Date: Thursday, November 4th
Time: 7:30AM – 4:00PM
Location: Grotto | 3011 Butterfield Rd, Oak Brook, IL 60523
Registration Info: Click Here
Cost: Free

**7.0 CEUs available

Speakers/Topics:

“To Be a Spine Care Expert, Starts with Accurate Diagnostics” – How to Grade and Measure Soft Tissue Damage According to AMA Guidelines – By Dr. Jeffrey Cronk (National Injury Diagnostics)

“Updates  for a Clinically Proven Non Invasive Treatment Modalities” – By Dr. Jimmy Diaz (Internal Medicine, Kingsland GA)

“Recent Advances in Integrative Pain Management” – By Dr. John Prunskis (Illinois Pain Institute)

“Medical Treatment for Back Pain, a View from the Trenches …a Litigation Perspective.” – By Christopher Gibbons (Attorney | Nyah, Bambrick, Kinzie & Lowry, P.C.)

“Newest Statistics on Outcomes for Rotator Cuff Repair in Work Comp Patients” – By Dr. Nikhil Verma (Midwest Orthopaedics)

“Most Common Work Place Hand Injuries” – By Nabil Barakat (Midwest Hand Surgery)

“Case Based Occupational Evaluations/ Shoulder and Knee” – By Dr. Brian Cole (Midwest Orthopaedics)

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Save the Date

November 10th, 2010, 8am – 3pm

Orthopedic Building at RUSH University Medical Center

CEUs, continental breakfast and lunch provided.

Presenters: MOR Physicians – Dr. Kathy Weber, Dr. John Fernandez, and Dr. Walter Virkus. Novacare Clinicians – Brian Kilbane, Dain Hampton, Courtney Porter, and David Hoyle.

Current concepts in the treatment of work related musculoskeletal injuries (trauma and upper extremity). Break out sessions to include demonstration of rehabilitation procedures.

Register by contacting Kindal Wernz @ kwernz@rushortho.com

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FCEs | The Inconvenient Truth

Space is limited. Reserve your Webinar seat now!

Date:         Friday, October 15th, 2010
Time:        11:15 AM – 12:30 PM CDT

CCMC and Texas CEU Credits Available*

Woodlake Medical Management and Triune Health Group are excited to offer this free educational webinar.

Are the FCEs you obtain legally defensible in 2010?

Do they objectively measure function and sincerity of effort?

Darrell Schapmire, MS will break down how traditional FCEs test validity and function while reviewing what the research has to say. Some of the research covered has been accepted for publication but is not yet publicly available — it will change the FCE industry moving forward.

This information is essential to all risk managers, claims managers, case managers, claims adjusters, and attorneys who would like to ensure they are controlling costs, obtaining the most accurate and objective information from which to make decisions, and best positioning themselves should a claim be litigated.

An opportunity to ask questions at the end will be available for those interested.

Darrell Schapmire has a graduate degree in exercise physiology from Benedictine University. He conducts FCEs in 13 locations in Illinois (scheduling is handled through Woodlake Medical Management by calling 800-804-4008).

His interest in improving the assessment of effort led him to develop the X-RTS Hand Strength Assessment and obtain two pro se patents, one of which is for the X-RTS Lever Arm, a product that is now in use in 25 states. He is an organizer of a research initiative and a contributing author in the publication of six primary research studies related to the objective classification of function and validity of effort.

There is limited capacity for this webinar, so please register today!

*1 hour of CCMC CEU credits and TX CEUs (applied for)

Questions can be directed to Chris Rocks (chris@woodlakemedical.com).

Registration Link: https://www1.gotomeeting.com/register/572645825

Sponsors:

Independent Medical ExamsIn 1994 Woodlake Medical Management was created with one simple concept: To give you quick IME appointments scheduled with a wide variety of doctors, while efficiently delivering well-explained, definitive medical opinions. We are a group of dedicated, friendly people who strive to consistently treat you so well that you look forward to doing business with us. We’re Now offering FCEs in Illinois!

