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Join the Risk Management User Group meeting held on January 28, 2004, featuring presentations from industry experts, including Michael L. Hay, CGFM, and Terry G. Myers. The agenda covers a range of topics such as Short-Term Special Events, General Liability, and Fraud Prevention. Gain insights into trend analysis, loss data, claims cost management, and accident investigation. This meeting aims to improve risk management practices across state agencies. Questions will be addressed at the end of the presentations.
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Risk ManagementUser Group Wednesday, January 28, 2004
Welcome Michael L. Hay, CGFM, CPPM
Meeting Agenda • 8:30-8:40 – Welcome • 8:40-8:55 – Short Term Special Events, General Liability • 8:55-9:10 – Review of SORM 200 Data • 9:10-9:40 – Claims • 9:40-10:00– Trend Analysis & Accident Investigation
Meeting Agenda • 10:00-10:15 – Break • 10:15-11:00 – Life Safety Code 101, 2003 Update • 11:00-11:15 – SORM Fraud Team • 11:15-11:30 – Loss, Damage, & Destroyed Property • 11:30-12:00 – Questions & Comments
Short Term Special Events, General Liability Steven E. Haynes, ARM GRS Insurance Services, LLC
State Office of Risk ManagementMaster Short Term General Liability Insurance Program • Background and Purpose • Key Elements of Program • Outside Users of State Owned Facilities • State Employees Using Third Party Facilities • Program Highlights • Types of Events Available • Underwriting Guidelines • Coverages, Limits, and Pricing
Application Process • Key Contacts • Marketing Material • Summary and Questions
SORM 200 Loss Data Summary Sally Becker CPCU ARM
History • Annual Report to SORM • FY02 – change in data collected • Loss type • Loss cause • Retain from year to year • Update previously entered data • February, 2003 – availability to enter all year long
Important • UPDATE INFORMATION
512-936-1573 Fax: 512-370-9037 Sally.Becker@sorm.state.tx.us
Terry G. Myers Director of Claims Operations
Claims Cost Cost to the Claims Fund vs Per Claim Costs
1st Qtr FY04 Update • Medical and Indemnity costs through the end of the 1st Qtr FY04 • Fewer open claims • Significantly lower costs
1st Qtr FY04 Update • WCRI • Cost of WC Claims in Texas • Future Comparison with SORM Claims Costs
Claims Operations Reorganization • Realignment of State Agencies HHSC • Three Indemnity Claims Teams HHSC, TDCJ, ALL OTHERS
Combined Medical Management with Medical Only Claims Team • Medical staff and senior adjusters • Eight (8) medical only adjusters
ACCIDENT INVESTIGATION/TREND ANALYSISON-LINE TRAINING Leonard Zolondek
OVERVIEW • INVESTIGATION PROCESS • OBJECTIVE • WHAT • ROOT CAUSE ANALYSIS • TREND ANALYSIS
Accident Causation Theories There are a variety of theories on accident causation that can be grouped into the following categories: • Domino Theories which view accidents in three phases: pre-contact, contact and post-contact. • Multiple Causation Theories which view causes based on a variety of factors such as man, machine and the environment. • Psychological/Behavioral Causation Theories which focus on human behavior as the major cause of accidents • Energy Related Causation Theories which view accidents as a result of energy that is out of control.
ROOT CAUSE ANALYSIS • SCIENTIFIC PROBLEM SOLVING METHODS • Fault Tree Analysis • http://reliability.sandia.gov/Reliability/Fault_Tree_Analysis/fault_tree_analysis.html • Fish Bone Diagram • http://www.pathmaker.com/resources/tools/cause.asp
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