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LONG-TERM DISABILITY MANAGEMENT

Wellpoint offers a wide range of supports through our vocational rehabilitation case management of long term claims. Knowing that sometimes Long-Term Disability (LTD) cases need extra vocational and rehabilitation support, we partner with the carrier to provide extended resources and care.

Those services include:

  • Physical and Cognitive Job Demands Analysis (JDA)

  • Return to Work Co-ordination

  • Facilitated Return to Work Meetings

  • Job Search Training Programs

  • Cognitive Behavioural Therapy

  • Hospital Discharge Planning

  • Life Care Planning, and

  • Catastrophic Case Management

  • Vocational Assessments

  • Psycho-vocational Assessments

  • Vocational Transition and Job Re-entry Services

  • Neuro-psych Vocational Assessments

  • Psycho-educational Assessments

  • Labour Market Studies (LMS)

  • Transferable Skills Analysis (TSA)

  • Ergonomic Evaluations

FIELD CASE MANAGEMENT

Wellpoint provides a program that specializes in providing clinical assessment, case management and vocational expertise to insurance carriers for LTD cases. We establish goal-directed plans based on personal consultations with the employee, medical provider and the employer. Our Labour Market Studies and Transferable Skills Analysis are modern and use multiple data points to determine the wage-earning capacity of the employee. For disabled employees unable to return to their original employer Vocational Case Management Services provide one-on-one meetings with the employee to provide thoroughly documented vocational land job search assistance. We help employees attain sufficient physical capabilities and work skills to compete successfully in their local labour market.

TRANSFERABLE SKILLS ANALYSIS (TSA)

Wellpoint uses vocational professionals who specialize in providing relevant and appropriate Transferable Skills Analysis (TSA) reports. Information pertaining to the educational, employment, physical capacity, social, and/or psychological status of the individual is significant to the process of determining vocational potential. By quantifying these experiences and competencies in the same terms as used in the National Occupational Classification, conclusions can be drawn with respect to the level of match between the abilities of an individual and the demands of various occupations.

LABOUR MARKET SURVEY (LMS)

Determines employment opportunities associated with a particular job goals within defined geographic areas. The survey serves three purposes: first to document the feasibility of the vocational goal(s); second, to document the existence and hiring trends of available jobs; third, to clarify the re-employment potential of the claimant. Typically, 10 to 15 suitable job leads are identified.

LOSS OF EARNING CAPACITY DETERMINATION

At issue is the loss of the value of any work the client would have done, but for the accident will now be unable to do. Loss of earnings, loss of permanent interdependency relationships, loss of homemaking capacity, loss of shared family income and perhaps losses of shared family homemaking are explored. Physical and cognitive limitations are examined as they impact on present and future earnings capacity. Wage and salary ranges are provided. A Labour Market Survey (LMS) is available in conjunction with this service.

FUTURE CARE COST ANALYSIS (LIFE CARE PLAN)

Provides a comprehensive summary of: therapeutic modalities, evaluations, education, attendant care services, medical follow-up, equipment needs, supplies, pharmaceuticals, home modifications, vocational needs and the associated costs for injured individuals over a specified period of time.

RETURN TO WORK COORDINATION

Return to work coordination can include assisting the client with negotiating timely and safe re-entry into the workforce, whether with the same employer or a new employer or occupation. Services include one-on-one job placement assistance to enable individuals to secure and maintain employment. Creative job placement may begin with researching volunteer placements and expand to referring to our pool of accommodating employers.

JOB PLACEMENT

The key activity is finding and securing employment. Cold calling and fieldwork are used extensively to find suitable employers. Job trials and unpaid work experience may be developed to offer work conditioning and skills enhancement. Job interview rehearsal is included as is electronic job search. Regular reports are available.

VOCATIONAL COUNSELLING

Vocational counselling is available from a Vocational Rehabilitation Specialist who have expertise in social work can set out these plans. The objective is to bridge the gap between loss and capacity by establishing realistic return to work objectives, goals and plans.

VOCATIONAL ASSESSMENT

Vocational assessment is a process of gathering data and determining a person’s potential for work activity. This includes a comprehensive evaluation of a claimant’s biographical and social history, education and work history, medical and other pertinent records, psychological/neuropsychological records and vocational test results. Testing is available from trained psychologists and vocational evaluators who can additionally measure achievement, vocational aptitude, and interest and work personality. Persistence, pace and voluntary effort are reviewed. Return to work prospects are set out using National Occupational Classification criteria.

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