New Injury
Received By BWC
-Claim Reported
-Acknowledged
-Assigned
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Investigation
Issue Recognition
-Jurisdiction
-Coverage
-Compensability
-Extent of Injury
-Extent of Disability
-Subrogation
-Fraud/SIU
Gather Information
-Identify Barriers
-Gather Outstanding Information
-Verify and Compare
Evaluate and Decide
-Weigh Evidence
-Evaluate Evidence
-Make Initial Determination
-Decision is based on spirit and intent of the law
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Resolution
Investigation
-Issue Recognition
-Gather Information
-Evaluate
-Decide
Extent of Injury
-Medically Supported
-Causally Related
-Concurrent Factors
-Other Factors
Extent of Disability
-Medically Supported
-Causally Related
-Concurrent Factors
-Other Factors
Dispute Resolution
-Gather Information
-Evaluate and Decide
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Finalize
Whole Claim
-Expiration of the Statute of Limitations
-Denial of Claim
-Full/Final Settlement
Issues in a Claim
-Successful Return to Work
-Subrogation Resolved
-Partial Settlement
-Supportive Medical Care
-Resolution of Appeals
-Maximum Medical Improvement
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