What can SE-GA do for my company?
Quite simply put, SE-GA Workplace Consulting can save your company money!!
SE-GA specializes in Workers' Compensation claims management, obtaining cost relief in all provincial jurisdictions, workplace safety, reclassifications and financial forecasting to list a few.
Together, SE-GA works with employers to realize the maximum rebate/merit potential available to them, thus minimizing their compensation cost.
What is WSIB/WCB Cost Recovery and will it affect my relationship with the Board?
WSIB/WCB Cost recovery is a process that allows SE-GA to review our client’s WSIB/WCB claims and cost history. The objective is to discover and obtain overpayments in over 30 different areas such as calculation errors, penalties, service charges, reclassifications, assessment changes and cost relief savings and have them returned to our client. The process is transparent and professional to ensure that all relevant stake holders are kept informed throughout the engagement. The majority of the information we require to perform our review is retrieved directly from the applicable Workers' Compensation boards with minimal time investment or effort required from our clients.
This process will not affect your relationship with the WSIB/WCB. As we work with many employers across Canada, our objective is to ensure we represent our clients whether at the WSIB/WCB Tribunal, Appeals or WSIAT act with the upmost professionalism for all stakeholders.
Is there anything that can be done about past claims outside the current experience rating window?
SE-GA’s staff have enjoyed significant success in recovering savings for our clients on issues over twenty years old. Furthermore, they have established jurisprudence on a number of issues that have generated significant refunds for our clients.
Regardless, if the claim is still under review by the provincial Workers' Compensation Board, there are a number of avenues that can help reduce claim costs. For example, the claim may be eligible for cost relief, third party transfer, amalgamation, and other cost reduction policies.
What is ESRTW and are there any benefits of having an ESRTW Program?
ESRTW stands for Early and Safe Return To Work, meaning exactly what the name suggests...the early and safe return of an injured employee to modified duties.
There are a number of benefits to implementing an ESRTW Program, the most obvious of which is a reduction in WSIB/WCB claim costs. By quickly returning an employee to modified duties, an employer can greatly reduce the amount of benefits paid to that employee, and thus, the amount of compensation costs charged to their NEER, CAD-7 or provincial experience rating position.
We’ve been through this process with another WCB/WSIB claims consultant, why should we do it again?
Even though many SE-GA clients have been through this process before, our success rate remains high. This is true whether the previous results were marginal or very successful. Our diverse group of WCB/WSIB paralegal and claims consultants is skilled in many different facets of Workers’ Compensation. Quite often we improve upon the results of other claims consultants, discover new issues that were previously overlooked or have decisions reversed based on new information brought forward. Please note we do not wish to waste your time, the WCB/WSIB or ours on issues that have no financial implications.
We’re currently working with another consultant or on our own issues in house?
SE-GA will not interfere with any issue which the employer or their current consultant may be working on. The WCB/WSIB will only respond to whoever provides the most current authorization. All we ask is that we have an opportunity to review the issues once the initial review is complete. We are still able to perform our services within the areas that have been overlooked or are no longer part of your process.
Shouldn’t we have done this ourselves?
Often, the information needed for SE-GA to obtain results can be quite lengthy and requires many different facets of our expertise (medical, legal, accounting and appeals). For an employer to maintain a staff of this magnitude in many cases does not justify the costs. In most cases, our discoveries determine that the in-house person has fulfilled their requirements but the WCB/WSIB has overlooked or not considered additional pertinent information otherwise unavailable to the employer and that’s when it’s time to consider outside WCB/WSIB help!
Will this disturb our staff and take up our time?
While the bulk of the information required by SE-GA is received directly from the WCB/WSIB, the client on occasion will be asked to provide specific information on the nature of the WCB/WSIB claim or readily available documentation such as copies of your accident forms (Form-7’s), offers of modified work or NEER and CAD-7 experience rating statements. In most cases we will come to your offices and limit your involvement to as little as possible. In the meantime, you will always be kept informed of all issues as we move forward in the process.
Are there any upfront costs? How does SEGA generate their fees?
Our WCB/WSIB cost recovery service is provided on a contingency basis. SE-GA is only paid if we generate savings on your behalf. We are remunerated after the client receives a cheque or credit from the WCB /WSIB. All costs to perform our services are absorbed by SE-GA, if we are unable to obtain any savings, there is no charge for our efforts whatsoever.
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