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Workers Comp Field Case Managers Still Great Risk Management

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Why I Recommend Workers Comp Field Case Managers On Lost Time Files

Workers Comp field case managers, also known as rehab nurses, can still be a great risk management method for lost time files.    Why do I devoutly recommend the field case managers on files?  Let us look at some of the questions that I have received over the years that will answer why I recommend these vendors wholeheartedly.

piic workers comp file case manager nurse
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Questions on Workers Comp Field Case Managers

Are they spying on the claimant?  No, and in most states, there are very specific rules and laws on how rehab nurses conduct themselves.

Are field case managers expensive?  Yes, they can be viewed as expensive.  However, every time that I have performed a cost/benefit analysis the file savings equate to 6 to 1 over what they are paid.

What are some of the advantages you have noticed?

  • Field Case Managers get an idea of the injured employee’s home life while out of work.
  • They can attend to any serious medical needs of the injured workers such as signs of infections, etc.
  • Attending physician appointments has been a great advantage as they are adept at explaining any of the complicated medical terms that a physician may present at the appointments
  • Return to work – usually, field case managers can facilitate a return to work by being the communications hub between the physician, injured employee, and employer.  Light duty return to work can save a large chunk of claims payments if the injured worker can return to gainful employment more quickly.

Do you have any certain favorite companies for field case managers?  No, the decision is on more of a regional basis.  I have mentioned a few companies in the website’s articles that I have found very helpful.

I need a field case manager in an emergency – the injured worker has been admitted to the hospital.  Can you help find someone?  I recommend asking for a rehabilitation nurse or company that specializes in serious injuries.  I had a serious truck accident in eastern Texas.  I called one of the national companies.  They supplied a rehab nurse that visited the injured claimant in the hospital within 12 hours.  Yes, these serious injury field case managers are more expensive.  From what I have experienced, they are worth the extra hourly expense.

Do you have a list of rehab nurse companies that you use most of the time?  No, not really.   The best list that I could recommend is by using the vendor company listings from any conference.  You may wish to try the NWCDC Conference vendor listing found here.

If you recommend a rehab nurse company, do they pay you a referral fee?  No, I do not accept referral funds from any field case management company.  That way – no conflicts arise from any recommendations that I make in this area.

Who is the best company to supply workers comp field case managers?  The best company in one part of the US may be different in another region.  Most experienced adjusters know who they like to work with and have been successful in a certain region.

If the injured worker is represented by an attorney, is it appropriate to assign a rehab nurse?  Each state has certain rules on attorney contact.  Many attorney firms are OK with a field case manager on the file.  Attorney approval varies on a case-by-case basis.  The rehab nurse company will usually cc the claimant’s attorney on all reports.

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James Moore

Raleigh, NC, United States

About The Author...

James founded a Workers’ Compensation consulting firm, J&L Risk Mgmt Consultants, Inc. in 1996. J&L’s mission is to reduce our clients’ Workers Compensation premiums by using time-tested techniques. J&L’s claims, premium, reserve and Experience Mod reviews have saved employers over $9.8 million in earned premiums over the last three years. J&L has saved numerous companies from bankruptcy proceedings as a result of insurance overpayments.

James has over 27 years of experience in insurance claims, audit, and underwriting, specializing in Workers’ Compensation. He has supervised, and managed the administration of Workers’ Compensation claims, and underwriting in over 45 states. His professional experience includes being the Director of Risk Management for the North Carolina School Boards Association. He created a very successful Workers’ Compensation Injury Rehabilitation Unit for school personnel.

James’s educational background, which centered on computer technology, culminated in earning a Masters of Business Administration (MBA); an Associate in Claims designation (AIC); and an Associate in Risk Management designation (ARM). He is a Chartered Financial Consultant (ChFC) and a licensed financial advisor. The NC Department of Insurance has certified him as an insurance instructor. He also possesses a Bachelors’ Degree in Actuarial Science.

LexisNexis has twice recognized his blog as one of the Top 25 Blogs on Workers’ Compensation. J&L has been listed in AM Best’s Preferred Providers Directory for Insurance Experts – Workers Compensation for over eight years. He recently won the prestigious Baucom Shine Lifetime Achievement Award for his volunteer contributions to the area of risk management and safety. James was recently named as an instructor for the prestigious Insurance Academy.

James is on the Board of Directors and Treasurer of the North Carolina Mid-State Safety Council. He has published two manuals on Workers’ Compensation and three different claims processing manuals. He has also written and has been quoted in numerous articles on reducing Workers’ Compensation costs for public and private employers. James publishes a weekly newsletter with 7,000 readers.

He currently possess press credentials and am invited to various national Workers Compensation conferences as a reporter.

James’s articles or interviews on Workers’ Compensation have appeared in the following publications or websites:

  • Risk and Insurance Management Society (RIMS)
  • Entrepreneur Magazine
  • Bloomberg Business News
  • WorkCompCentral.com
  • Claims Magazine
  • Risk & Insurance Magazine
  • Insurance Journal
  • Workers Compensation.com
  • LinkedIn, Twitter, Facebook and other social media sites
  • Various trade publications

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