Safety congress 2014 Takeaways, part 1

RTW Strategies (Employment attorney presenter): There are two well-known facts: it is completely counter-productive to keep soft tissue injuries off work, and the longer someone is off work, the less likely they are to return to work. Send a valid, specific job offer ASAP, and do not include “we can accommodate any restrictions” language. Keep a log of the details of each job offer and the response (if any). Hearing officers can terminate TT compensation back to the date of the valid job offer, when the employer has shown a good faith effort to get the claimant back to work.

Advantages & Pitfalls of Using the Internet (TPA presenter): HR can use social media to find out what the employee was doing before the claimed injury, or to find out what the claimant is doing while off work. And then, engage a professional to capture the evidence so it can be used at hearing or in court. Do not “friend” your employees.

Fraud (BWC presenters): Claimant fraud includes claiming an injury that did not occur at work and/or working while collecting TT compensation. The BWC will investigate even after the employee has returned to work. Employer fraud includes deliberately reporting payroll under the wrong manual classification or failing to pay premiums. Provider fraud includes deliberately billing the wrong codes or running a drug mill. There is a difference between fraud and abuse.


Posted in business, claims, fraud.