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OWCP Initial Claim Development & Claim Assistance

By In Uncategorized On March 14, 2022



Federal Workers Comp Coffee Break

Initial Claim Development
Upon initial receipt of an Office of Workers’ Compensation Programs (OWCP) claim form (CA-1, CA-2, CA-2a, CA-5, etc.), the responsible claims examiner (CE) will determine if the initial claim and supplemental documentation is sufficient to meet the following five basic criteria for OWCP claims.

Five Basic Criteria
The Federal Employees’ Compensation Act (FECA) five basic criteria:
(1) Be timely filed.
(2) Be made by a Federal Civil Employee.
(3) Establish Fact of Injury, which has both a factual and medical component. Factually, the injury, accident or employment factor alleged must have actually occurred. Medically, a medical condition must be diagnosed in connection with the injury or event.
(4) Establish Performance of Duty. The injury and/or medical condition must have arisen during the course of employment and within the scope of compensable work factors.
(5) Establish Causal Relationship, which means the medical evidence establishes that the diagnosed condition is causally related to the injury or event. These criteria must be satisfied in the order listed above.
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Development and Adjudication
|•CE will allow at least 30 days for response from the claimant.
•Failure to allow at least 30 days before making an adverse decision is reversible error.
•CE must explain deficiencies in initial evidence – which of the five basics are not established.
Dr. Taylor‘s educational podcast utilizes his experience and history as a DOL – OWCP provider and his years of consulting and teaching all things federal workers compensation related. This is an educational short form format for learning how to successfully file federal workers compensation claims. So grab a cup of coffee and lets begin.

Dr. Taylor’s contact information for more information or assistance is:
https://fedcompconsultants@protonmail.com

If you need a provider or assistance with a DOL claim in Tampa, Jacksonville or other areas of Florida you can make an appointment to see him and the other providers at his clinic at
813-877-6900
His clinic website is https://mrtherapycenter.com/federal-work-injury-blog/

Twitter –  Federal Workers Compensation Coffee Break Podcast: https://twitter.com/FedCompPodcast


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jorge.rodriguez

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