The “Domino Effect” of Spinal Fusion: Navigating Adjacent Segment Disease

How Spinal Fusion Can Create New Complications Several weeks ago, I wrote about two of the most dreaded words in workers’ compensation. The words “spinal fusion” can represent a significant problem in addressing workers compensation cases. With the assumption that the need for a lumbar fusion has been adjudicated, and the perceived need is a function of the compensable event, one must realize that in an effort to address these…

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Adjusters Are People, Too

National Workers’ Comp Adjuster Day was August 17. Maybe today is a good day to remember that behind every claim is an adjuster who is a person, too. Part 1: The Person Behind the Claim An entirely fictitious story. The workload, however, may feel painfully familiar. My name is Sarah. I’m a workers’ compensation adjuster. Well, at least that’s what my business card says. I was hired because someone told…

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Getting Work Restrictions Right: A Standard Every Work Comp Professional Must Know

Why Claim Resolution Often Goes Off Track Obtaining a resolution for a compensable injury is the ultimate goal of every workers’ compensation professional. However, the path to closure is rarely a straight line. Between clinical hurdles, occupational rehabilitation issues, and administrative friction, the process is often bogged down by “tangential factors” that distract from the primary objective. A key component of this process is establishing a return-to-work (RTW) plan in a manner…

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Hope Is Not a Catastrophic Claims Strategy

One of the sessions I looked forward to at the California Coalition on Workers' Compensation (CCWC) Annual Conference was presented by Dr. Tyrone Spears (City of Los Angeles) and Stephen Peacock (Safety National): "Are You Ready for a Workers' Comp Catastrophe?" The title immediately grabs your attention, which is one reason why the room was full. Most of us don't like thinking about catastrophic claims. They are, by definition, rare…

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I Am Not a Number: Every Claim Has a Story You Cannot See

Last week, I shared how my own definition of success changed over the course of a career in workers' compensation. Like many claims professionals, I began by measuring success through closed files, favorable outcomes, and cost savings. Over time, I came to realize that behind every claim number is a person with fears, responsibilities, and a life that has been unexpectedly interrupted. I also discussed how the demands of our…

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The Hidden Psychological Toll of a Workplace Injury Claim

Key Insight: Michael's story demonstrates that the emotional impact of a workplace injury can persist long after physical treatment begins, especially when communication and social support are lacking.  How Lack of Communication Impacts Injured Workers During a Workers' Compensation Claim  After his workplace injury, Michael went weeks without a single coworker speaking to him. Not a call to see how he was doing. Not a question about how he was coping. Just silence, from people…

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How to Present a Training Budget Request that Survives the Next Budget Cut

A framework for making education spend defensible, not discretionary Training budgets get cut first. Not because they matter least, but because they are usually presented as if they matter least. When a budget staffer or committee is trimming for the year, discretionary line items go before core operating costs. If professional education shows up in your budget package as a discretionary line, it will be treated as one, regardless of…

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Access to Care Is Becoming the Defining Challenge in Workers’ Compensation

At this year's Southern Association of Workers' Compensation Administrators (SAWCA) Annual Convention, one theme surfaced repeatedly across multiple sessions: access to care. It wasn't discussed simply as a healthcare issue or a reimbursement issue. It was presented as one of the defining challenges facing the future of workers' compensation itself, and its implications were discussed from multiple perspectives throughout the week. The theme was top of mind at the event’s…

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“I Am Not a Number”: Rediscovering the Human Being Behind Every Workers’ Compensation Claim

Over the next two weeks, I'd like to share a reflection that has shaped the way I view workers' compensation. In Part 1, I share my own journey from measuring success by closed claims to understanding that every claim represents a human life. Next week, in Part 2, I'll explore what research tells us about recovery and how a Worker Recovery mindset can improve outcomes for everyone involved. "I am…

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Voice of the Provider – IU Part 4, Work hard – Have fun

Voice of the Provider is a collaboration between Brooks Rehabilitation and WorkCompCollege.com and the name defines its purpose. Many stakeholders in work comp do not understand or appreciate all of the various clinical providers that help an injured employee return to and stay at work. Whether recovery from the injury / illness is easy or hard, there are clinicians along the way that utilize their education, expertise and experience to…

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