Workers’ Compensation Claims File Documentation Examples The NARS Way – WC Claims File Documentation Example Guide BEST PRACTICES I responded to the attorney with 30% of the leg or $30,000, given the short amount of lost time. Cases in IL with little lost time, quick recovery, and no complications resolve in 30-35% range. Response from injured worker's Counsel: $40,000.00 or 35% of the leg. Response: Resolved the claim for 32.5% of a leg or $37,000. *If the specialist does not negotiate the claim, please document why the defense counsel negotiated resolution. Nurse Case Management – Note Category “Treatment Plan” Requesting Field Case Management assistance on this file as the injured worker sustained severe injuries to his right arm. Tasking FCM to assist with medical treatment facilitation as the injured worker does not speak English and due to the nature of his injuries, requesting we have someone accompany him to medical appointments for proactive care and complete understanding of medical treatment. Have also asked FCM to prep injured worker for appointments to alleviate fear of the unknown as well as follow up post appointments for a recap of what transpired at the medical appointments. Looking to task assign case management for further understanding to be communicated between the medical provider and the injured worker for a total of six visits to verify medical treatment plan is in place. Reserve – Note Category “Reserve” This is a Wisconsin claim from July (07/13/2021) in which a 38-year-old road machine operator was working on a construction project when he was backing a skid steer and hit a roller machine sustaining injury to his neck at C7. He is now in need of an artificial disc replacement at the C6-C7 level as he sustained herniation with foraminal and lateral recess stenosis. Compensability has been addressed with the surgeon who opined that the 07/13/2021 incident was the major contributing factor of the injured workers’ neck issues. Subrogation has been ruled out because of both pieces of equipment were owned and operated by the employer/employees. Utilize C3 Template. Second Injury Fund – Note Category “Second Injury Fund” This is the second injury to the injured workers’ right arm and based upon Iowa jurisdiction, the Second Injury Fund applies. Notification sent. The Second Injury Fund is not applicable in X jurisdiction. 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.