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

Risk Report: Hospitality

Bridging the Protection Gap

When travelers stay home, hospitality companies recoup lost income through customized, data-defined policies.
By: | October 12, 2017 • 9 min read

In the wake of a hurricane, earthquake, pandemic, terror attack, or any event that causes carnage on a grand scale, affected areas usually are subject to a large “protection gap” – the difference between insured loss and total economic loss. Depending on the type of damage, the gap can be enormous, leaving companies and communities scrambling to obtain the funds needed for a quick recovery.

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RMS estimates that Hurricane Harvey’s rampage through Texas could cause as much as $90 billion in total economic damage. The modeling firm also stated that “[National Flood Insurance Program] penetration rates are as low as 20 percent in the Houston area, and thus most of the losses will be uninsured.”

In addition to uninsured losses from physical damage, many businesses in unaffected surrounding areas will suffer non-physical contingent business interruption losses. The hospitality industry is particularly susceptible to this exposure, and its losses often fall into the protection gap.

Natural catastrophes and other major events that compromise travelers’ safety have prolonged impacts on tourism and hospitality. Even if they suffer no physical damage, any hotel or resort will lose business as travelers avoid the area.

“The hospitality industry is reliant on people moving freely. If people don’t feel safe, they won’t travel. And that cuts off the lifeblood of the industry,” said Christian Ryan, U.S. Hospitality and Gaming Practice Leader, Marsh.

Christian Ryan
U.S. Hospitality and Gaming Practice Leader, Marsh

“People are going away from the devastation, not toward it,” said Evan Glassman, president and CEO, New Paradigm Underwriters.

Drops in revenue resulting from decreased occupancy and average daily room rate can sometimes be difficult to trace back to a major event when a hotel suffered no physical harm. Traditional business interruption policies require physical damage as a coverage condition. Even contingent business interruption coverages might only kick in if a hotel’s direct suppliers were taken offline by physical damage.

If everyone remains untouched and intact, though, it’s near impossible to demonstrate how much of a business downturn was caused by the hurricane three states away.

“Hospitality companies are concerned that their traditional insurance policies only cover business interruption resulting from physical damage,” said Bob Nusslein, head of Innovative Risk Solutions for the Americas, Swiss Re Corporate Solutions.

“These companies have large uninsured exposure from events which do not cause physical damage to their assets, yet result in reduced income.”

Power of Parametrics

Parametric insurance is designed specifically to bridge the protection gap and address historically uninsured or underinsured risks.

Parametric coverage is defined and triggered by the characteristics of an event, rather than characteristics of the loss. Triggers are custom-built based on an insured’s unique location and exposures, as well as their budget and risk tolerance.

“Triggers typically include a combination of the occurrence of a given event and a reduction in occupancy rates or RevPar for the specific hotel assets,” Nusslein said. Though sometimes the parameters of an event — like measures of storm intensity — are enough to trigger a payout on their own.

For hurricane coverage, for example, one policy trigger might be the designation of a Category 3-5 storm within a 100-mile radius of the location. Another trigger might be a 20 percent drop in RevPAR, or revenue per available room. If both parameters are met, a pre-determined payout amount would be administered. No investigations or claims adjustment necessary.

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The same type of coverage could apply in less severe situations where traditional insurance just doesn’t respond. Event or entertainment companies, for example, often operate at the whim of Mother Nature. While they may not be forced to cancel a production due to inclement weather, they will nevertheless take a hit to the bottom line if fewer patrons show up.

Christian Phillips, focus group leader for Beazley’s Weatherguard parametric products, said that as little as a quarter- to a half-inch of rain over a four- to five-hour period is enough to prevent people from coming to an event, or to leave early.

“That’s a persistent rainfall that will wear down people’s patience,” he said.

“A rule of thumb for parametric weather coverage, if you’re looking to protect loss of revenue when your event has not actually been cancelled, you will probably lose up to 20 to 30 percent of your revenue in bad weather. That depends on the client and the type of event, but that’s the standard we’ve realized from historical claims data.”

The industry is now drawing on data to establish these rules of thumb for more serious losses sustained by hospitality companies after major events.

“Until recently the insurance industry has not created products to address these non-physical damage business interruption exposures. The industry is now collaborating with big data companies to access data, which in turn, allows us to structure new products,” Nusslein said.

Data-Driven Triggers

Insurers source data from weather organizations that track temperature, rainfall, wind speeds and snowfall, among other perils, by the hour and sometimes by the minute. Parametric triggers are determined based on historical storm data, which indicates how likely a given location is to be hit.

“We try to get a minimum of 30 years of hourly data for those perils for a given location,” Phillips said.

“Global weather is changing, though, so we focus particularly on the last five to 10 years. From that we can build a policy that fits the exposure that we see in the data, and we use the data to price it correctly.”

