Claims News

Rousmaniere: Speaking for the Injured Worker


By Peter Rousmaniere

The workers’ comp industry is discovering anew the injured worker.  Using the term “claims advocacy,” claims professionals say they want to anticipate and support the injured worker as she tries to navigate the medical system, keep her home life in order, and return to work. This is a welcome shift from a reactive to a proactive approach in managing claims.

Let’s take the claims advocacy concept from daily practice of thousands of claims and medical professionals to legislators in fifty states.  Politicians set the rules for workers’ comp.  Is there a state that has reviewed its rules in-depth to consider how they really impact the injured worker?  A “worker advocacy” approach to legal review would discover outmoded, sometimes indefensible laws.<...

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