Subrogation Part II - Workers Comp Premium Audit - Reserve Reviews For Employers

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Mar 31, 2008

Subrogation Part II

Two Subrogation Questions to Ask your Workers Comp Adjuster - there are two questions that you will need to ask the Workers Comp adjuster who is adjusting the file.

They are:
  1. Have you sent a notice letter to the carrier of the negligent third party, and may I have a copy of that letter?
  2. What is the status of the subrogation lien?

There is a much longer list of questions, but these are the two basic ones that a Workers Comp employer should be asking often if there is a possible lien on the file.

There are time limits for giving a third party insurance carrier notice. The Workers Comp adjuster may be absorbed into the Workers Compensation file and may have overlooked putting the third party carrier on notice. Any amounts recovered by your Workers Compensation carrier must be immediately entered into the file. Almost all Workers Comp adjusters do not have a background in Auto, Premises, General, or other type of liability coverages.

There are quite a few tricks and traps in Subrogation. Remember, when the Workers Comp Adjuster's lien is negotiated down, that is your money that is being lost. Not following the subrogation of your Workers Comp lien can ruin a great avenue to recover funds that will bring down your E-Mod.

Subrogation is one area where I recommend that you use an adjusting expert. Subrogation can be very complicated and confusing even to the adjuster that is on the file. We have had to assist the Workers Comp adjuster on quite a few claims in recovering the funds from a third party liability carrier. The largest one we have had so far is over $1 million.

Next Up - Another definition from www.cutcompcosts.com/definitions.html A list of free definitions that you can download.

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