VA: OWCP Injury Acceptance Rate at a 20-Year Low

In 1998, the OWCP injury claim acceptance rate in the Department of Veteran’s Affairs was 4.42%. That was the first year that OSHA started keeping these stats.

The acceptance rate is the percentage of employees that had an OWCP injury claim that was accepted / approved by the Department of Labor. Denied claims are not counted and claims that were never attempted are not counted. They only count claims that were attempted by injured employees and then approved by DOL. That’s the claims acceptance rate.

20 years ago, that rate was 4.42% (for the employees of the VA). By the end of 2017, it was all the way down to 2.2%. It was cut in half.

5 Factors Leading to Denied OWCP Injury Claims

It’s always been bad. 4.42% is a terrible percentage. 2.2% is also terrible. This terrible OWCP claims acceptance rate is due to 5 factors that I’ve learned about after talking to hundreds of VA employees over the years and from hearing the stories of injured VA employees who reported their situations to their doctors.

  1. VA employees don’t know what to do when they’re hurt at work. Confusion leads to them not even attempting to file their claims.
  2. Some supervisors threaten injured employees with the possibility of being fired for filing claims. The threat of job loss is often too powerful to overcome.
  3. Some supervisors refuse to assist injured VA employees with filing their OWCP injury claims. Supervisors are actually charged with helping in this process.
  4. Many VA employees have been told they are required to go to the VA doctors when they’re hurt on the job. This is false. Everyone has the right of choice and VA doctors, although they are typically world-class doctors, generally don’t write reports that get OWCP claims approved.
  5. Most VA employees report having a very hard time finding a qualified doctors who specializes in DOL federal workers comp according to federal guidelines who is willing to help them. A lack of doctors is a leading cause of denied OWCP claims, and when they do find a doctor who will take on their case, those doctors are very often untrained and unable to write great reports. The result is denied OWCP claims.

But the problem is getting worse. The current 2.2% OWCP claims acceptance rate is the worst in 20 years and our VA employees are suffering. They’re working with injuries. They’re fearing for their jobs. Anxiety, depression, financial loss – all very real problems that far too many VA employees suffer. WE HAVE TO STOP THIS. How can we know this problem exists and continue to ignore it? A huge percentage of VA employees (and employees in many other agencies) are working hurt. Denied claims have become such a common theme that many people think OWCP benefits are not a real thing.

No Legitimate OWCP Claim Should Ever Be Denied

Denied claims are unacceptable. No legitimate claim should ever be denied. Employees need to educate themselves on what to do when they’re hurt on the job. Supervisors need to follow the LAW and provide the assistance required to file OWCP claims. Unions need to be involved. Assistance with OWCP claims should be a tremendous benefit to AFGE members.

Stop forcing VA employees to go to VA doctors who don’t have the time to write great causation reports. And the law specifically states that no federal employee can be forced to go to a doctor under employment or under contract with a federal agency. That means VA doctors. And finally, federal employees need competent doctors who know how to get OWCP injury claims approved.

No more denied OWCP claims. We can stop this, but we all have to be in this thing together.

5 Factors Leading to a Denied Claim

It can be incredibly stressful when you have suffered a work-related injury. Your main priority should be getting better so you can return to work as quickly as possible. You shouldn’t have to worry about added pressures of how you are going to be able to pay all the medical expenses as well as your everyday bills and supporting your family.

Filing for worker’s comp claims can be overwhelming, so it is important to find the right doctors who will not only get you on the road to recovery but are experienced with handling the tricky details of worker’s compensation. While there are many systems in place to help you get the benefits you deserve following an injury on the job, the rate of approval for OWCP claims is alarmingly low.

There are 5 factors that most often result in denied claims:

  1. Employees do not understand the right course of action to follow once they are at work. This lack of knowledge can result in failure to even file a claim at all.
  2. Employers may warn an employee against filing a claim to avoid employment termination. For some, this may be too great of a risk.
  3. Some employers are hesitant and may even refuse to help the injured employee file for OWCP benefits which is their responsibility.
  4. Employees may be told that it is a requirement to see only certain doctors, which isn’t the case. All employees are entitled to seek medical care from any doctor of their choosing, regardless of their area. Some doctors, while excellent in their field, fail to be experienced in how to properly write OWCP claim reports resulting in cases being denied.
  5. More often than not, employees find it difficult to find qualified FIC Trained Federal Work Injury Doctors willing to assist them. A lack of knowledgeable doctors is, in fact, one of the top reasons OWCP claims are denied. Even if a doctor is willing to take on a case, often they aren’t trained to properly write the reports, leading to denied claims.

Employees facing OWCP claims must take the time to educate themselves on the proper steps to take if an injury occurs on the job to ensure their employers are abiding by the responsibilities and regulations set in place for the injured party’s best interest.

If a claim is denied, an appeal process can take place, but that could drag out over months, leaving you with mounting debt and unnecessary strain.

