Transcript Workers’ Compensation

Ryan Simon, Leave Administrator
Kerry Shaffar, Safety Director
 Centralized injury management system with defined roles
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and procedures.
Company specific claim management practices.
Relationship with medical providers.
“Incident Packet”
All inclusive incident report form.
Formalized return to work policy.
Job assessment program.
Hiring practices.
Training.
Active Release Techniques program.
Employee
Claim Handler/
Insurance
Medical Provider
Injury Coordinator
(Leave Administrator)
Senior Management/
Manager
/Supervisor
Safety/Risk Control
Human Resources
 Injury management point person!
 Assist the injured employee through the claim
process
 Facilitate appropriate medical care for an
injured employee
 Support and oversee restricted duty
 Coordinate the management of the claim
 Convey commitment
 Manage & support post injury & safety efforts
 Ensure consistent, high quality incident
analysis
 Visible plant contact
 Respond to injured employees
 Use a caring and non-judgmental approach
 Escort the employee to the medical provider
 Complete the incident report form and all
associated paperwork
 Actively support return to work
 Identify potential restricted duty positions and
manage those restrictions through recovery.
 Investigate the incident
 Coordinate the investigation (Lozier SWAT)
 Determine root causes
 Take/assign/request corrective action
 Immediately report all injuries
 Seek and follow recommended medical
treatment
 Help investigate the incident
 Follow ALL restrictions 24 hours a day
 Lozier Best Practices of claim management
 Obtain employee’s story.
 Limit use of leading questions.
 Maintaining balance – keeping the employee from
playing defense.
 Setting the “tone” of the claim.
 Keeping the lines of communication open…especially
when lost time is involved.
 Understanding of medical treatment and impact to
recordability.
 Establish strong working relationship with providers.
 Educate and train provider on OSHA recordability criteria
and workers’ compensation.
 Lozier Best Practices
Onsite medical clinic.
Tour of plants and processes.
Communication of Return to Work policy and program.
Communication of job requirements via job assessment
program.
 Use of additional medical providers to address restrictions,
treatment, or other claim management concerns.
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 Developed to address supervisory administration
issues associated with injury reporting and
workers’ compensation.
 Ensures all needed documents are available and
easily accessible.
 Incident packet being transitioned from hard copy
to electronic (available on company intranet).
 Packet contains:
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Work Related Incident Procedure Instructions
Incident Report Form
Power Industrial Equipment Incident Form
Drug and Alcohol Screen Consent Form
Return to Work Form
Return to Work Program Guidelines
Prescription First Fill Form
Used for various incident types
and inclusive of safety and WC
information.
Request medical treatment and
provider.
Date of incident vs. date
reported.
Employee statement of incident
with signature and date.
Review by safety coordinator
and plant manager.
 Purpose
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Provide a safe temporary modified duty assignment for
employees who have been given temporary restrictions.
 Eligibility
• Employee who does not require time off but has temporary
restrictions which prevent them from performing their regular
position.
• Employee who has been off work for a period of time and is unable
to immediately perform their regular position.
RTW Program
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Intent
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Facilitate recovery and provide value added work
Provide a fair/consistent program
Minimize financial impact
Guidelines
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Submit a patient visit form or equivalent form with specific
restrictions
Attempt to place in regular position
Employee, Supervisor and Leave
Administrator meet to discuss
temporary modified duty assignment
and
complete the commitment form
Maximum 26 weeks
EXHIBIT A
Temporary Modified Duty Commitment
Lozier is committed to providing safe temporary modified duty assignments for employees who have been
given temporary restrictions by their treating physician. Such work will be provided on a temporary basis
subject to availability. Work will be assigned within the temporary restrictions provided by the treating
physician. Every effort will be made to place employees in a temporary modified duty assignment within
their own department and shift; but if necessary, employees will be placed wherever an appropriate
temporary modified duty assignment is available.
Due to your recent injury or illness your physician has provided temporary restrictions to your regular job
duties. Since you are unable to perform all the tasks of your regular position, Lozier is placing you in a
temporary modified duty assignment.
During this time, you must follow your restrictions at work and away from work. You are not to perform any
work for another employer or self-employment without notification to Lozier.
During this time you will continue to have appointments with your physician. Appointments will be
scheduled on your own time when at all possible.
Work Related Injury or Illness: If it is necessary to miss time from work for a work-related injury or
illness appointment, you must clock out before attending the appointment and clock in when you return
from the appointment.
Absences without a written statement from the treating physician will be
considered an unauthorized absence and you will not be paid for that time. Your supervisor will be notified
whenever an appointment is not kept. If appointments continue to be missed, a letter will be sent to you,
your supervisor, the plant manager and a copy will be placed in your personnel file.
Non-Work Related Injury or Illness: If it is necessary to miss time from work for a non-work related
injury or illness appointment, you must receive prior approval from plant management, similar to any other
absence from work.
At each appointment you will need to have a Patient Visit Form (Attachment A) or an equivalent form
completed and returned to the Leave Administrator the same day or no later than 24 hours after the
appointment. If restrictions change, your temporary modified duty assignment will be reevaluated.
This temporary modified duty assignment will be re-evaluated every 2 weeks or following each doctor’s
appointment. The program will not exceed 26 weeks unless the Company has granted an extension.
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I have read and understand the expectations of my temporary modified duty assignment as attached.
Employee
Clock #
Date
Supervisor
Date
Leave Administrator
Date
I do not wish to participate in the Temporary Modified Duty Program.
Employee
Clock #
Date
List the job requirements for
each position
 Reviewed annually by
employees, management and
3rd party vendor
How do we use the job
assessments?
 Identify areas of improvement
 Identify physical demands of
the job
 RTW program
 Physical Therapy/Work
Hardening
 Doctor review
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 Work history and type of work.
 Drug Screen.
 Comprehensive medical history review.
 Physical requirements testing based off job assessment
data.
 New employee orientation for both hourly employees
and managers.
 Annual workers’ compensation and reporting training.
 Supervisor/manager specific training.
 Job specific training in HR, safety, and other support
areas.
 Active release techniques is a patented soft tissue
management process that is effective for the care of
overuse and strain/sprain symptoms.
 ART is a movement based soft tissue system that
targets scar-tissue to correct muscle function and
free nerve entrapments.
 By releasing scar tissue and correcting movement
and function, ART yields significant improvement
and/or resolution prior to conditions becoming
severe and costly (surgery, time-off work, disability).
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Carpal tunnel syndrome.
Nerve entrapments.
Tennis elbow.
Rotator cuff syndromes.
Neck/shoulder pain.
Low back pain.
Plantar fasciitis.
Other soft-tissue issues.
 Lozier has contracted with a local ART provider
to provide this treatment option to Lozier
employees with work and non-work related softtissue symptoms:
 2 hours on site each week
 Conveniently located at the Health Clinic @
Lozier.
 Appointments coordinated through the
Omaha Safety Manager.
 Priority for appointments will be given to
those with work-related issues.