TRIUNE Health Group was established in 1990 by Christopher and Mary Anne Yep, emphasizing a philosophy of respect for each individual injured worker, customer, or co-worker. This simple philosophy provides for the highest quality of services with superior results, performed in a timely and cost effective manner. Respect for the individual also attracts the best and most qualified professionals, who dedicate their best efforts, with a goal of minimizing the effects of injuries and disabilities which maximizes each individual’s ability to live and be productive. In reaching its fifth major expansion, which includes a second location in the Chicago Land area, the company has introduced its multifaceted approach to Health and Productivity by providing programs to meet the needs of the total person. The administrative and nursing staff  have a proven track record with experience in managing absences for large municipalities, hospitals, insurance carriers and self insured employers.

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Editor’s Comment: We truly feel this exemplifies a situation where the Plaintiff bar is seeking unlimited liability for injuries that can be traced back to business meetings. It appears Dramshop Act caps have been pulled off accidents/injuries to third parties that follow company lunches, parties and other outings. When alcohol is flowing, employers must establish attendance and participation by your workers at company events was voluntary and employee participation was not “in the course and scope of employment”. Otherwise, an employer may be found globally liable for the tortious actions of an intoxicated employee under the theory of respondeat superior.

We caution one other method to end such liability is easy—get an Alcohawk© or similar personal breathalyzer and don’t let anyone drive drunk. Grab some straws and test everyone before they leave. Do everyone a favor, if they are over the legal limit, grab their keys and put them in a cab or limo. We wish every restaurant and bar in Illinois would have the brains to get a personal breathalyzer with lots of straws to protect their patrons from the skyrocketing liability of driving drunk.

With a new ruling in Hicks v. Korean Airlines Co., the Appellate Court explained the Dramshop Act is not the exclusive remedy for alcohol-related incidents and the purveyor of alcohol is not the only potential liable party for the later tortious conduct of an intoxicated customer. In light of this decision, we recommend a memo be issued from management prior to any such social event to protect against this new theory of liability, which could only be conceived by the Plaintiff’s Bar. In the alternative, you may want to consider using our KC&A Employee Sign-in Sheet that covers the same concepts.

In this recent ruling, our Illinois Appellate Court further developed a growing area of tort law, and in doing so, created liability exposure far in excess of the caps established under the Illinois Dramshop Act. Tracy Kim, an employee of Korean Air, struck and killed another driver (Simmons) while intoxicated after a company dinner party. The complaint alleged Korean Air was liable for Kim’s negligent and intoxicated driving, because Kim was acting within the scope of her employment with Korean Air. Another count of the complaint alleged Korean Air was liable under the Dramshop Act for supplying and serving Kim alcohol. However, Korean Air succeeded on a motion for summary judgment on the Dramshop count, as there were insufficient facts to find Korean Air acted under Dramshop (the employer was not serving the alcohol themselves).

However, the Appellate Court reversed the finding of summary judgment on the negligence count, finding the theory of liability against Korean Air on the negligence count was outside the scope of the Dramshop Act (which would otherwise control all claims related to the service of alcohol). The Court explained, with extensive comparison and case-law citation, liability for alcohol-related negligence can attach to a third party under ordinary negligence/tort law, regardless of who actually provided the alcohol. Since the Plaintiff maintained a genuine issue of material fact existed as to whether Kim was acting within the scope of her employment while at the dinner party, the claim survived summary judgment. Critics will certainly claim this “end around” of the Dramshop Act effectively ends the long-standing “exclusive remedy” of the Dramshop Act for alcohol-related negligence actions.

