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ACHIEVING SUCCESS TIPS

Claims Coordinator Responsibilities

The claims coordinator is pivotal and can be part of the risk management department, finance, or human resources. The important thing is the claims coordinator has access to all information necessary to control the claim.

 

Claims Coordinator will:

  • Establish a transitional duty program prior to injuries occurring.
  • Provide all new hires and annually to current employees the employee brochure on what to do in case of an accident.
  • Arrange immediate medical care at the required or recommended medical provider. Nurse triage can be the initial step to ensure the appropriate level of medical care.
  • Provide the medical provider with a detailed job description prior to the employee arriving for initial medical treatment.
  • Interview the injured employee to obtain a detailed description of how the injury occurred.
  • Interview the employee's supervisor to verify the description of the accident and what could have been done to prevent the accident.
  • Complete the first report of injury and give it to the claims office the day of the injury.
  • Contact the employee immediately following the initial medical treatment for diagnosis, prognosis, and expected period of disability, if any.
  • Arrange for transitional duty (light duty or modified duty) for the injured employee.
  • Send the employee a get well card while the employee is off work.
  • Maintain weekly telephone contact with the employee while off work and treating. Have a nurse case manager contact the employee after each scheduled medical visit. On-going contact with the injured employee allows for discovery of any problems - such as not keeping medical appointments or difficulty with healing or medications prescribed - before they get out of hand.
  • Facilitate on-going contact with the claims adjuster and the nurse case manager.
  • Coordinate and complete all necessary paper work related to the claim.
WC COST REDUCTION NEWS

Safety responsibilities of the supervisor must be incorporated into the job description as important performance measurements. How does an employer get the supervisor to "buy into" the safety program?

The summer of 2012 is on track to have the most cases of the West Nile Virus since the infection arrived in the United States in 1999.

There are situations where the injury to the employee is unique, and the seriousness of the injury is not fully understood by either the wc claims adjuster or by the DA. How can the 'legal conference' help? 

Every adjuster needs a road map! The strategic plans of action is the tour guide and keeps the adjuster focused on moving the claim to a conclusion. 

Nurse triage is a concept workers' comp has adopted from outside traditional health insurance and claims management fields to control the cost of medical care. Read on.

Is an employee is still entitled to paid annual holidays, even if they have been off sick for the whole of that year? 

The #1 selling cost containment book for workers compensation is our 2012 Workers Compensation Management Program: Reduce Costs 20-50% manual. This 181-page guidebook helps assess company or clients' workers comp programs, design program materials, roll out a program to the organization, and monitor and manage the program once implemented.  

NEWS FROM LowerWC.com
New summaries for "drug testing and workers compensation state laws" for every jurisdiction are NOW posted on our website. Click on the link above to check it out.
EDUCATIONAL OPPORTUNITIES

For 20 years, the National Workers' Compensation and Disability Conference & Expo has been the industry's leading training event. And this year's event is taking it to the next level - making it the best ever! November 7-9th 2012.

For the first time in almost 40 years, multiple efforts are underway to modernize the federal workers' compensation system. The 2012 event kicks off with an Opening Keynote dedicated to the future, explaining how the various reform proposals would affect the federal workers' comp landscape and giving you the tools necessary to handle the changes coming your way. November 7-9th 2012. 
REDUCE WC COST 20% to 50%
Workers Compensation Management Program
Learn more about our book on
COST SAVINGS
for employers.
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AMAXX RISK SOLUTIONS, INC.
Lowering Workers Comp Costs for Employers

Rebecca Shafer, Attorney & Risk Consultant

Contact Us: [email protected]

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