as By Miles specifically, it’s actually older generations who are most likely to save money, as the use of their vehicles tends to decline. Our job is therefore to not only create more customer-centric products but also highlight their benefits to everyone.”

Another Insurtech ready to partner with long-established names is New York-based Slice Labs, which in the UK is working with Legal & General to enter the homeshare insurance market, recently announcing that XL Catlin will use its insurance cloud services platform to create the world’s first on-demand cyber insurance solution.

“For our cyber product, we were looking for a partner on the fintech side, which dovetailed perfectly with what Slice was trying to do,” said John Coletti, head of XL Catlin’s cyber insurance team.

“The premise of selling cyber insurance to small businesses needs a platform such as that provided by Slice — we can get to customers in a discrete, seamless manner, and the partnership offers potential to open up other products.”

Slice Labs’ CEO Tim Attia added: “You can roll up on-demand cover in many different areas, ranging from contract workers to vacation rentals.

“The next leap forward will be provided by the new economy, which will create a range of new risks for on-demand insurance to respond to. McKinsey forecasts that by 2025, ecosystems will account for 30 percent of global premium revenue.

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“When you’re a start-up, you can innovate and question long-held assumptions, but you don’t have the scale that an insurer can provide,” said Attia. “Our platform works well in getting new products out to the market and is scalable.”

Slice Labs is now reviewing the emerging markets, which aren’t hampered by “old, outdated infrastructures,” and plans to test the water via a hackathon in southeast Asia.

Collaboration Vs Competition

Insurtech-insurer collaborations suggest that the industry noted the banking sector’s experience, which names the tech disruptors before deciding partnerships, made greater sense commercially.

“It’s an interesting correlation,” said Slice’s managing director for marketing, Emily Kosick.

“I believe the trend worth calling out is that the window for insurers to innovate is much shorter, thanks to the banking sector’s efforts to offer omni-channel banking, incorporating mobile devices and, more recently, intelligent assistants like Alexa for personal banking.

“Banks have bought into the value of these technology partnerships but had the benefit of consumer expectations changing slowly with them. This compares to insurers who are in an ever-increasing on-demand world where the risk is high for laggards to be left behind.”

As with fintechs in banking, Insurtechs initially focused on the retail segment, with 75 percent of business in personal lines and the remainder in the commercial segment.

“Banks have bought into the value of these technology partnerships but had the benefit of consumer expectations changing slowly with them. This compares to insurers who are in an ever-increasing on-demand world where the risk is high for laggards to be left behind.” — Emily Kosick, managing director, marketing, Slice

Those proportions may be set to change, with innovations such as digital commercial insurance brokerage Embroker’s recent launch of the first digital D&O liability insurance policy, designed for venture capital-backed tech start-ups and reinsured by Munich Re.

Embroker said coverage that formerly took weeks to obtain is now available instantly.

“We focus on three main issues in developing new digital business — what is the customer’s pain point, what is the expense ratio and does it lend itself to algorithmic underwriting?” said CEO Matt Miller. “Workers’ compensation is another obvious class of insurance that can benefit from this approach.”

Jason Griswold, co-founder and chief operating officer of Insurtech REIN, highlighted further opportunities: “I’d add a third category to personal and business lines and that’s business-to-business-to-consumer. It’s there we see the biggest opportunities for partnering with major ecosystems generating large numbers of insureds and also big volumes of data.”

For now, insurers are accommodating Insurtech disruption. Will that change?

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“Insurtechs have focused on products that regulators can understand easily and for which there is clear existing legislation, with consumer protection and insurer solvency the two issues of paramount importance,” noted Shawn Hanson, litigation partner at law firm Akin Gump.

“In time, we could see the disruptors partner with reinsurers rather than primary carriers. Another possibility is the likes of Amazon, Alphabet, Facebook and Apple, with their massive balance sheets, deciding to link up with a reinsurer,” he said.

“You can imagine one of them finding a good Insurtech and buying it, much as Amazon’s purchase of Whole Foods gave it entry into the retail sector.” &

Graham Buck is a UK-based writer and has contributed to Risk & Insurance® since 1998. He can be reached at riskletters.com.