This interactive dashboard provides an overview of the average cost of a lost-time workers compensation claim, broken out by three main injury descriptions:
Helpful tips for using this resource:
Underlying data values as well as information up through a 10th report (as available) can be downloaded here.
Note: Values are as reported and have not been developed, on-leveled, trended, or adjusted for inflation. While patterns across various maturities were reviewed, takeaways were generally similar and thus the visuals and insights in this dashboard focus on a 1st report.
Interested in even more claims analyses? Check out WorkComp Workstation and Claims Data Dashboard, available to affiliates for their book of business and to dive deeper into the numbers (content requires authentication).
***This information is based on countrywide Unit Statistical Data submitted through September 7, 2024 and includes jurisdictions where NCCI provides ratemaking services: AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NM, NV, OK, OR, RI, SC, SD, TN, TX, UT, VA, VT, and WV. Data from private carriers and state funds as well as claims resulting from large deductible policies are included. Claims directly resulting from the COVID-19 pandemic have been excluded.
Case Reserve: The estimates of anticipated future payments associated with individual known claims as established by an insurer.
1st Report: The first submission of loss information, valued 18 months after the policy effective month/year as reported in accordance with NCCI’s Statistical Plan guidelines.
Lost-Time Claim: A compensable workplace injury that results in the claimant missing sufficient work time to receive an indemnity (i.e. wage replacement) benefit payment.
Lost-Time Claim Severity: Measured in this tool as reported paid losses plus case reserves divided by claim counts for lost-time claims as of a 1st report.
Policy Year: A premium and loss accounting definition in which experience is summarized for all policies with effective dates in a given calendar year period.
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Motor Vehicle severity, which has been trending upwards, remained stable in 2022. These accidents are more likely to result in a large loss.1 Approximately 40% of losses and 30% of claims within Motor Vehicle are coded to POB Multiple Body Parts.
Fall/Slip accidents account for over a quarter of the claim count and nearly one-third of the loss share. These types of claims make up a significant share within the Construction industry and are more likely to become a fast-emerging large claim.2
While severity for Strain claims is up in the
latest year, the share of claims and losses for Strain injuries
continues to trend downward.
1
Countrywide
Mega Claims Report
2
Large
Claims Deconstructed Report
Amputation represents the highest severity of all NOIs, but accounts for less than 3% of the loss share. 90% of Amputation claims are for POB Hand/Fingers/Wrist.
The share of claim counts and losses for Contusion/Concussion has increased over the 10-year period. This injury results most often due to a Fall/Slip claim.
Severity has been trending upwards for Fracture/Crush/Dislocation, which accounts for about 16% of claim counts and 24% of losses. These claims are commonly associated with COI Fall/Slip claims.
Sprain/Strain make up a significant share of
claim counts. Despite having a lower average severity, these types of
claims have a higher propensity to become a slow-emerging large
claim.2
1
Countrywide
Mega Claims Report
2
Large
Claims Deconstructed Report
Arm/Shoulders account for the largest share of claim counts and losses, with shares that have remained consistent since 2013. The top cause of these claims is Strain.
Head/Central Nervous System claims have the highest severity of all POBs, but only account for 6% of the loss share. The majority of these claims are caused by Falls/Slips and being Struck By something. While severity for these claims is high, it has not increased over time.
Lower Back shares of claim counts and losses have been decreasing. Lower Back injuries are often caused by Strains, which is why a similar pattern of decline can be observed between the two characteristics.
The second highest POB severity corresponds to Multiple
Body Parts claims. While the share of claim counts for this POB
has decreased slightly since 2013, the share of loss has remained
consistent due to a steady increase in severity. This POB is highly
correlated with NOI Other Trauma and these types of claims have a higher
propensity of becoming a fast-emerging large claim.2
1
Countrywide
Mega Claims Report
2
Large
Claims Deconstructed Report
Lost-time claim severities displayed are for Policy Year 2022.
