Overview
A large, multi-state maintenance services organization partnered with our team to stabilize and transform its workers’ compensation program during a period of internal transition. Within three years, we delivered measurable financial improvements, stronger claim oversight and a smooth migration into a new insurance and TPA structure.
The Challenge
The company was facing escalating claim costs and operational inconsistency, including:
• Rising open claim counts and financial exposure.
• Limited adjuster engagement and inconsistent action plans.
• Inefficient vendor agreements slowing claim resolution.
• High outstanding reserves impacting collateral negotiations.
• A pending transition into a new self-insured program requiring coordination.
They needed a partner capable of both strategic program guidance and tactical claims intervention.
Our Solution
We implemented a structured, high-touch workers’ compensation management model designed for high-frequency industries like janitorial and maintenance:
Program Stabilization
- Rapid assessment of workflows and vendor agreements.
- Immediate process improvements to accelerate claim handling.
- Launch of multi-phase claim closure initiatives with the insurer.
Ongoing Proactive Oversight
- Continuous adjuster engagement to drive timely action.
- File audits for reserve accuracy, closure opportunities and action plan quality.
- Litigation strategy and defense counsel oversight.
- Monthly stewardship meetings with leadership.
- Participation in insurer-led claim reviews.
- Use of analytics to identify trends and course correct.
The Results
A three-year transformation delivered measurable financial impact.
Metric |
Before |
After |
Improvement |
|---|---|---|---|
Open Claims |
76 |
30 |
-60% |
Total Incurred |
$4.54M |
$2.73M |
-40% |
Outstanding |
$1.70M |
$0.68M |
-60% |
Reserves |
|||
Total Paid |
$2.83M |
$2.05M |
-28% |
Overall Result
A sharper, leaner, data-driven workers’ compensation program that improved financial leverage and lowered long-term cost of risk.
Supporting the Next Phase
As the organization transitioned into a national self-insured program administered by a new TPA, we provided:
- Seamless handoff planning for remaining insurer-handled claims.
- Alignment of triage, investigation, and escalation protocols.
- Recommendations for improved post-transition claims management.
- Consistent oversight to prevent claim creep during program change.
Why Clients in Cleaning and Maintenance Choose Us
- Proven impact in high-frequency, multi-location industries.
- Hands-on, proactive claims oversight that drives real cost reduction.
- Strategic guidance through complex program transitions.
- A partnership model that strengthens both operations and financial outcomes.