High Impact Claims

High-impact claims by benefit payment percentage

High-impact claims are allowed lost-time claims that have big impacts on employees and businesses. We focus on return-to-work and recovery outcomes by supporting employees and businesses employers to lower the impacts of these claims. Specialized case management teams, new evidence-based health services, and quicker access to expert medical treatment are some of the things we have added in the past few years to improve outcomes related to high-impact claims.

High-impact claims are three specific types of claims--low back claims, shoulder, and fractures. These claims make up 41 per cent of all benefits paid and 30 per cent of all allowed lost-time claims.

High-impact claims by average days lost

High-impact claims have higher average days lost within three and six months after an injury or illness when comparing the number to all other lost-time claims combined.

We continue to focus on programs aimed at improving recovery and return-to-work outcomes for high-impact claims.

Data for average days lost within three months published Fall 2019 and average days lost within six months will be published in Winter 2019.

High-impact claims as a percentage of all lost-time claims

In general, the percentage of lost-time claims related to lower back, shoulder and fracture injuries has stayed consistent.

In 2018, the three types of high-impact claims made up 30 per cent of all lost-time claims, which is the same as in 2017. Lower back claims had the highest amount at 16 per cent.

The leading characteristics for high-impact claims has stayed the same since 2014. The services, health care, manufacturing, and transportation sectors make up more than 70 per cent of all high-impact claims. 64 per cent of all high-impact injuries are men and those 50 to 54 years of age have the highest percentage of these injuries.

Leading high-impact claims characteristics by injury year

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