Partnering with a TPA

Your BWC advocate

Navigating the complicated world of Ohio workers’ compensation can be stressful, however choosing a Third-Party Administrator (TPA) can help. While the Bureau of Workers’ Compensation (BWC) looks out for your injured workers, your TPA helps you save money while aiding with claims.

Ohio BWC and Third-Party Administrators (TPA)

The BWC acts as the representative for injured workers and, although an insurance company, they do not represent the employer. Third-party administrators (TPAs) are the advocates for employers. They don’t fall under the jurisdiction of the BWC, therefore their services are paid for out-of-pocket. While the BWC does not require employers to work with a TPA, it is highly recommended.

The BWC offers discount programs to employers using a TPA. They can aid with selecting the best program for the employer. Additionally, they can provide future financial projections to help employers prepare for changes in Workers’ Compensation Insurance premiums.

TPA Responsibilities

The BWC requires employers to enroll with a managed care organization (MCO). While you aren’t required to work with a TPA, they bring cost savings to your business.

In addition to selecting cost-saving programs and ratings for your business, a TPA will also:

Provide risk management consulting to employers
Administer group rating and other discount programs
Provide claims administration
Attend Industrial Commission hearings
Provide workplace safety programs
Assist employers with developing a workers’ compensation cost control strategy

Since the staff typically consists of claim and account representatives, you can be confident that your account manager will be knowledgeable in helping you protect your company’s interests.

Should You Use a Third Party Administrator?

A TPA is the only way to become part of a Group Rating Program, a valuable group discount that can significantly reduce your company’s workers’ compensation premiums. They will also look for any other cost saving programs you qualify for. Your TPA will also recommend safety programs your company should adopt to reduce the number of claims made each year.

Your TPA will also have valuable knowledge about reimbursement opportunities. This can help your team prep for workers’ compensation hearings, identify potentially fraudulent claims, and bring a wealth of experience to the table.

Helping You Manage the Claims Process

While the Ohio BWC may not require your company to use a TPA, the cost-savings and expertise of these groups can lead to reduced risk and lower costs for your company. A partnership like this is an investment in your business’ future, that can mean a safer workplace for your employees and less spent on premiums for you.

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