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Transforming Claims Management for a Major Foundry

ClaimSMART Success Story
Foundry Work

When your work involves molten metal and heavy machinery, getting claims management wrong isn't just costly – it's dangerous. This was the challenge facing a prominent foundry when they first crossed paths with our risk management team.


Critical Exposures Identified


A detailed review of the foundry's workers' compensation program exposed significant vulnerabilities threatening their bottom line, including rising claim costs, a deteriorating MOD, and medical expenses that exceeded industry standards. Their existing approach to risk management was falling short, leaving them exposed to unnecessary financial burden.


Our analysis revealed several critical deficiencies:

  • An Experience Modification Factor (MOD) trending in the wrong direction directly impacting insurance costs


  • Workers' compensation claims lacking proper oversight, leading to unnecessary claim escalation


  • Medical costs running 20% above industry benchmarks with no controls in place


  • Inconsistent investigation procedures resulting in misclassified claims


  • Siloed disability management programs creating costly redundancies and gaps in coverage


The ClaimSMART Solution

The Cottingham & Butler team deployed ClaimSMART as an entry point for analysis of the foundry's risk profile. The initial assessment uncovered opportunities that demanded a deeper dive into their workers' compensation program and MOD structure.


  1. Concrete strategies to optimize their MOD


  2. First fill prescription programs that reduced initial claim costs and improved employee care


  3. Sophisticated investigation protocols that ensured accurate claim classification


  4. Strategic integration of FMLA and short-term disability programs to prevent claim leakage


  5. Precise guidelines for differentiating between occupational and non-occupational injuries


The program's workers' compensation expertise proved invaluable in an environment where each claim classification decision carried substantial financial weight.


 

Elevate Your Claims Management

ClaimSMART delivers best-in-class claims management through comprehensive Workers' Compensation and Property & Casualty Assessments, backed by our Best Practices Training

Series. Our evaluations identify your organization's strengths and opportunities to help reduce overall insurance costs.


Let’s Chat!

Contact Cottingham & Butler at 800.793.5235 to schedule your ClaimSMART assessment and receive a customized strategy for enhancing your claims program.


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