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Services
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New
York Lumbermen's Insurance Trust Fund
Workers' Compensation and Disability Benefits
Claims Department
The Workers' Compensation and Disability Benefits Claims
Department services include:
Medical and vocational case management
Telephonic case management is utilized on any potential lost
time claim and on all actual lost time cases where disability is
expected to exceed the waiting period. Full service medical and
vocational case management is also utilized which includes
person to person meetings with the injured worker, physician,
and employer. RN's perform all case management services.
In-house bill utilization and payment
All of the claim examiners are educated on the New York State
Fee Schedule and computer software is used for determining
correct fees, as well as hospitalization costs.
Review and adjust first aid bills for members
Unlike insurance carriers, we will review and adjust the bills
on first aid claims to the New York State Fee Schedule resulting
in cost savings to the member. In addition, these are kept on
file for recordkeeping and to provide loss information to the
member. This generates an average saving per year of 25% of the
billed costs.
Loss runs by division and/or location
These are available to the members to assist in locating problem
areas as well as providing information as to the cause, body
part and nature of injuries.
Personal meetings with claim examiners
Every examiner visits at least four members per year to meet the
members and tour their business. This provides a better
understanding of the operations and job functions.
Books, pamphlets, and instructional manuals
Get-well cards, back books, and question and answer pamphlets
are sent to the injured worker within 24 hours of creation of
the case file. A workers' compensation and disability benefits
manual is sent to all members. Legislative updates are sent to
all members, in addition to assisting with letter writing to
representatives of the legislative body. Informal workers'
compensation sessions are provided at the NYLITF Annual Meeting
covering various topics of interest. |
W. J. Cox Associates, Inc.
9600 Main St,
Suite Three
Clarence, NY 14031-2093
Phone: (716) 759-9606
Fax (716) 759-9607
info@wjcox.com
Certificates of Insurance
certs@wjcox.com
Office Hours
Monday - Friday
7:30 AM - 4
PM EST |
