Workers’ Compensation Claims File Documentation Examples The NARS Way – WC Claims File Documentation Example Guide BEST PRACTICES Investigation – Note Category “Investigation” ISO report returned five hits. The injured worker was previously involved in four other workers’ compensation claims which were handled by Travelers. Request is being made to obtain information for these ISO hits. The fifth hit is for an MVA through State Farm. Information requested. ISO returned two hits. One is not for the injured worker but someone with a similar name. The other is for the injured worker’s daughter. ISO report okay and no further information is needed at this time. Belleview Police Report received. Our injured worker was at fault. Third party information obtained: Joe Smith, 43, Allstate policy, etc. Forwarded to NARS Subrogation Unit. Social Media scrub resulted in a hit indicating the injured worker was skiing based upon his Facebook profile the weekend before reporting his workers’ compensation injury to his employer. Litigation – Note Category “Litigation” Referred file to defense counsel to include a file summary as attached. Litigation module completed. Upon response from Counsel: Received legal plan of action and budget from Defense Counsel. Budget is for $25,000.00 and is set to include: deposition, etc. Defense counsel values this file at the present time in the range of 20-30% based upon the injury's nature and the injured worker's location. Suggestions for further workup include obtaining an IME and scheduling the injured worker's deposition. Legal review with Pernie Law Firm. Discussed extending authority up to $25,000.00 as we are looking to resolve this Iowa claim with an Agreement for Settlement. Will follow up with defense counsel in two weeks to determine the status of settlement negotiations. Managerial Notes – Note Category “Managerial Notes” Separate guide for Workers' Compensation Unit Managers - Quality Claim Management Review. Summary: This is a low-risk claim for a finger laceration. Compensability has been accepted and appears it is a one-time treat with release. Lost time within the waiting period. Reserves: Reserves are adequate for the exposure. Recommendations: Please follow up for the release documentation and put on diary to close once bills are paid. 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.