With the Second Injury and Enhancement Fund (SIEF) no longer available to offset the impact of pre-existing conditions, employers must place greater emphasis on controlling claim costs through effective claim management.
This starts with immediate involvement when a claim is initiated.
DMI's proactive approach allows us to engage from the outset and help ensure accident reporting accurately reflects the circumstances of the incident, rather than only one perspective. We work with employers to identify and submit important evidence early, including witness statements, video footage, attendance records, short-term disability information, disciplinary records, and other relevant documentation. Providing this information early helps ensure adjudicative decisions are based on the complete picture.
Managing Claims Beyond Entitlement
Effective claim management does not end once an entitlement decision has been made. DMI actively manages claim progression, recovery, and return-to-work efforts. Through our understanding of Workplace Safety and Insurance Board (WSIB) legislation, policy, and operational practices, we help employers identify opportunities to influence claim outcomes, facilitate timely recovery, and support a safe and sustainable return to work.
Controlling Claim Scope and Long-Term Costs
Without SIEF relief, controlling claim scope becomes increasingly important. This includes ensuring accepted conditions remain connected to the workplace accident and the reported mechanism of injury. It also means monitoring claim development closely and addressing issues before they become cost drivers.
Effective entitlement management, recovery planning, and return-to-work intervention are now among the most important tools available to employers for managing long-term claim costs.