Natural ups and downs in claims cost are anticipated over a course of several years, but in some
<br />instances, unique situations can explain a spike or drop. FY 2011-12 was atypical in that the top five
<br />claims were from the Police department and totaled approximately $900,000, which represented 56%
<br />of the total claims cost for that year. Among those five claims, three claims were related to a knee
<br />injury and one was related to a shoulder injury. Analyses show that knee, shoulder, and back injuries
<br />are often the most expensive claims.
<br />Due to the nature of its services, the Police Department accounts for the highest number of claims in
<br />the City. Employees in this department often file multiple claims, are more likely to file for disability
<br />retirements, have higher litigation rates, and have higher claims costs. In the past seven years, the
<br />Police Department generated 64% of the total number of claims and 77% of the total incurred costs.
<br />Public Works generated the second -most number of claims at 16% and incurred at 16%.
<br />Generally, a reduction in the number of claims reduces program costs and demonstrates the
<br />effectiveness of claims management, prompt settlement and closure, and return to work and safety
<br />and prevention programs. In FY 2011-12, there were 18 new claims filed, 10 in FY 2012-13, and 9
<br />claims to date in FY 2013-14. Although the number of new claims has been relatively stable, there is
<br />opportunity to encourage a downtrend in new claims. The City currently has 106 total active claims,
<br />which are continuously monitored and closed or settled when possible. In FY 2011-12, 17 claims were
<br />closed, 22 in FY 2012-13, and 8 claims to date in FY 2013-14.
<br />DISCUSSION
<br />Controlling workers compensation costs is extremely challenging due to a number of factors, some of
<br />which are outside of the City's control. For example, a large portion of expenses charged to the
<br />program are directly related to medical services and costs, which continue to rise. But there are a
<br />number of measures the City can take to reduce costs. The Human Resources department has
<br />implemented the following:
<br />• Initiating a Request for Proposal for a new Third -Party Administrator
<br />• Implementing a Return to Work program
<br />• Closing claims through legal settlements
<br />2
<br />Claims By Fiscal Year
<br />$1,SO0, DOp
<br />60
<br />$1,600,DO0
<br />50
<br />$1,400,000
<br />$1,200,000
<br />40
<br />$1,000, Doo
<br />30
<br />$80o,D0o
<br />$604,DO0
<br />20
<br />$400,DO0
<br />to
<br />$200,000
<br />$D
<br />0
<br />2006-
<br />2007- 2008- 2D09-
<br />2010-
<br />2011-
<br />2012-
<br />2007
<br />2DO8 2009 2010
<br />2011
<br />2012
<br />2013
<br />iiiiiiiiiiiiii$ Incurred
<br />$217,242
<br />$139,276 $407,224 $1,096,54
<br />$423,683
<br />$1,613,10
<br />$570,692
<br />-8 Claims
<br />31
<br />35 29 49
<br />24
<br />34
<br />32
<br />Natural ups and downs in claims cost are anticipated over a course of several years, but in some
<br />instances, unique situations can explain a spike or drop. FY 2011-12 was atypical in that the top five
<br />claims were from the Police department and totaled approximately $900,000, which represented 56%
<br />of the total claims cost for that year. Among those five claims, three claims were related to a knee
<br />injury and one was related to a shoulder injury. Analyses show that knee, shoulder, and back injuries
<br />are often the most expensive claims.
<br />Due to the nature of its services, the Police Department accounts for the highest number of claims in
<br />the City. Employees in this department often file multiple claims, are more likely to file for disability
<br />retirements, have higher litigation rates, and have higher claims costs. In the past seven years, the
<br />Police Department generated 64% of the total number of claims and 77% of the total incurred costs.
<br />Public Works generated the second -most number of claims at 16% and incurred at 16%.
<br />Generally, a reduction in the number of claims reduces program costs and demonstrates the
<br />effectiveness of claims management, prompt settlement and closure, and return to work and safety
<br />and prevention programs. In FY 2011-12, there were 18 new claims filed, 10 in FY 2012-13, and 9
<br />claims to date in FY 2013-14. Although the number of new claims has been relatively stable, there is
<br />opportunity to encourage a downtrend in new claims. The City currently has 106 total active claims,
<br />which are continuously monitored and closed or settled when possible. In FY 2011-12, 17 claims were
<br />closed, 22 in FY 2012-13, and 8 claims to date in FY 2013-14.
<br />DISCUSSION
<br />Controlling workers compensation costs is extremely challenging due to a number of factors, some of
<br />which are outside of the City's control. For example, a large portion of expenses charged to the
<br />program are directly related to medical services and costs, which continue to rise. But there are a
<br />number of measures the City can take to reduce costs. The Human Resources department has
<br />implemented the following:
<br />• Initiating a Request for Proposal for a new Third -Party Administrator
<br />• Implementing a Return to Work program
<br />• Closing claims through legal settlements
<br />2
<br />
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