Despite your best efforts to get medical restrictions from all treating physicians and evaluate your employee on a weekly basis, there are times when the medical provider says the injured employee can do more than s/he thinks s/he can.
- For example, a bus driver injured his right arm in a work-related accident. The doctor finds the muscles and bones have mostly healed and the patient should no longer be feeling pain and may return to work for four, rather than an eight-hour day.
- But in your weekly reviews, the employee complains that opening the bus door is still so painful he cannot drive home at the end of the day.
In this situation, write an email from the injury coordinator to the adjustor asking if a functional capacity evaluation (FCE) may be needed. Also, consider options for alternate work for a while longer.
8 Part Email To Send When Transitional Duty Doesn’t Work
- Be sure to include claim number and all relevant addresses and contact information on the letter.
- Include the supervisor in any discussions.
- Clearly explain the situation: who is injured, what the injury is, what the current complaint is and what the physician says the worker should be able to do
- Explain the company’s medical advisor reviewed the reports and the employee’s complaints do not mesh with the current medical diagnosis.
- Acknowledge the pain could be imagined (but without judgment) or the result of the employee being fearful of additional injury. Be aware that the pain might be very real also, and don’t minimize the likelihood of this possibility. Anyone who has ever had repetitive arm injury knows how painful it can be and often even a small amount of use can trigger painful symptoms.
- Ask your adjustor if an (FCE) is needed and, depending on results, perhaps an off-site work hardening program is in order. In work-hardening the employee is allowed to build up to his regular job capacity in a supervised setting, removing the fear of re-injury.
- Ask the adjustor for suggestions of work-hardening centers in the area.
- Acknowledge the difficulty of this claim and ask the adjustor for a timely response.
Real or imagined, pain while doing one’s job benefits neither the company nor the employee. There are programs designed to help your employee work through these issues.
Vigilant attention to the employee will ease this process.
Author Michael Stack, Principal, Amaxx LLC. He is an expert in workers’ compensation cost containment systems and helps employers reduce their work comp costs by 20% to 50%. He works as a consultant to large and mid-market clients, is co-author of Your Ultimate Guide To Mastering Workers Comp Costs, a comprehensive step-by-step manual of cost containment strategies based on hands-on field experience, and is founder & lead trainer of Amaxx Workers’ Comp Training Center. .
Workers’ Comp Roundup Blog: https://blog.reduceyourworkerscomp.com/
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