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    Claims Management Policy Template

    Uploaded by

    Sharif Fayiz Abushaikha
    This document outlines a claims management policy aimed at minimizing the impact of workplace injuries or illnesses. It does so through early intervention, support, coordination of resources, and facilitating a timely return to work. The policy ensures claims are filed correctly and managed until closure by gathering medical information, implementing modified work plans, and fostering open communication among involved parties like employers and health care providers. Responsibilities of the claims administrator, supervisors, and employees are also defined to support effective claims handling and return to work.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Claims Management Policy Template

    Uploaded by

    Sharif Fayiz Abushaikha
    100 views2 pages
    This document outlines a claims management policy aimed at minimizing the impact of workplace injuries or illnesses. It does so through early intervention, support, coordination of resources, and facilitating a timely return to work. The policy ensures claims are filed correctly and managed until closure by gathering medical information, implementing modified work plans, and fostering open communication among involved parties like employers and health care providers. Responsibilities of the claims administrator, supervisors, and employees are also defined to support effective claims handling and return to work.

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    Claims-Management-Policy-Template

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    This document outlines a claims management policy aimed at minimizing the impact of workplace injuries or illnesses. It does so through early intervention, support, coordination of resources, and facilitating a timely return to work. The policy ensures claims are filed correctly and managed until closure by gathering medical information, implementing modified work plans, and fostering open communication among involved parties like employers and health care providers. Responsibilities of the claims administrator, supervisors, and employees are also defined to support effective claims handling and return to work.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    100 views2 pages

    Claims Management Policy Template

    Uploaded by

    Sharif Fayiz Abushaikha
    This document outlines a claims management policy aimed at minimizing the impact of workplace injuries or illnesses. It does so through early intervention, support, coordination of resources, and facilitating a timely return to work. The policy ensures claims are filed correctly and managed until closure by gathering medical information, implementing modified work plans, and fostering open communication among involved parties like employers and health care providers. Responsibilities of the claims administrator, supervisors, and employees are also defined to support effective claims handling and return to work.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Claims Management Policy

    Claims management is a team process linking the employer with workers, unions, health care providers and insurance providers to
    minimize the impact of injury/illness through early intervention, support and resource coordination, optimizing recovery and
    facilitating stay-at-work or early return-to-work.
    Claims management aims to minimize the impact of the impairment: not only on the worker, but also on that person’s family,
    workplace and society.
    Workplace injuries are not the cost of doing business.
    Purpose: To ensure that all claims are filed appropriately, on time and with thorough and accurate information.
    That the claim is managed until it is considered closed; medical information is gathered, modified work plans implemented and
    monitored for progress, and open communication fostered between all involved parties.

    Responsibilities:
    WCB Administrator
     Act as a liaison between the employee, the employer and the Workers’ Compensation Board (WCB). File all appropriate
    paperwork with the WCB and monitor the progress of the individual claims.
     Communicate with the health care providers in regards to the Modified Work program and restrictions / limitations.
     Meet with all employees on modified duty regularly to discuss their progress, any program changes or any difficulties that they
    may be experiencing with regard to the program.
     Communicate with employee, supervisor and health care providers to resolve any difficulties and ensure that the program is
    progressing.

    Supervisor
     Educate your employees on when to report illness and/or injury.
     Understand the Modified Work program and follow the established processes.
     Provide suitable jobs which meet your employee’s restrictions and limitations.
     Follow up daily and support the employee to ensure a productive and safe return to work.
     Communicate with the WCB Administrator to discuss any problems or concerns regarding the employee’s modified work
    program.
     Inform new supervisors of employee’s restrictions / limitations prior to transferring to another department.
     Supervisor of department the employee is transferred to will contact the WCB Administrator to verify restrictions and program
    time lines.

    Employee
     Report any and all incidents to immediate supervisor as soon as the incident occurs.
     Provide any medical documentation from a health care provider to the WCB Administrator and supervisor.
     Notify immediate supervisor immediately when experiencing difficulties with their modified work program.
     Maintain daily contact with supervisor while participating in the Modified Work program to advise how they are doing that day.

    The information in this policy does not take precedence over applicable government regulations, with which all employees should be
    familiar.

    Name and Title Signature Date

    Revised on: 24-Dec-23 Claims Management Policy Revision Date: One Year or less
    Revised on: 24-Dec-23 Claims Management Policy Revision Date: One Year or less

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