Short-Term Disability Adjudication
Canadian employers providing salary continuance or EI Wage Top-up Program for Short-Term Disability (STD) are looking for alternative resources to improve productivity and reduce lost time. Managing an STD program is a balancing act for human resources. Maintaining medical privacy, coordinating successful return to work, and containing costs is challenging and time consuming.
Genex's Telephonic Early Intervention Program provides a successful alternative to the traditional insurance model. At Genex, we promptly medically validate absences, facilitate required treatment, and expedite an early and safe return to work. Genex’s reliable communication and outcome reporting allows human resources to maintain control of their STD claims.
Employers who use Genex report increased productivity and a significant reduction in lost time costs.
Genex Nurse Case Managers are credentialed rehabilitation professionals who accurately identify whether or not the absence is medically supported or non-supported. We are experts in managing mental health claims, chronic pain, and multiple diagnoses. Genex Nurse Case Managers are particularly skilled in separating medical from non-medical/work-related issues and in assisting employers to resolve these challenging cases. For valid illness/injuries, the Genex Nurse promptly provides:
- Accurate expected duration rates
- Appropriate medical intervention
- Cost-effective treatment recommendations and monitoring
- Coordination of early and safe return to work
The Genex Telephonic Early Intervention Program significantly reduces the impact of medical disability, lost time, productivity, and litigation costs for employers.
Intermittent Absence Review
Chronic absenteeism can be a challenging issue for employers that can lead to lost productivity and increased costs. Employers can refer cases to Genex for review for any identified chronic/intermittent absenteeism.
In cases where an employee demonstrates chronic absenteeism due to a reported medical condition, Genex reviews medical information submitted by the employee to determine whether the absences are substantiated and reasonable. A decision is provided to the employer verifying whether or not past absences are due to a chronic medical condition. Should the employee suffer a legitimate chronic medical condition necessitating ongoing intermittent absences, the nurse case manager provides a forecast regarding ongoing expected absenteeism. This allows the employer to plan ahead for expected absences.
For previous absences deemed medically unsupportable or unnecessary, the Genex Nurse Case Manager advises the employer and provides best practices in how to successfully manage these cases.
Employee Accommodation Support
Genex evaluates requests for workplace accommodation on the basis of objective medical evidence to clarify whether an accommodation request is medically required and the necessary timeline for that accommodation.
Genex ensures that medically required accommodations are consistent with objective medical information and best meets the needs of the employee, the employer, and other stakeholders. Genex facilitates required modalities, develops and implementations the plan, and reviews the accommodation at set intervals. This active monitoring evaluates whether restrictions and limitations continue to be required as well as ensuring optimal productivity for both the employer and the employee.