Workers’ Compensation Claims File Documentation Examples The NARS Way – WC Claims File Documentation Example Guide BEST PRACTICES Wage Benefits – Note Category “Wage Benefits” Benefit Reconciliation Review Template 1. Is there a valid wage statement on file (yes or no)? a. If no, has it been requested, and how many times? 2. Date of disability: 3. AWW/CR: 4. Has the IW RTW (yes or no)? a. If yes, what is the RTW date? 5. Has MMI been achieved? a. If yes, what is the impairment percentage? 6. _____ benefits due from _______ to _________ equating to $ _________ 7. We paid ____ benefits from _______ to __________ equating to $ ___________ 8. Is there a financial inaccuracy (yes or no)? a. If yes, what is the inaccuracy? 9. If there is an underpayment, have all due benefits now been issued (yes or no)? If there is an overpayment, what is the plan to recoup? CONFIDENTIALTIY NOTICE This document contains North American Risk Services, Inc. proprietary information that is privileged and confidential. It is to be used exclusively by the individual to whom it was given and is not to be copied in full or in partial or the information herein communicated in any manner to anyone who is not employed by North American Risk Services. NARS’ Best Practices were created by and for the internal use of NARS and are confidential, proprietary and trade secret documents protected by the Uniform Trade Secrets Act and applicable state/federal law. They may not be copied, distributed, or reproduced, in whole or in part, without NARS’ express prior written authorization. Unauthorized use or distribution may be subject to civil and/or criminal penalties.