Insurance Claim Letters - Excel by qgf24283

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									                          Hospitality Industry Benchmarking Survey
                                         Questionnaire


Company Name

Complete one form for each Sector

Please answer as many of the following questions as possible:


Staffing:

     How many employees does your company have devoted to the following areas:

                                 Area                                     # of full-time equivalents
       Risk Management
       Safety / Loss Control - reporting to Corporate
       Safety / Loss Control - reporting to field operations
       Claims / RTW
Employee Selection:

     Answer the following questions with yes, no, or sometimes. If sometimes,
     please estimate what percentage of the time.

     In the selection / hiring process, does your organization utilize:
                                                                             Y / N / Sometimes
     Background checks
     Drug testing - pre-injury
     Drug testing - post-injury
     Drug testing - ongoing and random
     Medical exams - physical only
     Medical exams - functional, agility and ADA compliant
     Integrity testing
Claims:

     How many times a year do you audit your claims
     administrator?
     Who is your WC claims administrator?
     Who is your GL claims administrator?
     Do you use anyone other than your claims administrator
     for medical cost containment? If yes, enter their name
     here.




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Allocation / Chargeback Systems

     Select the letter or letters that apply, or enter the amount, as applicable:


     Are Workers Compensation and Liability costs (insurance premiums,
     claim costs, etc.) allocated to business units based on:
       a. Exposure (e.g., Payroll, headcount, revenues, rooms) only
       b. Partly on exposure and partly on loss experience
       c. Entirely on loss experience
       d. Costs are not allocated

     Which is the lowest level of organization that receives the allocation?
         a. Individual hotels
         b. Brands
          c. Regions
         e. Other (describe in comments)
     What percentage of the allocation received at an individual business
     unit is based on that unit's loss experience:
         a. Less than 50%
         b. 50%
         c. 50-75%
         d. Greater than 75%
     What is the maximum amount for any one claim that is charged to an
     individual business unit?
     Which of the following best describes the way in which claim
     experience is allocated for lost time claims?
         a. Claim costs are allocated dollar for dollar on a
              Paid Claim basis
         b. Claim costs are allocated dollar for dollar on an
              incurred cost basis
        c. A flat charge is assessed for each lost
            time claim
        d. Variable charges are assigned based on duration
            of disability
     Which of the following best describes the way in which claim
     experience is allocated for medical only claims?
        a. Claim costs are allocated dollar for dollar on a
            Paid Claim basis
        b. Claim costs are allocated dollar for dollar on an
            incurred cost basis
          c. A flat charge is assessed for each lost
             time/indemnity claim
          d. Variable charges are assigned based on duration
             of disability
          e. No assessment is made for medical only claims
     Is there a penalty assigned for late reporting (Y/N)?
     Do you feel the allocation system has been effective at (check all that
     apply)?

        a. Promoting the use of temporary alternative work
        b. Improving timeliness of claim reporting
        c. Increasing management involvement and interest in
           claim management
        d. Increasing management involvement and interest in
           accident prevention




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Return to Work Programs


     Do you have a return to work program (Y/N)?
     What is the maximum number of days an associate can
     work restricted duty?
     Is light or modified duty mandatory?
     Do you have a system in place for tracking employees
     who are working in a restricted duty capacity?
     For the hotel locations, who makes the actual restricted
     duty job offer to the injured employee?
       a.    Claim manager/coordinator
       b.    Human resource administrator
       c.    Employee supervisor
       d.    Claim adjuster
       e.    Case management nurse
       f.   Other

General


     What metrics do you use to measure your program's success?

     (e.g., PPO utilization, litigation, ERTW, percentage of indemnity to
      medical, number of injured associate back to work in 30 days
      or less, number of associates injured first 30 days on the job,
      incurred losses/$00 of payroll,etc.)



     What is the title (including department, if applicable) for the person
     who receives reports on your program's success?
     Who does risk management report to:
      a. Finance
      b. Human resources
      c. Legal
      d. Other




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