Workers’ Compensation Claims Handling Timelines The NARS Way – WC Claims Handling Timelines The claims specialist may establish recurring payment scheduled for the minimum number of weeks of the expected disability period but may not exceed the following: • Non-surgical disability claims: up to 6 weeks. • Surgical disability claims: up to 24 weeks. • Permanent disability: may be scheduled up to 52 weeks or for the entire benefit period, whichever is less • Fatality; may be scheduled for entire due benefit period. The payment must be documented in the file notes. Any missed indemnity payments require a phone call to the injured worker and must be reported to the UM. All late payments are Should be paid on or before the escalated to the Director. Indemnity Payments due date as allowed by statute. Must be completed within 30 days of the initial indemnity payment If RTW occurs before the initial 30-day review, Indemnity Benefit and again at the time of return to then only one reconciliation is necessary. Reconciliation Review work (RTW). Incident only claims may not have a 3-pt contact. A fax or letter to the provider counts as 8 business hours or I business day, provider contact. Initial 3-point contacts whichever occurs first Reserves must be reviewed and adjusted within 15 days of any material change. The file must be adequately documented Initial and Subsequent Reserve Within 7 business days of claim using the reserve template and justification. transactions receipt LLR or LLN Within 10 days of a significant UM’s and the Director have 48 hours to change or need for modification. review and forward to the client. 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.