The ROI of Return-to-Work Programs: Better Claims Outcomes, Cost Savings

Return-to-work (RTW) programs are structured initiatives that aim to reintegrate individuals who have sustained workplace injuries or illnesses into their positions as soon as safe and feasible.

These programs often include transitional jobs, reduced tasks, or alternate positions appropriate for the employee’s physical capabilities throughout recuperation. RTW programs represent a proactive approach to employee well-being, organizational productivity, and financial efficiency.

A comprehensive RTW program necessitates coordination between companies, employees, medical specialists, and Workers’ Compensation providers. By addressing both physical and psychological barriers to returning to work, these programs offer a comprehensive approach to recovery, help reduce the cost of workplace injuries, and build a supportive work environment.

Let’s look at the value of RTW programs from a claim outcome and return on investment.

The Value of Return-to-Work Programs

Fostering Employee Engagement

A return-to-work program lets employees know their well-being is a priority. This is especially critical when employees are recovering after an injury. Often, they feel isolated and fear losing their jobs. Companies that have an organized RTW program demonstrate their commitment to assisting employees during challenging times. This engagement promotes loyalty, minimizes turnover, and boosts overall employee morale.

Avoiding Skill Degradation

RTW programs allow employees to remain involved in the workplace. By doing so, they can maintain their skill level, keep up with company and operational changes, and be prepared to adapt to these changes. This enables an easier transition to full production following recovery.

Meeting Legal and Compliance Requirements

Businesses implementing RTW programs frequently find it easier to comply with regulations under the Americans with Disabilities Act (ADA) and other Workers’ Compensation laws. Accommodating employees during transitional roles helps decrease legal risks and the likelihood of litigation from perceived neglect or unfair treatment. 

Increasing Staff Retention

RTW programs can help companies retain valuable employees while lowering the risk of turnover by allowing individuals to return to work as soon as possible. This is especially important, according to the American College of Occupational and Environmental Medicine, which confirmed that the likelihood that injured employees will return to their original role drops to 50% when they take more than 12 weeks off work to treat an illness and to only 5% after spending a full year off the job in recovery.

Boosting Productivity

Experienced staff returning to work, even with decreased hours or responsibilities, can boost productivity more than hiring new employees. In fact, studies have shown that RTW programs can reduce the number of lost workdays resulting from occupational diseases and injuries by up to 55%.

Preventing Long-Term Disability

Research indicates that the longer employees are out of work, the less likely they are to return. RTW programs intervene early to prevent minor injuries from evolving into chronic conditions or long-term disabilities.

Financial Benefits of Return-to-Work Programs

Direct Cost Savings

Numerous studies have underscored the financial impact of implementing RTW programs over the years. The following are statistics from several published case studies on the effect of RTW programs. Keep in mind that the savings from a return-to-work program will depend on the company, its operations, loss history, experience modification factor, and loss control, and other factors.

  • A study by Crawford & Company found that employees who returned to work recovered three times faster and employers saved up to 70% in claims costs.1
  • According to a study conducted at Johns Hopkins University, Workers’ Compensation costs decreased by 54% over a decade, with temporary total days paid per 100 employees falling from 163 to just 37​. During the 10 years covered by the study, lost-time claims decreased 73%. Medical-only claims dropped 61%.1
  • According to the International Risk Management Institute, Inc. (IRMI), self-insured employers often achieve annual Workers’ Compensation savings of 25% to 35% through RTW initiatives​. These savings arise from reduced indemnity costs, fewer litigated claims, and shorter recovery durations.
  • A well-known plumbing and water-cleanup company reduced its Workers’ Compensation costs from $1.85 million annually to $365,000 after launching its RTW program.1
  • An examination of Gibson’s Greetings by the International Association of Industrial Accident Boards and Commissions (IAIABC) demonstrated an 87.5% reduction in costs due to implementing a return-to-work program.1
  • Washington state’s “Stay at Work” program showed a $2.40 ROI for every $1 invested in reimbursing employers for payroll expenses tied to RTW efforts. This program involved 4,000 employers and covered 16,700 claims, leading to $41 million in reimbursements​.
  • A limited duty work program at a hospital was implemented over the course of 12 months for 10 workers who could not return to their regular positions due to their disabilities. The employer saved 222 days of work time, which resulted in an 11% decrease in Workers’ Compensation costs.1

Reducing Indirect Costs

In addition to direct savings, RTW programs help mitigate hidden costs such as hiring and training new employees to replace injured workers, overtime pay for covering shifts, and productivity losses from reduced workforce capacity.

Implementing Best Practices

Developing meaningful transitional roles is a cornerstone of successful RTW programs. Transitional duties are temporary, with a clear timeline for reassessment and adjustment. These duties should be aligned with the employee’s physical limitations and medical recommendations.​

Early intervention is critical for return-to-work programs to be effective. Employers should communicate with injured employees, medical providers, and claims administrators immediately following an incident. A coordinated approach ensures alignment on recovery goals and available workplace accommodations​.

Supervisors play a key role in the success of RTW programs. Training them to identify suitable duties, monitor progress, and provide support can significantly enhance program outcomes. Ensuring supervisors understand RTW programs’ financial and morale benefits helps overcome resistance​.

Return-to-work programs are crucial investments for organizations seeking to balance financial efficiency and employee well-being. By encouraging early reintegration through targeted transitional duties, RTW initiatives lower Workers’ Compensation expenses, improve recovery results, and boost workplace morale.

Employers from all industries can benefit from introducing organized RTW programs, not just as a cost-cutting measure but also as a statement of their dedication to employee well-being. According to the research, RTW programs’ financial and cultural benefits far outweigh the initial implementation challenges, making them a critical component of modern labor management.

Reference

1 Ten Years’ Experience Utilizing an Integrated Workers’ Compensation Management System to Control Workers’ Compensation Costs; Journal of Occupational & Environmental Medicine, 45(5)

Contributors

Brandon McCosh

Senior Vice President

National Director Risk Control

Alex Lacey, MBA, CSP

Assistant Vice President

Risk Control Consultant

Benjamin Brackett

Vice President

Senior Claim Account Executive

As seen in the McGriff Risk Review newsletter.

Subscribe to the LinkedIn Edition of Risk Review