Unit 7 Critical Thinking Assignment

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Apr 3, 2024

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WCSI ACCOUNTING DEPT. PAST DUE INVOICES 1 Critical Thinking Essay Week 7 Amanda Ibarra Park University

WCSI ACCOUNTING DEPT. PAST DUE INVOICES 2 Abstract Our organization, WCSI, is a workers compensation representation business. We represent the defendant which happens to be the employer who is administered by a TPA. The eight elements play a major role in supporting the optimum organizational performance of WCSI. Without these elements, WCSI will fail as an organization. Following the eight elements has helped the organization grow, retain clients, and open doors with new clients and continuing.

WCSI ACCOUNTING DEPT. PAST DUE INVOICES 3 The Eight Elements of WCSI When discussing the eight elements that support the optimum performance of the organization, there is a better understanding of how and what is done to succeed. Workers compensation is a whole different language than just an injured worker vs. an employer. Communication, proof (artifacts), the stories/myths/legends, rituals, values and ethics, moral codes, and decision-making fall into success should they all be followed. Workers compensation is often recognized as a claim of the injured worker versus the employer and without the proper knowledge of the workers compensation policies and procedures, it is often overlooked or used unethically to benefit and organization and vice versa. The process from date of injury to final stage(s) of the process are applicable in following the eight elements. Language, Communication, and Artifacts of Worker’s Compensation The language of worker’s compensation falls within the legal umbrella in wording. When presenting a claim to the worker’s comp appeals board (WCAB), it is usually Employee v. Employer/Insurance Carrier (TPA). When injured workers see this, many hesitate to proceed with their claim. They also think it means they can no longer work for the employer. Settlement offers are provided to injured workers by the employer and it leads to misunderstanding of the situation for many who do not know the laws and procedures. Many employees feel they will be reprimanded in proceeding with a worker’s comp case and find the language intimidating. Communication is a key factor when dealing with a worker’s comp claim. The employer’s representative should be knowledgeable in the process in order to explain to an injured worker. It would help in following through with a claim from beginning to end. It is

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WCSI ACCOUNTING DEPT. PAST DUE INVOICES 4 important to communicate to the injured worker that every claim is based on artifacts, or documented proof, in regard to the injury and body part(s) affected. All proof obtained lead to the final process and before addressing with the judge at the WCAB, all proof must be provided to support the legal documents required. Communication of rights to the injured worker are also documented and provided as proof when a judge reviews the claim. Worker’s Compensation Myths, Rituals, Ethics, and Moral Codes There are many myths when it comes to worker’s compensation. Many employees listen to hearsay when it comes to reporting an injury. They are told if they do so, they can no longer work or will get fired for filing a claim. There are many I have personally encountered who feel they can get sued for filing a claim. The ritual of worker’s compensation is simple, with the hardest part being the injury itself. One files a claim, it is the responsibility of the employer and insurance carrier to assure all documentation and medical evaluations are handled properly, finally, when all is finalized by the doctor, there are two options to proceed: 1) Stipulation with Request for Award: this option leaves open the claim, disperses any permanent disability compensation, secures future medical (for life), and processes all proof, documentation, and settlement stipulation of the claim with the WCAB. 2) Compromise and Release: this option closes the claim completed, pays out any benefits due to the injured worker, and buys out future medical value based on the primary treating physician. Ethics falls into place as it is the right of the employee to file a claim and the responsibility of the employer to assure the employee’s claim is followed through accordingly. It is unethical to force an injured worker to make decisions based on what is profitable to the

WCSI ACCOUNTING DEPT. PAST DUE INVOICES 5 organization. There is a moral code to be followed and no worker’s comp claim can be inappropriately handled if it is followed through up to final review with a judge. WCSI Decision Making Style . As employer representatives in worker’s compensation claims, WCSI’s decision making style relies on the documents and proof of the injury claim. We receive the file from the insurance carrier, review all documents, benefits, medical records, and communicate with the employee to assure both parties understand the case and what is entailed. We assure that the employee’s have received the appropriate compensation, medical treatment and care, and understand the process so that we can all get to the final stages of the claim. Conclusion WCSI is well trusted by our clients and has the potential to grow, retain our current clients, and reach out to prospective clients. We offer services that assure all parties are in agreement and that the worker’s comp injury claim is handled adequately. We go above and beyond to both parties even if contracted by the employer and insurance carrier. We present the claim to the WCAB and obtain the judge’s signature. By following the eight elements, we can assure that our organization will manage your claims with the utmost respect and care while showing the same respect and care to the injured worker.