This decision reflects the development of what can be described as a “Good Samaritan” rule of sorts, which compels an affirmative duty for those who may exercise control, direction, or even care for a person who becomes intoxicated. For example, the Court cited cases where liability for negligence may attach when a “Good Samaritan” begins to care for a heavily intoxicated individual, but then abandons the individual to their detriment. In another example, a bar owner cannot remove a patron from an establishment for vomiting (due to alcohol), pull up the drunkard’s car, dump him in, allowing him to drive off, and later claim they didn’t know he was drunk when he drove away. Be warned, such affirmative acts can trigger your obligation (read liability) if you fail to follow through with due care to prevent a reasonably foreseeable harm. Again, we must stress these theories of liability are not under the umbrella of the Dramshop Act, but rather, independent theories of negligence. Therefore, there is no cap on a jury award and potential limitless liability in these claims.

The Court explained, although the Dramshop Act broadly preempts claims arising from a defendant’s provision of alcohol, the Dramshop Act does not preempt claims based on legal theories independent from the such provision of alcohol. Where, as here, the Appellate Court ruled a genuine issue of material fact exists regarding whether Kim’s actions were within the scope of her employment, the Dramshop Act does not preempt a claim that Korean Air is vicariously liable under the theory of respondeat superior, as Kim’s alleged negligence is independent of which entity supplied alcohol to her. Thus, the judgment of the Circuit Court of Cook County was reversed and remanded for further proceedings.

Post Provided by Gene Keefe of Keefe, Campbell & Associates, LLC. The firm was started by 
Eugene F. Keefe, Michael J. Danielewicz, John P. 
Campbell, Joseph R. Needham and Shawn R. Biery with 
the goal of providing high-quality and cost-effective 
civil litigation services for the defense of 
self-insured employers and insurance carriers.

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Would you like to live here?

If so, you are in luck! Cindy has a position waiting for you and the company to get you there.

The carrier with $200M in premium is based in the West, writes only Workers’ Compensation Insurance and has nearly 300 employees.  They are seeking a Claims professional with a College degree and at least 3 years experience handling lost time claims, but has some flexibility in their salary range to accommodate someone more experienced.  With no degree, 7 years of lost time claims experience will be considered.

Cindy has worked with this company for several years and they have impressed her with their consistent business plan, exceptional benefits and how they treat their employees.  She believes that in addition to a great job in a beautiful part of the country, you would be joining a company that provides a stable, long term career.

If you are looking for an adventure give Cindy a call at (800) 433-1393 or send your resume to cindy@pinnconsulting.com.

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By Elizabeth Alberico

In Skzubel v. Illinois Workers’ Compensation Com’n 927 N.E.2d 1247 Ill.App. 1 Dist.,2010. Four M, newspaper distributor for the Chicago Sun-Times, claimed to use independent contractors to deliver newspapers, prepare and distribute bills and collect payments from subscribers. Four M would enter into a contract with the delivery drivers that specifically stated that the driver was not an employee. Four M provided the drivers with a specific route, which could be amended at anytime, without notice by the company. The driver used his own vehicle. The rate per paper, per driver was set in the contract, but could be changed at anytime without notice by Four M. Drivers had to give seven days notice to cancel the agreement, but Four M could terminate the agreement with the drivers at anytime. Each morning before deliveries were made, Four M would provide the drivers with special instructions.

Petitioner was hired by verbal agreement as a driver for Four M. Because of Petitioner’s pending immigration status, her husband signed the contract with Four M and the paychecks were issued in his name. Petitioner worked exclusively for Four M for two years and never held herself out as an independent contractor.

The arbitrator found that no employee-employer relationship existed, but never addressed the issue of whether Petitioner was an independent contractor. He reasoned that because Petitioner’s husband, not Petitioner, signed the contract for employment and his name appeared on the checks, there was no contractual relationship between the employer and Petitioner.

A majority of the Commission agreed with the arbitrator, with one commissioner dissenting. The dissenting commissioner noted that the employer waived the right to claim that Petitioner was an independent contractor because of their dishonest actions in avoiding her immigration status. He examined all factors and focused on the degree of control the employer exercised over Petitioner as well as whether the job performed by Petitioner was essential to the business of the employer. The commissioner found that these components were enough to support an employee-employer relationship. The trial court affirmed the decision of the Commission.

