Case Study
How USI helped a small business identify claims risk, reduce compliance exposure, and improve employee enrollment
Strategies
and Solutions
Positive Financial Impact
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USI’s data-driven insights and targeted cost-saving strategies can help reduce the impact on premium at renewal. Our service enhancements can help HR teams spend around 50% less time on enrollment and benefits administration tasks. COBRA management can also lower the risk of administrative errors and costly fines — up to $100 per individual per day ($3,000 per month).
Background
A Denver-based employer experienced serious disruptions after its long-term broker was acquired. The larger broker moved the company to a level-funded health plan, though a closer look suggested the employer would likely see higher premiums at renewal. The employer spent weeks answering questions after open enrollment created significant confusion for employees. Gaps in COBRA administration increased the risk of fines for noncompliance.
$3,000
lower compliance risk
50%
measurable results
USI’s risk analysis revealed an unfavorable claims experience that indicated healthcare costs would be 2.6 times higher than average — significantly increasing the likelihood of a premium spike at the end of the plan year. Working with the client, USI’s benefits experts used these insights to inform the cost-containment strategy and help position the employer for a less devastating renewal.
USI also implemented the Benefit Resource Center to provide additional support to employees navigating enrollment and claims issues. To help reduce the exposure to compliance risk, USI also connected the employer with a vendor specializing in complex COBRA administration.
— USI Client
As a small business, we feel very fortunate to have been able to team with USI for our insurance needs. In addition to the cost savings, the biggest benefit has been the tremendous support we've received from our local team.
of all workdays lost
65%
The facility lacked state-of-the-art surveillance capabilities
#hashtag
USI helped improve security camera use to document fall incidents. New state-of-the-art cameras with artificial intelligence send alerts when the system detects unusual behavior. The cameras also serve as a training tool for workers and a deterrent for fraudulent claims. Additionally, USI helped implement the use of wearable technology equipped with location tracking and fall detection.
The company had an ineffective return-to-work policy in place
#hashtag
USI helped the client initiate a light-duty
return-to-work program to ensure injured employees could come back to work sooner.
An inadequate jobsite layout and improper personal protective equipment resulted in slippery walking surfaces
#hashtag
USI helped formulate an engineering control to divert oil away from travel paths. USI also recommended the use of non-slip floor polish in travel path areas, and non-slip footwear for slippery areas. As a result, the client saw a 55% decrease in slip-and-fall injuries.
The client lacked a tracking method to monitor prevention measures
#hashtag
USI helped the client develop a dashboard tracking system to be updated weekly, including the status of preventive measures to combat conditions that led to falls.
Dashboard
Tracking System
Jobsite Layout Optimization
Improved Policy Implementation
Security System Upgrades
The client used an unsophisticated incident investigation process
#hashtag
USI helped implement a thorough incident investigation process and claims management plan for slip, trip and fall claims. The client saw a 62% reduction in total incurred claims.
Investigation Enhancements
Want similar results for your business?
“
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Save time and reduce exposure to compliance risk with additional HR, regulatory, and benefits management support services and resources
Solution
Validate health plan costs, plan design, and funding strategies with independent claims analysis and predictive risk insights.
CAT Modeling and Proprietary Analytics
Solution
Lower premium 5% to 15% at renewal with custom recommended strategies, based on the health plan claims risk profile
CAT Modeling and Proprietary Analytics
Solution
claims risk revealed
2.6x
time saved on plan administration
EMPLOYEE BENEFITS
Access Savings With Your Claims Risk Score
Lower claims risk = more flexibility and savings opportunities
10% to 15%
5% to 10%
With a claims risk analysis, employers can get custom recommendations on cost-saving plan design and funding strategies.
Cost Containment
CAT Modeling and Proprietary Analytics
Support Services
Advanced Analytics
Cost Containment
Support Services
Advanced Analytics
savings with a better-than-average risk profile (for level-funded plans)
savings with an average risk profile (for high-deductible plans with an HRA)
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