North American Risk Services, Inc. Workers’ Compensation Worker’s Compensation Guidebook Table of Contents NARS Way ............................................................................................................................................................... 1 WC Credo for Unit Managers .................................................................................................................................2 WC Credo for Specialists.........................................................................................................................................3 Best Practices .........................................................................................................................................................4 Unit Manager Checklist ..........................................................................................................................................9 WC Claims Specialists Checklist ............................................................................................................................10 File Expectations - 14 Days ...................................................................................................................................12 Coverage .........................................................................................................................................................12 Initial Injured Worker Contact ........................................................................................................................12 Employer Initial Contact .................................................................................................................................14 Medical Provider/Medical Management ........................................................................................................15 Witness ...........................................................................................................................................................16 Subrogation.....................................................................................................................................................16 Compensability ...............................................................................................................................................17 Wage Benefits .................................................................................................................................................18 Initial - Interim - Status Report .......................................................................................................................19 Medical Only Status Report ............................................................................................................................20 Litigation .........................................................................................................................................................20 File Expectations ...................................................................................................................................................21 EDI/State Filings ..............................................................................................................................................21 Medicare .........................................................................................................................................................21 Reserves ..........................................................................................................................................................22 Disability Management ...................................................................................................................................23 Investigation ...................................................................................................................................................23 Vocational Rehabilitation ................................................................................................................................23 Ongoing Subsequent Communication ............................................................................................................24 Second Injury Fund .........................................................................................................................................24 Nurse Case Management ................................................................................................................................24 Unit Manager Review - Category - Managerial Note ......................................................................................25 Subsequent Unit Manager Quality Claim Management Review (QCM) .........................................................25 Special Investigation Unit................................................................................................................................26 Vendor ............................................................................................................................................................26 Closing Note ....................................................................................................................................................26 Authority/Authority Requested ......................................................................................................................26 Disability Reference Guide ...................................................................................................................................27 Notes and Categories ...........................................................................................................................................29 1