Effective management of the recovery of Daily Sickness Benefits (IJSS) is a major concern for companies. Subrogation of IJSS is commonly applied, allowing employees to receive their benefits directly from their employer during sick leave, rather than waiting for the CPAM. However, this practice requires meticulous management and precise monitoring of advanced amounts. Our experience shows that up to 25% of IJSS are not recovered each year.
What difficulties do companies face?
To claim daily benefits, the employer must submit all required documents to the CPAM within the specified deadlines. However, contrary to popular belief, not all IJSS subrogated by the employer are automatically reimbursed by the CPAM. For example, a significant percentage of these benefits may be omitted, which represents a substantial loss for companies. For a medium-sized company, this can amount to €150,000 in losses each year.
Common Causes of Non-Reimbursement
Reimbursement of daily benefits is usually made by bank transfer from the CPAM to the employer, after processing the file.
However, there are common causes of non-reimbursement: manual management of IJSS by the CPAM can lead to delays, particularly during peak periods of sick leave, such as during a flu epidemic.
Additionally, the CPAM needs to receive certain documents to process files, including the employee’s work stoppage certificate and the company’s declaration. If any of these elements is missing, the file is blocked, and the CPAM cannot make the necessary payments. Employee oversights are common in this regard.
Administrative errors, incomplete files, and discrepancies in information between the company and the CPAM are among the main causes of non-reimbursement. Additionally, processing delays by the CPAM, particularly during periods of high demand, worsen the problem.
Increase in Absenteeism: An Additional Constraint
Uncontrolled absenteeism also increases the complexity and management costs for companies. Indeed, with an increase in absenteeism of 37% between 2017 and 2022, these problems have been exacerbated. This impacts not only cash flow but also operational efficiency, by excessively mobilizing HR and payroll teams.
What are the objectives of a recovery mission for companies?
Minimize Financial Losses
The main objective is to reduce financial losses by ensuring precise and regular monitoring of files. This involves verifying payments, following up with the CPAM, and correcting errors in files.
Improve Cash Flow and Operational Efficiency
Effective recovery improves the company’s cash flow. It also frees HR and payroll teams from time-consuming administrative tasks, allowing them to focus on higher value-added missions.
To effectively control their IJSS, employers must carefully monitor payments made by the CPAM, regularly reconcile payroll and CPAM payments, and take measures to resolve payment issues.
However, this management can be time-consuming and demanding for HR and payroll departments, requiring regular follow-ups and frequent contact with the CPAM.
How Althéa Can Support You
Audit and Data Recovery
At Althéa, we conduct an initial analysis to identify gaps and unrecovered amounts. This step provides a precise diagnosis of the company’s situation.
In just a few days, Althéa is able to identify the recovery rate as well as the amounts actually not recovered (compared to several weeks required within an HR department).
Administrative Management
At Althéa, we handle the complete monitoring of files and follow-ups with the CPAM, ensuring rigorous and effective management of recoveries.
High-Performance Tools
Althéa uses specialized software for precise reconciliation of payroll and reimbursement data. This ensures optimized and error-free file management.
This tool is connected to net-entreprises and allows extraction of all IJSS paid in previous years.
Continuous Support
Althéa provides dashboards for transparent and regular monitoring of progress achieved. This allows companies to maintain clear visibility on IJSS recovery.
Recovery Experts
Althéa has teams of experts in debt recovery. This enables prioritization of actions, decisive intervention on blocked files, and working hand in hand with our clients to retrieve essential information from employees if necessary.
Call Upon Althéa Experts
In this inflationary context and continuous increase in payroll costs, controlling IJSS recovery becomes essential.
Acting on the past allows for the recovery of substantial amounts while also relieving internal teams in the short term. By entrusting this scope to Althéa, you will have the guarantee of acting within the best timeframes and improving your cash flow very quickly.
In the medium term, entrusting this IJSS and absence management to Althéa experts enables sustainable control and performance in IJSS recovery. Internal teams can then focus on higher value-added tasks and thus reduce administrative complexities.
Would you like to learn more or initiate an IJSS Recovery project? Discover our offer!
