What’s your claim management strategy?
Posted by Debbie O'Connell - Friday, November 16, 2007
When a claim does occur go over all of your options with your partners (TPA/MCO).
Here are some other items to keep in mind:
- Wage continuation – contact your TPA to do a study to show cost benefits.
- Modified Duty Off-Site (MDOS) – this can be coordinated with your TPA/MCO/Rehab provider. Offering a position at a non-profit within the injured workers’ restrictions is a good faith job offer.
- Independent Medical Exams (IME) – consider getting your own company exam. DID YOU KNOW: BWC will no longer incorporate an additional allowance exam with extent of disability. This is delaying the return to work process – you as the employer/TPA need to be aggressive.
- Light duty/Transitional work – be flexible.
Work with your partners (TPA/MCO/Provider) on getting the injured worker back to some type of meaningful work. - Vocational rehabilitation – several different programs offered through the BWC surplus fund. Research all of your options with your TPA/MCO.
- Functional capacity exam (FCE) – exam must be approved by the treating physician of record on a C9. This exam will reveal the physical (function) as it relates to the injured workers’ job. Work with your TPA/MCO to see if this is an option that should be considered.