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You are here: Home / Implementation and Rolling Out Your Program / How to Contact Your Adjuster about Claim Status for Workers Comp

How to Contact Your Adjuster about Claim Status for Workers Comp

July 30, 2009 By //  by Robert Elliott, J.D. Leave a Comment

It is important to document workers’ compensation claims throughout the injury process. As your employee heals, or even worsens, you need to have this process documented.

It’s a good idea to follow up with your adjuster by using a form designed to gather information from and follow up with your adjuster. In some cases, you may want to use the form for a live interview, rather than having the adjuster fill it out. This allows you both to sign off on the document.

Gathering Information

1. Include all the basics, even if documented elsewhere. Be sure to include:

a-Employee social security number
b-Date of injury
c-Your company name

2. Ask about current condition and whether the injury requires physical therapy or surgery.

3. Ask about the employee’s medical history may affect the injury and what a typical timeline for recovery may be.

4. Ask about the relationship with the doctor and whether through communication is being provided.

5. Document if there is any question to the validity of the claim and about the employee’s attitude.

6. Give a deadline, no more than 24 hours in advance for the adjuster’s suggestions to rapidly resolve the case. (workersxzcompxzkit).

Consistency is another factor to consider. If you develop or purchase a regulated form, you will remember to ask all appropriate questions in every case. You will also be using the same language each time you have a workers’ compensation claim thus removing personality from what should strictly be a professional arrangement, since everyone wants the employee to heal and get back to work.

Author: Robert Elliott, J.D.

WC Calculator: www.reduceyourworkerscomp.com/calculator.php
TD Calculator: www.ReduceYourWorkersComp.com/transitional-duty-cost-calculator.php
WC 101: www.ReduceYourWorkersComp.com/workers_comp.php

Do not use this information without independent verification.
All state laws vary.

©2008 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact Info@WorkersCompKit.com

Filed Under: Implementation and Rolling Out Your Program, TPA and Claims Administration Tagged With: Claims Handling

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