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工伤赔偿.pdf

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1、Workers Compensation Large LossesPresented by:Sandra Kipust,FCASSr.Practice Leader&ActuaryNCCIThe Source You Trust Copyright 2023 National Council on Compensation Insurance,Inc.All Rights Reserved.LARGE CLAIMS DECONSTRUCTED Copyright 2023 NCCI Holdings,Inc.All Rights Reserved.Share of ClaimsA large

2、claim is defined as exceeding$1M in incurred lossShare of LossesLarge ClaimsLost-Time Claims4 Copyright 2023 NCCI Holdings,Inc.All Rights Reserved.Development types for Large ClaimsFASTELCSLOWELCExceed$1M within 2 years of injuryExceed$1M 2 years or more after injury5 Copyright 2023 NCCI Holdings,In

3、c.All Rights Reserved.43503328060Frequency of Large Claims per 10K Lost-Time ClaimsRecoveryRecessionPre-Great Recession2002200820122021Accident Year6 Copyright 2023 NCCI Holdings,Inc.All Rights Reserved.36891215016Deconstructing Frequency of FASTELC per 10K Lost-Time ClaimsBurns,Spinal Cord Injuries

4、,and Traumatic Brain Injuries(B,SCI,TBI)and Other20122021Accident Year7 Copyright 2023 NCCI Holdings,Inc.All Rights Reserved.Deconstructing Frequency of SLOWELC per 10K Lost-Time ClaimsDegenerative Disc Disorders,Pain and Other20122021Accident Year62151121140258 Copyright 2023 NCCI Holdings,Inc.All

5、Rights Reserved.Top Causes and Injuries for workers with large claims SLOWELCFASTELCCaused by Fall or Slip from Elevation and Motor Vehicle AccidentsCaused by Strain or Injury by LiftingResulting in FracturesPrimarily injuring Multiple Body PartsResulting in StrainsPrimarily injuring Lower Back9 Cop

6、yright 2023 NCCI Holdings,Inc.All Rights Reserved.Occupations of injured workers with large claims Installation of Machines and EquipmentConstruction-RelatedOperation of Motor Vehicles 2531%of FASTELC are construction-related2024%of SLOWELC are construction-related8-11%4-5%8-10%4-6%10 Copyright 2023

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本文由Sandra Kipust, FCASSr. Practice Leader & Actuary NCCI发布,主要讨论了工人赔偿大额损失的情况。文章指出,大额索赔定义为超过100万美元的已发生损失。在大型索赔中,事故年份的分布显示,从2012年到2021年,大额索赔的频率和损失呈现波动,经济衰退和大萧条期间有所下降。文章指出,导致大额索赔的主要原因是:从高处坠落或滑倒、机动车事故、以及举重造成的伤害。在大型索赔中,受伤工人的职业主要是机械和设备安装、建筑相关职业以及驾驶机动车辆。年龄方面,大多数受伤工人年龄在35岁以下。在伤害类型方面,约33%的工人遭受永久性完全伤害,15%的工人遭受致命伤害。在大型索赔的成本构成中,医疗费用占主导地位,而大型索赔的医疗费用在第一年和第十年的比例分别为44%和27%。文章最后指出,医疗服务的成本通胀率呈现下降趋势,其中医生护理通胀率为1.0%,医院住院治疗通胀率为3.5%,医院门诊治疗通胀率为1.7%,处方药通胀率为2.4%,医疗用品通胀率为7.7%。
"大型工伤赔偿案件的特点是什么?" "大型工伤案件中,医疗服务的成本构成如何?" "导致大型工伤的主要原因是什么?"
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