Early notification to a case manager

Sickcomplete

Pay

Data shows that early intervention is essential.

“Employees absent for 12 weeks only have a 50% chance of a successful return to work, dropping

to 20% after 26 weeks”(Prof Kim Burton, Huddersfield University)

“47% of early intervention referrals result in a return to work before a claim is made, compared to just 6% where early intervention is not used.”

(Canada Life Group Insurance)

We provide a case management service for all schemes, tasked with intervening

early in an employee’s absence.

The sooner we are notified, the better.

For many conditions, especially musculoskeletal and mental illness we want

to act here.

For all other conditions we must act here.

Typically, employers only notify insurers here.

Sometimes insurers are only notified after the

deferred period. This is too late!

Day 1 Day 14 Day 30 Day 90 Day 182

After typical deferred period, claim payment

starts here.

Early notification to case management is essential for effective early intervention.

A case manager sits at the heart of the service.

Employer

Commissions fact find

Supporting services

Employees GP

Commissions interventions from specialists.

Ellipse claims officer

Conducts fact find

The case manager orchestrates and communicates with all parties.

Employee

Automatic notifications made based on condition type and absence duration triggers.

What happens when Ellipse are notified of an absence?

1. The case manager will contact the employer to establish who the absentemployee is and gathers basic information.

2. A full biopsychosocial assessment of the absent employee is conducted.

3. A rehabilitation plan is drawn up.

4. Appropriate experts are called on to help.

5. The case manager will manage the rehabilitation plan and ongoingtreatment.

More information about this process can be found here.

But the process is completely flexible, with the approach tailored to individual circumstances.

Day 1 Day 30

Employee suffers lower back pain when lifting goods in store and is sent home. Calls in sick next day, Case Manager informed.

Employee has seen GP and signed off for 4 weeks. Case Manager calls employee and conducts full triage. Rehabilitation plan devised to include home based exercises and help managing the injury.

Follow up call. Mobility has improved considerably and pain has reduced. Employee doesn’t feel they need 3 more weeks off.

Conference call between all parties. Return to work agreed in principle and graduated return to work plan circulated.

Employee consults GP to discuss return to work plan. All parties agree the plan and employer complete return to work health and safety briefing.

Employee returns to work on ‘counter service’ with no lifting initially. Employee returned on full hours.

Review call with all parties. No issues so plan continues. Member slowly begins returning to more manual duties.

Employee now completing a 50/50 split from normal role and ‘counter service.’

Employee returned to full hours and duties. Employer agrees to increase regularity of health and safety refresher courses and to clarify limits that employees can lift without assistance.

Day 15

Case study.

But we can’t act if we don’t know about the employee. Early notification enables early intervention.

Our research shows that absence management processes amongst SMEs are poor.

So we’ve included an online absence management service 88 aCloudTeamSeer , within Sick Pay Complete to provide reliable early notification.

32% 24%of SME managers acknowledge

that they lack a sufficient system for managing and

recording absence.

of SME managers don’t even know how absences are

recorded in their company.

Ellipse is the trading style of the UK Branch of ERGO Lebensversicherung Aktiengesellschaft, which is registered in England. Registration Number: BR010594. Registered office: 15 Bermondsey Square, London SE1 3UN. ERGO Lebensversicherung Aktiengesellschaft is authorised by BaFin (the German Federal Supervisory Authority), registration number 1184 and is subject to limited regulation by the Financial Conduct Authority. Details of the extent of our regulation by the Financial Conduct Authority is available upon request.