Injury Compensation & Case Management

The Injury Compensation Program & Case Management Module (ICM) provides counsel to management officials, union representatives, and injured workers to handle virtually all Federal Employees’ Compensation Act (FECA) claims that arise in the course of Federal employment.

ICM module content consists of:
• FECA coverage for traumatic and non-traumatic injuries.
• Basic eligibility provisions.
• The procedure to initiate and process a timely claim.
• The acceptable methods to follow in order for an employee to return to work.
• The reports and forms required to document a case for an injured worker receiving either partial or total disability compensation.

The ICM module digitizes Office of Workers’ Compensation Programs processing and case management with online forms and links to related case law.

ICM Highlights

• On-the-job injury and occupational illness compensation case processing, reporting, tracking, analysis and complete archiving that is fast, fully documented and consistent.
• Statistical analysis applied to internal agency metrics, OWCP cases, etc.
• The ability to design temporary “limited duty” positions that allow recovering employees to return to work as quickly as possible to a job within medically authorized limits.
• Electronic exchange of claim information with DOL as well as hard copy generation of OWCP forms.
• Online coaching, tools, content lookup, situation analysis and decision support for all users; with individual access controlled as to the information displayed and functionality available to each.
• Integrated workflow and approval tracking with real-time metrics analysis, reporting, work assignment, workload balancing and other complaint management activities for program managers.
• Coordinates with Safety Team. Alerts the safety team of a workers compensation issue. Provides a unique safety investigation process.
• Coordinates with Third Party Vendors. Allows vendors limited access to enter and view needed information to complete a claims process.

ICM Module Content Coverage

• The Federal Employees Compensation Act (FECA) for traumatic and nontraumatic injuries.
• Basic eligibility provisions for federal employees.
• Initiation and processing of a timely claim.
• Acceptable methods to bring an employee back to work.
• Reports and forms required throughout the process.
• Next step actions to assist a supervisor to deal fairly with an employee who has been injured on-the-job and actions to create an environment where the employee can return to work as quickly as possible.
• Assessments of an employee’s situation with recommended actions that fit the employee’s unique circumstance and that offer the highest probability of a return to work.

ICM Feature Functionality

• Access and retrieval of content from Avue’s content database on specific subjects in the areas of case processing, return to work, labor relations, position modification, and more.
• Diagnostic tools to assess problems.
• Online guidance including organizational policy, union agreements, applicable risk management strategies, problem solving options and approaches, and statutory and regulatory references.
• Case tracking, management, and archival.
• Case process maps with indicators for each phase or step in the process.
• Automatic updates for all participants regarding the status of cases.
• Permission based access with user roles that provides claims access to a status log about their case, information about the process involved, content related to the subject appropriate for employees, and an online inquiry process.
• Online guidance promoting a safe workplace.
• Manager self-assessment tools.
• Online support and tools for staff professionals.
• Workload and staff resource reports providing feedback to HR and OWCP managers and directors about their staff workload, metrics, performance factors, resource allocations, trend data, case results, longitudinal outcomes, causes, common factors, and other important information of case processing and management effectiveness.
• Automatic notifications, via email and website lookup, regarding deadlines, milestones, progress, required submissions and notifications, over-standard cases, priorities, and other similar elements.
• Documents appropriate to the subject matter including forms, letters, and notifications.
• Complete case archiving including status logs of case activities by date and user.
• Electronic user authentication for forms, letters and notifications.
• Unlimited capability to attach virtually any electronic “document” to a case file (including Word™, WordPerfect™, .PDF, .wav files and other electronic media) which is attached and retrieved in its original format as part of the case file and archive.
• Creates an electronic case file for electronic case review and entry of notes.
• Coordinates with the Safety Team to send real time notification of a safety incident. Implementation of a unique safety investigation process utilized for investigating workers’ compensation issues and reporting safety incidents. Also pre-populates the OSHA 300 Form.
• Provides ability to provide witness information at all steps in the process.
• Electronic interface with DOL for online filing of claims and recurrence of injury.
• Dynamic workflow process that identifies all involved parties in order to address claims quickly aiding in the reduction of chargeback costs.