The issue before the court was whether Petitioner was an employee or independent contractor. The Appellate Court examined a multitude of factors to determine whether an employee-employer relationship existed.

The Appellate Court began by examining the employer’s right to controlthe Petitioner. This well settled principle has time and again been considered the most important factor in determining whether an employee is an independent contractor. Four M had the right to terminate Petitioner without notice, change the rate per paper without notice, provided each driver with special instructions every morning, and could amend a route without notice to the driver.

Another important factor the court examined was the nature of the work in relation to the business of the employer.  The court found that the more essential the job duties are to the success and operations of the business, the more likely it is that an employee-employer relationship exists. In this case, the business of Four M was delivering newspapers. Four M relied on their drivers to carryout the operations of the business. Therefore, Petitioner’s job performance was essential to the success of Four M.

The court considered the label of employee versus independent contractor, in an employment agreement, to hold very little weight in the analysis of whether an employee-employer relationship exists.

The court found that the conclusion of the trial court was against the manifest weight, as an examination of the facts clearly led to the conclusion that Petitioner was an employee. The court agreed with the dissenting commissioner and found that the Petitioner was an employee of Four M.

The court placed the most emphasis on the amount of control the employer had over the Petitioner as well as the work Petitioner performed in relation to the type of business the employer engaged in.

Practice Tip

When an employer controls the actions of an employee and the work performed by the employee is crucial to the operation of the employer’s business, an employee-employer relationship exists.

Post Provided by Bryce Downey & Lenkov LLC. Bryce Downey & Lenkov is a firm of experienced business counselors and accomplished trial lawyers who deliver service, success and satisfaction. They exceed clients’ expectations while providing the highest caliber of service in a wide range of practice areas. With offices in Chicago, Oak Brook, Merrillville, IN, Memphis and Atlanta and attorneys licensed in multiple states, Bryce Downey & Lenkovis able to serve its clients’ needs with a regional concentration while maintaining a national practice.

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By Francesca Larsen

In Lenny Szarek, Inc. v. The Workers’ Compensation Commission, 396 Ill.App.3d 597 (2009), Petitioner Daniel Rub was employed by Respondent as a journeyman carpenter.  On the day of the accident, Petitioner was framing the exterior walls on the second floor of a new house.  Since the house was still under construction, there was a nine foot by nine foot opening in the center of the building. The opening was marked with paint but did not have a guard rail around it.  While working, Petitioner fell through the opening in the center of the house and landed in the basement.  Immediately following the incident, Petitioner was transported to the hospital.  His only recollection of the incident was that he thought he was “going to die.”  Petitioner was rendered a paraplegic as a result of the accident.

While in the hospital, Petitioner tested positive for both marijuana and cocaine.  Petitioner admitted a history of substance abuse to the hospital worker, but denied recent abuse.  Petitioner’s co-worker testified that on the morning of the incident he did not observe anything unusual about Petitioner when he arrived for work.  He further stated that Petitioner did not stumble or slur his words and nothing about his appearance indicated that he was intoxicated or impaired.  Petitioner’s supervisor also stated that there were no noticeable signs that claimant had consumed alcohol or drugs.

Respondent retained Dr. Jerold Leikin, a toxicologist, to render opinions as to Petitioner’s alleged intoxication the morning ofthe incident. Dr. Leikin testified that Petitioner’s medical record revealed positive tests for both marijuana and cocaine.  Dr. Leikin opined that Petitioner’s test results were “consistent with impairment due to marijuana” and that such results were indicative of “proximal use.”  Dr. Leikin testified that Petitioner’s use of such controlled substances would result in “some visual acuity deficits,” such as Petitioner’s impaired ability to judge distance.  Dr. Leikin ultimately opined that the reason Petitioner “might or could have” mistakenly stepped into an open stairway was from an impaired visual response or cognitive impaired response.

