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Workers' Compensation Claims Institute Finds Lower Claims Costs In San Francisco Bay Area
By Lonce LaMon - January 9, 2017

A report by the Workers’ Compensation Claims Institute (CWCI) now indicates that residents of the San Francisco bay area account for 17.5 percent of California job injury claims but for only 15 percent of claims’ costs. 
 
The CWCI report cites as reasons:  
1. Faster notifications and less delay in initial treatment
2. Fewer medical visits and lower treatment costs
3. Less attorney involvement
4. Shorter claim durations
5. Fewer claims resulting in permanent disability.
 
Data from nearly 330,000 claims filed by residents of the nine-county Bay Area for accident years 2005 to 2015 was examined for injuries that resulted in $4.4 billion in benefit payments. Despite having some of the highest wages in the state, which tends to push up average indemnity payments, total benefits per claim paid to Bay Area residents were consistently lower than in the rest of the state, so the aggregate workers’ comp benefits in the region were disproportionately low relative to claim volume, according to the report.
 
  • The time lag to employer notice averaged four days less than in other areas, the time lag to claims administrator notice was almost 13 days less and initial treatment began more than a week sooner
  • Only 13 percent of the Bay Area claims involved PD payments compared with 15.6 percent in the rest of the state
  • The attorney involvement rate for lost-time cases was 10 percentage points below the rate in other regions
  • Overall claim duration averaged 38 days less in the Bay Area and PD claim duration averaged 77 days less
  • The average number of visits and total paid for radiology, physical therapy and medicine services were significantly less on Bay Area claims.
  • The distribution of claims by cause and nature of injury was similar in the Bay Area to the rest of the state, though 4.8 percent of the Bay Area claims cited repetitive motion as the cause of injury vs. only 2.8 percent of the claims from other regions.
 
lonce@adjustercom.com; Lonce LaMon, journalist 
 
 

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