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The Importance of Claims Advocacy  How a Commercial Roofing company with two locations and 90 to 100 employees experienced a total reduction of 76 points. When our Workers’ Compensation Claims Advocate began working with this commercial roofer, their experience modification was 230%. The client had six open claims with reserves in excess of $575,000. Our claims advocate immediately contacted the claims adjusters to review the reserves and make sure there were adequate and established, comprehensive action plans for resolutions on the open claims, and to see how they were affecting the experience modification. The claims advocate set target dates …

… The Investigation Our investigation was a multiple-day operation designed to identify the source of the significant financial losses. Covert surveillance was conducted from inside the location by a team of investigators. During the surveillance, several company policy infractions were observed, which included bartenders free-pouring drinks without ringing them through the register, lack of management presence in the bar and dining area, multiple employees consuming alcohol during their scheduled work shifts, and servers stealing customers’ cash payments. After conducting covert surveillance, EPIC coordinated with the client to meet with the location’s local management to obtain additional in-depth