This is the third in a four-part series of SFM blogs recapping our November 2024 webinar, De-escalation in the workplace, An SFM webinar for policyholders.

The third segment of SFM’s de-escalation webinar focused handling workplace violence claims.

SFM Claims Specialist Brian Fitzgerald, who has over 25 years of experience in the field, opened his portion of the presentation by discussing how SFM ensures claims are handled effectively:

• Medical-only claim reps – focus on medical claims
• Lost-time claim rep – focuses on medical and lost-time claims
• Bill review – ensures bills are accurate and timely
• Nurse Case Managers – review recommendations for optimal care and return to work
• Doctors – consults to ensure optimal care leads to return to work
• Independent medical exam – used for second opinions
• Medical/legal review – involves several parties to determine the best plan

Fitzgerald then provided a rundown of workers’ compensation law and different types of claims, as well as the direct and indirect costs of a workplace injury.

Due to the types of injures and issues that can that occur from workplace violence (concussions or PTSD, for example), these cases can result in longer timelines before closure.

“The absence of a de-escalation program can exacerbate these claims in both complexity and costs,” Fitzgerald said. “These claims have significant implications for all involved.”

He wrapped up his portion of the webinar with the impacts of litigated claims and the benefits of return-to-work programs.

Check out the complete recording of webinar, and keep an eye out for Part 4 of our blog series highlighting the presentation.

• Part I: An introduction – Workplace violence and de-escalation
• Part II: Incorporating de-escalation into your workplace safety program