MEET YOUR WORKERS’ COMPENSATION CLAIMS TEAM The NHADA Workers’ Compensation Claims Team is made up of five staff members who bring their own unique experiences and personalities to the table; we are talking about a remarkable amount of time and experience in the medical field, underwriting, and claims management. You can rest easy knowing that we have the answers to your claims-related questions and then some. Your first phone call to report an injury gets the team engaged in the process of getting the injured employee to the best, most appropriate medical provider; educating the injured employee on the workers’ comp process, sometimes involving a visit from our road adjuster; obtaining the medical records and getting bills processed and, often times, assisting the injured employee with a return to work plan; etc. If that sounds like a lot of moving parts, it is; but we are up to the challenge. We understand at times the workers’ comp process can seem overwhelming and that our members are in the auto business, not the injury reporting business. We are here to walk you through the steps to help your injured employees recover as soon as possible and to keep you in compliance with state regulations. MEET OUR TEAM PETER (PETE) SHEFFER — WCT DIRECTOR Pete is responsible for the day-to-day operation of the claims department and oversees the staff. As well as his management duties, he is responsible for opening and closing claims, appropriately reserving all claims, and reviewing all open claims every 30 and 60 days. Pete also maintains an active caseload of lost time and medical-only claims. Once a week, Pete runs a meeting with a member of the claims team to review all claims that may involve lost time from work; the focus of the meeting is to strategize their return to work, update medical statuses, and bring all of the team up to date on the claim status. When the road adjuster, Heather Overson, investigates claims and reports back to Pete, he may also have his own set of questions for the employer and the employee. It may seem like some team members ask the same questions, but it is all part of the investigation and claims management process. Pete is also an expert on the NHADA WCT drug testing policy. Pete is happy to take calls from members with questions regarding the NH Workers Comp Statute, claims management concerns, reserving, or cost containment opportunities. Pete’s email is psheffer@nhada.com. MARTA SILAKKA RN, BSN, CCM, COHN-S — NURSE CASE MANAGER Marta is a Certified Case Manager as well as a Registered Nurse and a Certified Occupational Health Specialist. She is responsible for managing the medical portion of the injured worker’s claim. Most claims start with a call to Marta; actually, we hope that is how they always start. When an employee is injured on the job, either the employer or the injured worker should phone Marta for assistance. She will assess the extent of the injury by asking a variety of medical questions. Then, she will assist the injured We are here to walk you through the steps to help your injured employees recover as soon as possible and to keep you in compliance with state regulations. Scan the QR code for all you need to know about the Second Injury Fund. https://www.nhada.com/our-solutions/ workers-comp/second-injury-fund All members of the claims team can be reached through our main number at 603-224-2369, by fax at 603-224-8126 or by email (listed under each team member). 20
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