Injury medical capacity assessment

An insurance medical strainability study is a specialist medical examination in which an independent insurance physician prepares a report based on his or her specific expertise. The insurance medical strainability examination consists of a detailed interview with the client at a Sazyes location, supplemented by physical examination and file review. In doing so, the report is based on the occupational health assessment and review of relevant data. An occupational health assessment revolves around the objectification of symptoms, limitations and the determination of taxability. In an occupational health assessment, a statement is always made about the capacity of the person concerned and an FML (Functional Capabilities List) is completed.

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.