The Squeaky Wheel

An injured worker may be entitled to medical care, but it’s not a bad idea to keep the following guidelines in mind.  Sometimes it’s a fine balance between self-advocacy and creating animosity with the carrier. 

• Be clear about goals, needs, and expectations when talking to adjusters and RN case managers.
• Try to obtain approval & denials for care in writing.
• Contact adjusters and RN case managers regularly with progress updates.
• When additional care is needed, contact the adjuster and/or RN case manager as soon as possible.
• If something is unclear, require clarification at the time.
• Remember that the use of threatening language and/or tone can have long term effects.
• Keep in mind that once an attorney is brought into the picture, the relationship with the carrier can change and direct contact between the injured worker and carrier may not be allowed.
• Explore all options in problem solving and conflict resolution.  If conflicts cannot be resolved, explore the option of changing adjusters or case managers.
• Be responsible about attending medical appointments.
• Do not underplay or exaggerate symptoms.
• If considering settlement, request for a formal life cost projection to be performed.  This can help ensure that the injured worker will be reimbursed adequately for possible future medical care.
• Be persistent in achieving positive goals, yet flexible in how these goals can be achieved.