Services
WCB/WSIB FINANCIAL MANAGEMENT
CAI Paralegal Services provides a complete financial improvement strategy. A current state assessment of WCB/WSIB position for the client will provide a reliable basis and direction for the development of a prioritized WCB/WSIB management strategy. Recommendations are derived from analysis of key financial documents including experience rating statements, accident cost statements and statements of account. Issues involving payroll reporting to the WCB/WSIB, proper Rate Group Classification, and opportunities for cost savings will also be reviewed through this process.
Service Elements:
- WCB/WSIB Current State Assessment
- Experience Rating/Merit Adjustment Projections
- WCB/WSIB Rate Group Classification Issues / Appeals
- WCB/WSIB Payroll Reporting
- WCB/WSIB Certificates of Clearance
- Accident Cost Statement Analysis - Monthly
- Successor Employer Strategy
- Experience Rating Adjustments / Penalty Appeals
- Workwell
- WCB/WSIB Schedule 1 vs Schedule 2 Designation
Service Model:
Services are delivered as a complete package or on an issue specific basis. Flexible fee structures may include, but are not limited to, Annual Contract, Hourly Rated, Project Based, and Contingency Cost Recovery. Service models are designed to suit individual client need and preference.
WORKWELL
The Workplace Safety and Insurance Board (WSIB) performs on-site health and safety evaluations of workplaces that have consistently poor safety records. Based on these evaluations, employers may be subject to increased premium charges and other surcharges. The WSIB Workwell evaluator audits workplace conditions by touring the workplaces, examining health and safety programs, observing health and safety practices, and interviewing workers. Evaluated employers receive a report on health and safety problems found in their workplace and recommendations for improvement. If you are being evaluated under Workwell, you can find more information here.
The Evaluation Process
Employers are notified in writing of the impending health and safety evaluation under Section 82 of the Workplace Safety and Insurance Act (WSIA). A Workwell evaluator will contact the employer to set up an appointment for a visit.
During the visit, the Workwell evaluator will meet with the employer and a worker representative and will spend a half-day up to a full day to:
Observe the firm's practices and procedures and health and safety program in action;
Conduct random interviews with workers on-site;
Review relevant documentation.
After the visit, the Workwell evaluator will send each participant involved in the evaluation process a completed report. The scoring is "all or nothing", meaning no credit is given for meeting part of the requirements of a particular element. The completed report may also be sent to the MOL and your industry's safe workplace association. If your organization does not achieve the 75% passing score, you will have six months to demonstrate improvement. At that time a second evaluation will be completed.
If your organization fails the second evaluation, an additional charge is applied to your premium. This can range from 10% to 75% of your base annual premium depending on the extent and seriousness of the health and safety program shortfalls.
How can CAI Paralegal Services help?
CAI Paralegal Services will perform a shadow Workwell evaluation to estimate your organization's score. We can then assist with health and safety policy development and implementation and provide in-house training.
Why wait for a WSIB evaluation when it is easier to implement safe work practices and programs on your own terms and timelines?
If you have concerns about your organization's risk exposure related to Workwell, please call Tom Plant 1-888-852-2667 or Dennis Carter 1-800-361-2667.
CLAIMS MANAGEMENT
CAI Paralegal Services provides a comprehensive claims management system designed to reduce employer costs associated with Occupational and Non-Occupational injuries or illness. This hands-on program will assist the employer to control frequency and duration of claims. Our program begins at point of occurrence and continues systematically to the final resolution of the claim.
- Service Elements:
- Reporting / Forms Completion
- Liaise With Health Care Practitioner
- Early Safe Return To Work (ESRTW)
- functional abilities information
- employer/worker co-operation
- role of treating physician
- listing with WSIB decision-makers
- Return to Work Plan
- development
- implementation
- closure
- Communication with WCB/WSIB Decision Makers or Insurance Carrier
- Medical Rehabilitation Plan
- Labour Market Re-entry
- WCB/WSIB Dispute Resolution and WSIAT
- Mediation & Re-employment Hearings Branch
- Toll-free Telephone Service / E-mail Access / On-site assistance
Service Models:
Service is delivered as a complete package or on an issue specific basis. Consultants are accountable for full service support including on-site requirements and reporting. Flexible fee structures may include, but are not limited to, Annual Contract, Hourly Rated, Project Based, Contingency Cost Recovery.
