Whenever you are handling a claim, something issues, problems are simply not avoidable. However, there are a few steps to take that can minimize your more problematic files. With elimination of these issues, you should be able to reach file conclusion more swiftly.
Several points to keep in mind from the outset of the claim. Communicate frequently, effectively and in as much a comprehensive manner ss possible. If you cannot speak in the primary language of the injured individual, find a way to accomplish that. You have to know that they will find someone who can speak to them effectively, and that individual may or may not know the nuances of the system or offer advice contrary to the intended goal of the system. Reaching out to the injured employee in their language will reduce friction and speed the case.
Also, maintain effective communication with the employer so as to enhance returned to work possibilities and restrictions.
Stay organized, update your claim system and do not leave things to memory. Document calendars, goals, and other items . Demonstrate your professionalism each and every day to every individual /stakeholder involved in the process.
Explain to the injured employee what exactly has been accepted as part of the compensable injury. All too frequently there are attempts to expand the scope of injury, and this leads to irritation and other on toward emotions. What the workers compensation system is to provide, let them know you will provide all that is appropriate, and that the specific extent of injury diagnosis must be acknowledged by both sides. Explain if they want to expand the problem, there is a specific methodology to do so.
Find that one point of contact at the primary treating physician office as someone you can speak with to obtain all of the medical records. Furthermore, having that someone you can call to explain and unclear medical opinion or some other issue will speed the process towards claim resolution. Also, ensure that individual understands what the specific return to work options are available relative to the injured employee, there specific occupation, what is most appropriate for the treating doctor to assign.
Take the time to fully explain the limitations of the workers compensation protocol within your jurisdiction and ensure that the injured employee knows all that they are entitled to and that you will deliver. Moreover, they need to know what is beyond the scope of the workers compensation claim and their compensable injury so that any disappointments will be minimized. With the appropriate expectations of a part of the injured employee, and the frustration relative to the unrealistic expectations should be mitigated.
Addressing these few roadblocks can markedly reduce the amount of time this claim is open. Affective clear communication preferably in the primary language of the individual and explaining the actuality of the system as opposed to the misinformation obtained from a less than reputable source will help you accomplish your intended goal.