Respondent denied benefits based on the intoxication defense.  The arbitrator rejected the respondent’s intoxication defense and found that Petitioner had sustained an injury arising out of and occurring in the course of his employment.  The Commission adopted the decision of the Arbitrator and noted that Dr. Leikin only opined that Petitioner’s fall “might or could” have been due to his marijuana use.  The Commission reiterated the fact that Dr. Leikin could not state the Petitioner’s consumption of controlled substances was the only cause of the accident.  The fact remained that there were other factors of Petitioner’s employment that could have also caused his accident; namely the unguarded opening in the floor.

The Illinois Appellate Court affirmed the Commission’s decision based on the fact that Petitioner’s drug usage was a mere contributing factorandnot the sole causeofhis injury.  The Court stated, “A Petitioner is not required to prove that employment was the sole principle cause, but only that the employment was a causative factor.”

Practice Tip

Intoxication isnot a slam dunk defense for a respondent.  In order to prevail, a respondent must show that intoxication was the sole cause of the injury.  In order to satisfy this burden a respondent can show that the intoxication was excessive.  A respondent would benefit from providing testimony from the alleged intoxicated employee’s co-worker or supervisor that the employee’s intoxication impaired his abilities to perform his job duties.  Such facts may persuade an arbitrator to rule that the intoxication was the sole cause of the accident.

Post Provided by Bryce Downey & Lenkov LLC. Bryce Downey & Lenkov is a firm of experienced business counselors and accomplished trial lawyers who deliver service, success and satisfaction. They exceed clients’ expectations while providing the highest caliber of service in a wide range of practice areas. With offices in Chicago, Oak Brook, Merrillville, IN, Memphis and Atlanta and attorneys licensed in multiple states, Bryce Downey & Lenkovis able to serve its clients’ needs with a regional concentration while maintaining a national practice.

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By Joseph Mulvey

In Patricia Dragovan, Widow of Thomas Dragovan (deceased) v. Western Utility Contractors, Inc. 06 IL. W.C. 31304 (2009), the Commission distinguishes a prior Supreme Court ruling outlining the applicable test for causal connection in heart attack cases.

The Supreme Court case, Twice Over Clean, Inc. v. The Industrial Comm’n et al. 241 Ill. 2d 403 (2005) created a very loose standard for proving a causal connection between employment and heart attacks.  Essentially, a heart attack is compensable if the arbitrator can infer that the occupational activity contributed to the disabling condition.

The specific issue dealt with in both of these cases is the causal connection between physical exertion and a heart attack suffered by an employee with pre-existing and unrelated arterial blockage.  In the Twice Over Cleancase, evidence showed that Petitioner’s right coronary artery was 90% blocked at the time of the accident and that Petitioner was “basically a heart attack waiting to happen.”

Despite the pre-existing risk factors, and medical testimony showing that Petitioner could have suffered a heart attack at any time, regardless of his level of exertion, the Supreme Court found the claim to be compensable.  Their reasoning explicitly disavows what had been known as the “normal daily activity” exception, i.e. that an accident arising from a physical condition that has deteriorated to the point that the condition of ill-being could have been produced by normaldaily activity is not compensable.

The Supreme Court found that there was competent medical evidence to show that the exertion preceding the heart attack was sufficient to aggravate the pre-existing condition and that the ensuing attack was therefore work-related.

In Dragovan, the Commission distinguished the Twice Over Cleanruling by focusing on the lower level of exertion leading to the heart attack.  Whereas the petitioner in the Twice Over Cleancase had been carrying 40-50 lb. bags of asbestos in extremely cold conditions, the petitioner in Dragovanhad been shoveling and clearing loose soil for a relatively short amount of time in temperate conditions.

Ultimately, the distinction rests on a slim factual basis and seems to ignore the Supreme Court’s clear directive that medical evidence showing that the activity may have aggravated or exacerbated the underlying condition is sufficient to show a causal connection between the work activity and the heart attack.

Practice Tip

This decision is noteworthy for employers and offers a strong argument that heart attacks occurring during work hours are not per-se related to the employment. It is important in such cases to mine the factual record for details surrounding the accident itself, particularly with respect to the environmental conditions and the level of work preceding the heart attack.