New Paradigm Underwriters collects their own wind speed data via a network of anemometers that stretch from Corpus Christi, Texas, all the way to Massachusetts, and works with modeling firms like RMS to gather additional underwriting information.

The hospitality industry is reliant on people moving freely. If people don’t feel safe, they won’t travel. And that cuts off the lifeblood of the industry.– Christian Ryan, U.S. Hospitality and Gaming Practice Leader, Marsh

While severe weather is the most common event of concern, parametric cover can also apply to terrorism and pandemic risks.

“We offer a terror attack quote on every one of our event policies because everyone asks for it,” said Beazley’s Phillips.

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“We didn’t do it 10 years ago, but that’s the world we live in today.”

An attack could lead to civil unrest, fire or any number of things outside an insured’s control. It would likely disrupt travel over a wide geographic region.

“A terrorist event could cause wide area devastation and loss of attraction, which results in lost income for hospitality companies,” Nusslein said.

Disease outbreaks also dampen travel and tourism. Zika, which was most common in South America and the Caribbean, still prevented people from traveling to south Florida.

“Occupancy went down significantly in that region,” Marsh’s Ryan said.

“If there is a pandemic across the U.S., a parametric coverage would make sense. All travel within and inbound to the U.S. would go down, and parametric policies could protect hotel revenues in non-impacted areas. Official statements from the CDC such as evacuation orders or warnings could qualify as a trigger.”

Less data exists around terror attacks and pandemics than for weather, though hotels are taking steps to collect information around their exposure.

“It’s hard to quantify how an infectious disease outbreak will impact business, but we and clients are using big data to track travel patterns,” Ryan said.

Hospitality Metrics

Any data collected has to be verified, or “cleaned.”

“We only deal with entities that will clean the data so we know the historical data we’re getting is accurate,” Phillips said.

“There are mountains of data out there, but it’s unusable if it’s not clean.”

Parametric underwriters also tap into the insured’s historical data around occupancy and room rates to estimate the losses it may suffer from decreased revenue.

Bob Nusslein, head of Innovative Risk Solutions for the Americas, Swiss Re Corporate Solutions.

“The hospitality industry uses two key metrics to measure loss of business income. These include occupancy rate and revenue per available room, or RevPAR. These are the traditional measurements of business health,” Swiss Re’s Nusslein said.  RevPAR is calculated by multiplying a hotel’s average daily room rate (ADR) by its occupancy rate.

“The hotel industry has been contributing its data on occupancy, RevPAR, room supply and demand, and historical data on geographical and seasonal trends to independent data aggregators for many years. It has done an exceptional job of aggregating business data to measure performance downturns from routine economic fluctuations and from major ‘Black Swan’ events, like the 9/11 terrorist attacks, the 2008 financial crisis or the 2009 SARS epidemic.”

Claims history can also provide an understanding of how much revenue a hotel or an event company has lost in the past due to any type of business interruption. Business performance metrics combined with claims data determine an appropriate payout amount.

Like coverage triggers, payouts from parametric policies are specifically defined and pre-determined based on data and statistical evidence.

This is the key benefit of parametric coverage: triggers are hit, payment is made. With minimal or no adjustment process, claims are paid quickly, enabling insureds to begin recovery immediately.

Applying Parametric Payments

For hotels with no physical damage, but significant drops in occupancy and revenue, funds from a parametric policy can help bridge the income gap until business picks up again, covering expenses related to regular maintenance, utilities and marketing.

Because payment is not tied to a specific type or level of loss, it can be applied wherever insureds need it, so long as it doesn’t advance them to a better financial position than they enjoyed prior to the loss.

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Parametric policies can be designed to fill in where an insured has not yet met their deductible on a separate traditional policy. Or it could function as excess coverage. Or it could cover exposures excluded by other policies, or for which there is no insurance option at all. Completely bespoke, parametric coverages are a function of each client’s individual exposures, risk tolerance and budget.

“Parametric insurance enables underwriting of risks that are outside tolerance levels from a traditional standpoint,” NPU’s Glassman said.

The non-physical business interruption risks faced by the hospitality industry match that description pretty closely.

“Hotels are a good fit for parametric insurance because they have a guaranteed loss from a business income standpoint when there is a major storm coming,” Glassman said.

While only a handful of carriers currently offer a form of parametric coverage, the abundance of available data and advancement in data collection and analytical tools will likely fuel its popularity.

Companies can maximize the benefits of parametric coverages by building them as supplements to traditional business interruption or event cancellation policies. Both New Paradigm Underwriters and Beazley either work with other property insurers or create hybrid products in-house to combine the best of both worlds and assemble a comprehensive risk transfer solution. &

Katie Siegel is an associate editor at Risk & Insurance®. She can be reached at [email protected]