2024 Theo Award Winner: California State University, San Bernardino
California State University, San Bernardino (CSUSB), a public research university in the California State University system, faced significant challenges its litigation rates in workers’ compensation claims, as many California employers do. This led to increased costs and extended claim resolution times. Additionally, the university struggled with prolonged return-to-work processes and identifying specific safety hazards contributing to workplace injuries.
Tackling the Problem
To address these issues, CSUSB implemented a multi-faceted approach focused on employee empowerment, safety, and efficient claims management. The university developed a customer-centric program to inform and guide employees through the medical dispute process. This initiative emphasized clear communication and provided comprehensive resources, with a deep focus on fostering trust and transparency.
Communication is crucial because many terms and processes are difficult for employees to understand, said Jorge Chillin, workers’ comp specialist for the university.
“Great example — for a screening process we were using, some employees with language barriers weren’t understanding it. So we created a new workflow visualizing the steps for employees: notifying the supervisor, completing the report, and choosing whether to seek treatment. … Simplifying the process helps employees understand their options better,” he said. “By presenting the information in a clear and digestible format, we empower employees to make informed decisions about their claims.”
When employers lack transparency, Chillin said, it invariably leads to litigation, extended medical recovery time, and loss of medical control.
“Building trust, especially with union employees, is essential,” he said. “Sometimes, union employees receive misinformation. To foster trust between management and employees, we work with employees to bring their union representatives to participate in workers’ comp meetings; this reinforces our commitment to partnering with the union for a stronger relationship.”
Another essential for building trust is removing barriers to prompt treatment. CSUSB works closely with medical partners to expedite pre-authorized treatment options, such as physical therapy and x-rays.
“Our ultimate goal is to help employees recover as quickly and efficiently as possible. By streamlining the treatment process, we can reduce the time employees spend away from work and facilitate their recovery,” he said.
CSUSB also introduced a transitional return-to-work (TRTW) program, engaging employees in their recovery process. Customized work assignments accommodate employees’ physical capabilities, facilitating a smoother and quicker return to productivity.
“Having a tailored approach is beneficial, as it ensures equitable treatment for all employees, regardless of their role,” Chillin said. “This transparency puts people at ease and addresses their concerns about how situations are handled.“
Ensuring that both supervisors and workers fully understand what’s expected of them is absolutely essential, he said. Clear communication helps set a supportive and positive tone as soon as an employee returns after an injury.
“Meeting with employees on their first day back, even if it’s over Zoom, allows for discussion of concerns and adds that human touch,” Chillin said. “Employees sometimes feel that their team or their supervisor is upset or talking about them after being out for an extended period, which can affect their mental health upon returning to work.
“Unfortunately, the industry has primarily focused on the physical aspect of recovery, but it’s crucial to adapt and evolve to address the mental component as well,” he added.
“Preparing employees mentally to return to work involves having conversations with supervisors, encouraging them to show support and integrate the employee back into the workplace.”
To enhance workplace safety, CSUSB conducted detailed safety audits, examining each claim to identify specific hazards. Unlike traditional loss run reports that broadly categorize injuries, these audits delved into precise safety issues. For example, instead of simply noting a “Fall/Slip/Trip,” the audit would identify the exact cause, such as “Walking – Uneven pavement/hole.” This level of detail allowed the safety team to target resources effectively and mitigate the most significant hazards on campus.
Success to Build On
CSUSB’s comprehensive approach has yielded impressive results. The university saw its rate of litigated claims plummet, attributed to enhanced trust and collaboration fostered by the customer-centric program and proactive employee engagement. The cost per litigated claim also dropped dramatically, resulting in substantial financial savings.
The TRTW program has been highly effective, with days on modified duty and days off work sharply decreased. These improvements indicate quicker recovery times and maintenance of productivity. The university’s safety efforts have also had a significant impact on injury prevention and cost management. Indemnity/loss time claims fell as well, showcasing improvements in workplace safety and effective return-to-work strategies. The average cost per claim dropped by more than half, highlighting the financial efficiency of the enhanced workers’ compensation program.
CSUSB’s success is a testament to effective collaboration between various stakeholders, including employees, supervisors, medical providers, and the Risk Management team. This teamwork has been crucial in implementing and sustaining these initiatives, ensuring all parties are engaged and working towards common goals.
Organization: California State University, San Bernardino * Location: San Bernardino, CA * Number of Employees: 3,100 * Category: Education
“I understand a customer-centric program because I’ve been through the whole scope. A couple of years back, I had a workers’ comp injury, so I was on the other side of the table. I was an injured employee with permanent restrictions and disability, had to find a new job, use a displacement voucher, and navigate the workers’ comp process,” Chillin said.
“Being a first-generation American, everything was foreign to me, like understanding what workers’ comp is. Navigating the space as an injured employee has helped me empathize with others. I see injured employees as I see my own family.”
The university’s comprehensive approach to workers’ compensation and injury prevention, focusing on customer-centric solutions, detailed safety audits, and a robust TRTW program, has significantly improved litigation reduction, enhanced return-to-work outcomes, and efficient cost management.
CSUSB continues to review and update its programs regularly, ensuring they remain effective and aligned with the evolving needs of the organization, demonstrating a long-term commitment to maintaining a safe and supportive work environment. &
The Theo Award celebrates its inaugural year, honoring 31 workers’ compensation programs for their excellence and service to workers across the nation. To learn more about the award and amazing qualities each winner possesses, visit here.