Post Provided by Bryce Downey & Lenkov LLC. Bryce Downey & Lenkov is a firm of experienced business counselors and accomplished trial lawyers who deliver service, success and satisfaction. They exceed clients’ expectations while providing the highest caliber of service in a wide range of practice areas. With offices in Chicago, Oak Brook, Merrillville, IN, Memphis and Atlanta and attorneys licensed in multiple states, Bryce Downey & Lenkovis able to serve its clients’ needs with a regional concentration while maintaining a national practice.

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When: Thursday, October 14, 2010 from 12:00pm to 3:00pm
Where: Maggiano’s | 1847 Freedom Drive, Naperville, IL 60563
Cost: Free (Lunch & Dessert will be served)
RSVP: Lori Hesser – lhesser@encoreunlimited.com or Jacki Greve-Bollendorf – jacki.greve@cypresscare.com
CEUs offered: CCMC & CDMSC
Speakers & Topics:

Douglas L. Johnson, MD, PhD | Dupage Neurosurgery, S.C. – Cervical Spine Injuries

Edward N. Tuder, M.D. – Post Traumatic Stress Disorder

Veronica Fedjur | V2 OrthoCare – The Efficacy of Bone Growth Stimulation

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Editor’s comment: A solid and effective risk manager asked the question and we want to give all our readers simple steps from inception to closure of every workers’ compensation claim. When we audit workers’ compensation claims, we provide clear analysis and an independent measure of all these concepts.

One, stabilize any work accident immediately—then Start and Complete Your Accident Investigation. The dual goal of accident investigation should be documentation and authentication. We had a great lawyer from California tell us a clear axiom about accident investigation in workers’ compensation—you get 99.44% of your solid information in the first 24 hours after the initial report of any accidental occurrence. After that primary period for investigation, you are very lucky to get anything else of value. It can happen but don’t count on it. If you don’t investigate and nail down the report of accidental injury, you have no base from which to work and you may receive surprise after surprise during the course of handling of the workers’ compensation claim. If you need help with accident investigation techniques and concepts, send a reply.

Second, Set up the Link to the Doctors/hospitals/health care givers. As part of your pre-accident work-up, try to insure your workers at any work site are fully aware of where you recommend they receive medical attention on an emergent or non-emergent basis. Post signs and placards making those choices crystal-clear. At your earliest opportunity, get an emergency room set up and also have a defined OccHealth clinic. Please remember in Illinois, you can seek to direct your injured workers to health care, you just can’t truly fight it if they also seek other doctors or health care givers. As a further part of the accident investigation process, get a HIPAA-compliant release signed—if you need one, send a reply. Be sure to let the lead treating doctor know you will promptly see to payment of his/her bills if they will provide medical records with their diagnosis and prognosis for the patient. One goal of HIPAA was to insure a smooth electronic flow of medical records and bills between relevant parties.

Third, when you have the medical link set up, Set your Targets for MMI (maximum medical improvement) and RTW or return to work light and later full duty. These two factors work hand in hand and should be viewed that way. In Illinois, we strongly disagree with the ruling of our Appellate Court in Mechanical Devices where they claim your worker is owed TTD until MMI. With respect to our reviewing justices, we feel that position is poorly thought out and Plaintiff-driven. Injured workers can and should be brought back to work at the earliest conceivable opportunity and most times the worker should be back to light and possibly full work long prior to MMI.

While we feel a solid claims manager should have their own expectations and reasonable targets, please make sure to ask the treating doctors to help you set fair goals for MMI and return to work. Be sure to do so with the injured worker as part of the targeting process—there is no need to hide the inquiry; the injured worker has a strong stake in the process. If the doctor won’t assist you in setting such goals, try to look for better doctors. We assure you the very worst medical providers in this and every state are doctors who staunchly refuse to allow such targets—they are almost always notorious overtreaters and overbillers. In Illinois, we recommend all of our clients routinely and aggressively implement utilization review to assist you and the treating doctors to set accurate and attainable goals for MMI and return to work.

