C T onable o North American Risk Services, Inc. t en tsf Workers’ Compensation CLAIMS FILE DOCUMENTATION EXPECTATIONS NARS W a DISABILITY MANAGEMENT y U W Expectation: A disability management plan is due by the 30th day from the date reported. nit MC C anagr See Disability Management Guide edo f eror Disability Management works hand in hand with medical management. The Disability Management Guide walks through s f the steps of managing disability. Every file should demonstrate the ability to aggressively manage disability with the orW engagement of the injured worker and the employer. SC C pecialistsr INVESTIGATION edo Expectation: A compensability decision is made by the 30th day, if not by the 14th day. These elements are necessary by the 30th day, at the latest. Document any findings during the life of the file. P r acticB ISO and Red Flags - Example esest ISO report returned five hits. The injured worker was previously involved in four other workers’ compensation claims U which Travelers handled. The request is being made to obtain information for these ISO hits. The fifth hit is for an MVA Checklistnit M through State Farm. Information requested. anag ISO returned two hits. One is not for the injured worker but for someone with a similar name. The other is for the injured er worker’s daughter. ISO report okay, and no further information is needed at this time. ChecklistSW Belleview Police Report received. Our injured worker was at fault. Third-party information obtained: Joe Smith, 43, pecialist C Claims Allstate policy, etc. They were forwarded to NARS Subrogation Unit. Social Media scrub resulted in a hit indicating the injured worker was skiing based on his Facebook profile the weekend before reporting his employer’s compensation injury. Expecta 14 DF a tionsile VOCATIONAL REHABILITATION y s Expectation: Document the file as noted below. Copy and paste the template into the file and fill it in. Template Expecta F tionsile • Not anticipated at this time. R Template e f • Vendor for VR: erD • Does the client approve the service? encisability • Rationale: e G uide CaN t o egt orieses and 22 23