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Difference between revisions of "Time Limits and Procedures in Workers' Compensation (7:X)"
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Time Limits and Procedures in Workers' Compensation (7:X) (view source)
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{{REVIEWED LSLAP | date= | {{REVIEWED LSLAP | date= July 21, 2022}} | ||
{{LSLAP Manual TOC|expanded = workers}} | {{LSLAP Manual TOC|expanded = workers}} | ||
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Once an application has been made, it moves into the case management process whiere initial decision makers will consider the application and decide whether to accept or reject the claim on the criteria set out above. The key feature of case management is a case manager who oversees the delivery of services for the entire life of the claim. This process may also include regular multidisciplinary team meetings, clinical care planning, site visits, and a return to work plan, which sets out expectations surrounding medical treatment, physical rehabilitation, and a Return to Work option. The worker, union or other representative, the worker’s doctors, and the employer are all expected to participate. | Once an application has been made, it moves into the case management process whiere initial decision makers will consider the application and decide whether to accept or reject the claim on the criteria set out above. The key feature of case management is a case manager who oversees the delivery of services for the entire life of the claim. This process may also include regular multidisciplinary team meetings, clinical care planning, site visits, and a return to work plan, which sets out expectations surrounding medical treatment, physical rehabilitation, and a Return to Work option. The worker, union or other representative, the worker’s doctors, and the employer are all expected to participate. | ||
WCB uses the Claims Management Solutions ('''“CMS”''') System to streamline and manage the claims process more effectively and improve service to customers. The CMS System manages all data related to previous, current, and future claims and helps integrate services throughout the life cycle of a claim. It is supposed to result in faster case handling and claim payments, more support for injured workers, and less administrative work for employers and service providers. Workers can obtain real-time access to their claim file by registering online and can authorize a representative to have access as well. | |||
=== 1. Initial Decision-Making Process === | === 1. Initial Decision-Making Process === | ||
