Injury medical capacity assessment
An insurance medical fitness assessment is a specialist medical examination in which an independent insurance doctor draws up a report based on his or her specific expertise. The insurance medical fitness assessment consists of an extensive interview with the client at a Sazyes location, supplemented by a physical examination and file review. The report is based on the insurance medical fitness assessment and the evaluation of relevant data. An insurance medical work capacity assessment focuses on objectifying complaints and limitations and determining work capacity. An insurance medical work capacity assessment always includes a statement on the work capacity of the person concerned and a standard FML (Functional Abilities List) is completed. If necessary, a professional interpreter can be used for this assessment.
Occupational health examination for absenteeism and disability
An insurance medical fitness assessment is often requested in cases of absenteeism or incapacity for work. As a rule, a diagnostic opinion is requested. However, it is the limitations and fitness for work that have the most important consequences. Indications include complex absenteeism issues, stagnant recovery, substantiation of a claim assessment, substantiation of a WIA file, wage penalty prevention, or wage penalty repair.
Our insurance physicians are familiar with the legal assessment frameworks and, in that context, have knowledge of insurance medical instruments such as the FML (Functional Capabilities List).
Insurance Medical
taxability study as a second opinion
An occupational health assessment can be used as a second opinion, to assess ongoing treatment. For example, to check it against the latest treatment guidelines. In addition, an occupational health assessment is increasingly being used in objection and appeal proceedings when the outcome of an earlier assessment is in dispute. Our insurance physicians are familiar with the legal assessment frameworks and in that context have knowledge of, among other things, insurance medical instruments such as the FML. In the event of a conflict between an insured and the insurer, the insured can also initiate a medical report himself. Some policies have the possibility of arbitration. The insurance physician may be appointed as an "arbitrator" in that context.
When and by whom requested?
An occupational health assessment provides clarity on:
- questions about the presence or absence of limitations
- the role of recovery impeding factors
- determining limitations in personal and social functioning
- determining usable possibilities
- stagnating recovery or reintegration
- evaluating of previous treatments and reintegration pathways
- identifying treatment options
- determining taxability
- determining the prognosis
And are requested by, among others:
- Medical advisors
- Company doctors
- Employers
- Courts
- (Labor) lawyers