Be sure you know your rights if you have been injured on the job and find a doctor who has the experience to help write OWCP claim reports properly to help ensure your claim is accepted.

Workplace Safety for Federal Employees: Preventing Injuries on the Job

Workplace safety is of utmost importance for federal employees to ensure a healthy and productive workforce. Federal agencies are responsible for maintaining a safe and hazard-free work environment for their employees.

By implementing comprehensive safety protocols and fostering a culture of safety, federal employees can prevent workplace injuries and protect the well-being of their workforce.

Here are the essential steps that federal agencies can take to promote workplace safety and prevent injuries on the job.

Risk Assessment and Hazard Identification
The first step in ensuring workplace safety for federal employees is conducting a thorough risk assessment and identifying potential hazards. Federal agencies should regularly review their workplaces to identify safety risks, such as slippery floors, faulty equipment, inadequate lighting, or exposure to harmful substances. By understanding potential hazards, agencies can develop targeted safety plans and measures to address them effectively.

Training and Education
Comprehensive safety training is essential for all federal employees, regardless of their role or responsibilities. Employers should provide regular safety training sessions that cover emergency procedures, proper use of equipment, and guidelines for handling hazardous materials. Education should also include promoting proper ergonomics, as well as guidelines for preventing repetitive strain injuries and musculoskeletal disorders.

Emergency Response Plans
Federal agencies should have well-defined emergency response plans in place to handle accidents, injuries, and potential hazards. These plans should outline evacuation procedures, emergency contact information, and specific actions to be taken in the event of an accident or emergency situation. Regular drills and simulations can help ensure that employees are familiar with emergency protocols and can respond effectively during critical situations.

Personal Protective Equipment (PPE)
Providing appropriate Personal Protective Equipment (PPE) is crucial in preventing injuries in high-risk work environments. Federal agencies should ensure that employees have access to and receive training on the proper use of PPE, such as gloves, helmets, safety goggles, and respirators, based on the nature of their job duties.

Ergonomics and Workstation Setup
Ergonomics play a vital role in preventing musculoskeletal injuries, especially for federal employees who spend extended hours working at desks or computer workstations. Employers should invest in ergonomic furniture and equipment to create comfortable and safe work environments. Regular assessments of workstations can help identify areas for improvement and make necessary adjustments to minimize the risk of injuries.

Reporting and Investigating Incidents
Encouraging open communication about safety concerns is essential. Federal employees should be encouraged to report any potential hazards, near misses, or accidents immediately. Employers should investigate all reported incidents thoroughly to identify root causes and implement corrective measures to prevent future occurrences.

Regular Safety Inspections
Regular safety inspections are vital in maintaining workplace safety. Federal agencies should conduct periodic inspections to ensure compliance with safety regulations, identify potential hazards, and verify that safety protocols are being followed diligently. These inspections provide an opportunity to make necessary improvements and adjustments to enhance workplace safety continuously.

Ongoing Safety Communication
Continuous safety communication is key to keeping employees informed and engaged in maintaining a safe work environment. Employers should use various channels, such as meetings, newsletters, emails, and posters, to regularly communicate safety updates, reminders, and best practices to the entire workforce.

Wellness Programs
Promoting employee wellness is an integral part of workplace safety. Federal agencies should consider implementing wellness programs that focus on physical and mental health. These programs can include health screenings, fitness activities, stress management workshops, and counseling services, all of which contribute to a healthier and more resilient workforce.

A commitment to workplace safety demonstrates the value placed on the health and safety of the workforce, promoting a positive work environment and improving overall job satisfaction.

With regular safety assessments, ongoing communication, and a focus on employee wellness, federal agencies can build a strong foundation for a safe and secure workplace.

Rebuilding Careers: Strategies for Injured Federal Employees to Return to Work Safely and Successfully

Injuries sustained in the workplace can be debilitating, impacting not only an individual’s physical health but also their ability to perform their job effectively.

For federal employees, returning to work after an injury can be a daunting prospect, fraught with challenges and uncertainties.

With the right strategies and support in place, injured federal employees can navigate the process of returning to work safely and successfully.

Understanding the Challenges

Returning to work after an injury poses unique challenges for federal employees, who may work in a variety of environments and roles, from desk-based administrative positions to physically demanding fieldwork.

Some of the key challenges faced by injured federal employees include:

  • Physical Limitations: Depending on the nature and severity of their injury, federal employees may experience physical limitations that impact their ability to perform certain job tasks.
  • Psychological Impact: Injuries can have a significant psychological impact on individuals, leading to feelings of anxiety, depression, or fear of re-injury.
  • Navigating the Workers’ Compensation System: Injured federal employees must navigate the complex workers’ compensation system to access benefits and support during their recovery.
  • Maintaining Productivity: Returning to work after an injury while managing pain and physical limitations can make it challenging for federal employees to maintain productivity and meet job requirements.

