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Nearly all group disability carriers offer return-to-work services. So how can you and your clients determine which return-to-work (RTW) program will be most effective at keeping net plan costs down by minimizing the amount of time employees spend on claim? The key, of course, is to know the right questions to ask. Here are some suggestions:
Most carriers who are serious about helping disabled employees return to work have a low ratio of claims analysts to vocational case managers. Vocational case managers help disabled employees return to work by drawing on a variety of expert resources: nurse case managers, outside physician consultants and third-party rehabilitation consultants. The Standard employs 10 claims analysts for every vocational case manager.
Typically, vocational case managers wait for claim analysts or nurse case managers to refer disabled employees. However, different carriers take different approaches. At The Standard, vocational case managers receive a regular report of recently opened claims and work with claim analysts and nurse case managers to determine which disabled employees are candidates for RTW. In this more proactive approach, the vocational case manager owns the process and is responsible for the outcome.
The business-as-usual approach is for the carrier to go to the doctor first and ask if a patient can return to work. Some carriers, like The Standard, prefer to first work with the disabled employee and employer to create a RTW plan, which is an agreement signed by the employer and employee. The carrier then tells the physician that the employee wants to go back to work and shares the plan with the physician. The physician is asked to advise the carrier if there are any reasons that the employee cannot participate in the plan or if any modifications to the plan are needed.
Contact your Sales Rep to find out how The Standard can help your customers build a successful RTW program.