Workers’ Compensation Claims File Documentation Examples The NARS Way – WC Claims File Documentation Example Guide BEST PRACTICES Vocational Rehabilitation – Note Category “Vocational Rehabilitation” Mr. Smith has been assigned as the qualified rehabilitation professional to this claim. We are looking to return injured worker to the workforce and will be following up with Mr. Smith for progress in this arena. At the present time, we know injured worker has a GED with a mechanical background and Mr. Smith will be looking for areas of opportunity for placement. Wage Benefits – Note Category “Wage Benefits” AWW: $1,000.00 S-1 W/C Rate: $674.00 Jurisdiction: Iowa AWW calculated taking the 13 weeks prior to the DOI (04/14/2020), totaling $7,475. $7,474.00 / 13 = $575.00 AWW: $575 X 2/3 W/C Rate: $383.33 TPD for the week of 11/01/2020 – 11/07/2020: Injured worker worked a total of 14 hours. 14 hours x $15.00 = $210.00 AWW: $575.00 $575.00 - $210.00 = $365.00 $365.00 x 2/3 = $243.33 TPD issues for the week of 11/01/2020 – 11/07/2020 in the amount of $383.33. TPD set for the next six weeks (11/01/2020 – 12/12/2020) for the weekly amount of $383.33. PPD is being issued for the impairment to the right shoulder because of the arthroscopic surgery. Impairment total 5%; 5% x 250 weeks = 12.5 weeks x $674.00 = $8,425.00. PPD is being issued from 05/08/2020 to 08/03/2020 for 12.5 weeks of benefits at $674.00. *Attach documentation! **If estimating the wage rate, document and justify the estimated rate with the calculation in the note. 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.