Strategies for a Successful Return to Work

  • Open Communication: Effective communication between injured federal employees, supervisors, and human resources (HR) personnel is essential for a successful return to work. Employees should openly discuss their injury, recovery progress, and any accommodations or modifications needed to perform their job duties effectively.
  • Collaborative Planning: Employers should work collaboratively with injured federal employees to develop a return-to-work plan tailored to their specific needs and abilities. This plan may include modified work duties, flexible scheduling, or ergonomic adjustments to accommodate physical limitations.
  • Access to Rehabilitation Services: Injured federal employees should have access to rehabilitation services such as physical therapy, occupational therapy, or vocational rehabilitation to support their recovery and facilitate a safe return to work.
  • Reasonable Accommodations: Employers are required by law to provide reasonable accommodations to employees with disabilities, including those resulting from workplace injuries. This may involve modifying job tasks, providing assistive devices, or adjusting work schedules to accommodate physical limitations.
  • Gradual Return: A gradual return-to-work approach allows injured federal employees to ease back into their job duties gradually, reducing the risk of re-injury and providing time to adjust to the workplace environment.
  • Employee Assistance Programs (EAPs): Employee Assistance Programs offer confidential counseling and support services to employees facing personal or work-related challenges, including those related to injuries or disabilities.
  • Training and Education: Employers should provide training and education to supervisors and coworkers on disability awareness, accommodation procedures, and best practices for supporting injured employees in the workplace.
  • Legal Protections: Injured federal employees are protected by various laws, including the Rehabilitation Act of 1973 and the Americans with Disabilities Act (ADA), which prohibit discrimination based on disability and require employers to provide reasonable accommodations.

 

Returning to work after an injury can be a daunting process for federal employees, but with the right strategies and support in place, it is possible to rebuild careers and return to work safely and successfully.

Resources and Support for Injured Federal Employees: Where to Turn for Help with OWCP Claims

For federal employees who suffer from work-related injuries or illnesses, navigating the complexities of the Office of Workers’ Compensation Programs (OWCP) can be daunting.

Filing for benefits under the Federal Employees’ Compensation Act (FECA) involves a rigorous process that requires meticulous documentation and understanding of legal procedures.

We are dedicated to helping federal employees find the resources and support they need during this challenging time.

Understanding OWCP Claims

The OWCP administers four major disability compensation programs, providing wage replacement benefits, medical treatment, vocational rehabilitation, and other benefits to federal employees or their dependents who experience work-related injury or disease.

Navigating this system can be complex due to the legal and procedural requirements involved in filing a claim.

Understanding the basics of how these claims are processed is crucial in obtaining the benefits you are entitled to.

Resources for Filing OWCP Claims

OWCP District Offices:

Each district office has trained personnel available to assist with claim filing. They can provide guidance on the forms required, how to properly document your injury, and the types of benefits available. The Department of Labor’s website offers a locator tool to find your nearest office.

Union Representatives:

If you are a union member, your union representative can be an invaluable resource. Many unions provide training on FECA and can assist with the initial claims process and any necessary appeals.

Legal Counsel:

In cases where claims are denied or complicated by legal issues, seeking an attorney who specializes in federal workers’ compensation can be beneficial. They can help navigate appeals and ensure that your legal rights are upheld throughout the process.

Online Resources and Forums:

Websites like the Department of Labor’s OWCP web page provide essential information and updates on procedures. Online forums and social media groups can offer support and advice from other federal employees who have gone through the process.

Steps to Take After a Work-Related Injury

  • Report the Injury: Immediately inform your supervisor about the injury. This is crucial as timeliness can impact your claim.
  • Seek Medical Attention: Obtain treatment from a licensed healthcare provider. Under FECA, you have the right to choose your doctor.
  • Document Everything: Keep detailed records of all medical visits, treatments received, and how the injury affects your daily life and work ability.
  • File Your Claim: Submit the completed claim form to your agency as soon as possible. Ensure all documentation is accurate to avoid delays.
Support During the Claims Process

The claims process can be lengthy and stressful. Here are some tips on how to manage during this period:

  • Stay Organized: Keep a dedicated file for all your claim-related documents. This includes medical records, correspondence with OWCP, and any completed forms.
  • Maintain Communication: Regularly check in with your claims examiner and respond promptly to any requests for additional information.
  • Seek Support: Don’t hesitate to reach out for emotional support. Professional counselors or support groups for injured workers can help manage the stress of recovery and dealing with the OWCP.

Navigating the OWCP claims process as an injured federal employee can be overwhelming, but you don’t have to go through it alone.

Resources are available to guide and support you every step of the way.

We are committed to providing federal employees with the help needed to successfully manage their claims and secure the benefits they deserve.

Our team is here to ensure you have the support, medical care, and resources needed to recover and return to work as smoothly and quickly as possible.

If you are struggling or need guidance with an OWCP claim call today to begin the process.