Fourth, Push your Claim Targets. They need to be clearly defined goals but you need to use every tool in your quiver to make the goals happen. Let’s take a simple example—today, we audited a litigated claim for a trucking company. The worker injured his low back in a slip/fall in January 2010. All diagnostics were negative and demonstrated no disc or nerve root pathology. From our perspective, you are safe to target six to eight weeks as the outside for medical care and lost time for a purely soft tissue back strain. Ergo, some time in March 2010, you are going to start to put the hammer down in every direction. Whatever you do, don’t let the claim get out of hand. Try to give the injured worker a clear date for MMI and RTW—don’t use “six weeks”, use March 15. If you need help setting such dates for a broken arm or operated toe, send us a reply. When your goals start to waiver/wobble, consider the traditional claim tools—independent medical examinations, utilization review and surveillance. But never stop pushing the claim targets for MMI and RTW until you have made them a success on each claim.

Fifth, Keep your friends close, Keep your enemies closer. Never, ever lose sight of a workers’ compensation claimant. Have a clear policy about keeping in contact; tell all employees who are injured and under the care of a doctor to call or come in to your facility no less than once a week. It is completely legal and permissible in Illinois to have the TTD check sent to your facility for pick-up by an injured worker who can’t work but can safely get around. If they can go to the doctor, have them come to you to report in and pick up their TTD checks. If a claimant attorney in Illinois says you can’t talk to your injured worker, be sure to let them know you don’t need and didn’t ask for their misguided advice. Your lawyer can’t talk to a represented claimant; in contrast, you are not a lawyer and can and should insist on regular communication with all injured workers.

When the injured worker reports in weekly via phone or visit, ask:

  • How are you doing?
  • Are your medical bills being paid?
  • Are you happy with your doctor(s)?
  • Do you feel you will meet the MMI and return to work goal of [insert date]?

If appropriate, let them know their job is still available and you want them safely back to work at the earliest opportunity but no later than your target date.

Sixth, once the injured worker is at MMI and back to work, Drive Claim Closure. In appropriate claims, make written offers of permanency. We suggest this for “hard-tissue” claims involving surgery or broken bones. You don’t want to pay much money on any soft-tissue strain claim because you will then encourage lots of soft-tissue strains. In states outside Illinois, pay the impairment rating and close the file.

Seventh and finally, in litigated claims, Use Attorneys who Fight to Close your Claims within your authority. We just audited a file where an adjuster was using house counsel on a litigated claim and told the account the matter could not be closed within three years under Illinois workers’ compensation rules. What a hoot!! We would love to read that fictional rule—we like to call it “you-can’t-close-claims-within-three-years-if-you-use-house-counsel.” Our goal at Keefe, Campbell & Associates is to close any and every claim in no less than eighteen months of the accident itself. Every day thereafter, we are confident you can use a lazy, slow firm who won’t push and isn’t motivated to keep you happy. Please do not criticize Illinois arbitrators when your Illinois claims sit around—right now, almost every single one of them will push claims if asked to do so.

And last but not least, never, ever ask claimant’s counsel for a settlement demand—it is the laziest negotiating technique possible!! Do your homework and come up with a fair and reasonable offer. The person who makes the first offer drives the inevitable negotiating bracketing in their favor. If you make the mistake of asking claimant’s counsel to make the first demand, you are always going to have to pay more than if you do the homework, make the first offer and push settlement and closure yourself. When you have offered enough money, get the case in front of a fair arbitrator and push for hearing.

Post Provided by Gene Keefe of Keefe, Campbell & Associates, LLC. The firm was started by 
Eugene F. Keefe, Michael J. Danielewicz, John P. 
Campbell, Joseph R. Needham and Shawn R. Biery with 
the goal of providing high-quality and cost-effective 
civil litigation services for the defense of 
self-insured employers and insurance carriers.

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