(210) 995-4430
Center for Injured Workers, Inc.
A Non-Profit Corporation
46 Ways CIW Helps Injured Workers

CIW can help you by:

  1. Thoroughly reviewing your workers' compensation case to ensure the injury is compensable, the status of the claim,
    and the options available to you;
  2. Educating you on the basics of workers' compensation so you can make knowledgeable decisions when seeking
    entitlement to workers' compensation because knowledge is power;
  3. Training you on crucial rules that need to be complied with so you won't inadvertently lose your right to workers'
    compensation benefits;
  4. Clarifying problem areas so you can successfully protect your rights under the Texas Workers' Compensation Act;
  5. Show you how to select a treating doctor that knows and understands the type of treatment you need in your specific
    case and is willing to refer you to a consulting and/or referral doctor for appropriate diagnostics to expedite recovery
    so you can safely return to work in the most expedient manner;
  6. Explain to you how to arrange and keep your health care documents and how to ensure that any doctor treating you
    examines and documents the injured areas you are complaining about;
  7. Show you how to get a change of treating doctor if you are not getting any improvement or recovery of your injury
    within a reasonable time;
  8. Show you how to monitor your progress and treatment from your health care provider(s) and insurance carrier health
    care provider(s) so you can protect your right to reasonable and necessary health care;
  9. Show you how to calculate the TIBs, IIBs, and SIBs amounts to verify that you are receiving the correct amounts;
  10. Show you how to double check your comp checks to ensure you are receiving the right amount of indemnity benefits;
  11. Explain your options and what to expect when the insurance carrier directs you to a Required Medical Examination
    (there is no such thing as an Independent Medical Examination under the Workers’ Compensation Act);
  12. Explain your options, what to expect, and what documentation to deliver to the Designated Doctor when the Division
    of Workers’ Compensation (DWC) orders you to be examined by a Division-assigned Designated Doctor;
  13. Explain your rights, what to document, and what you can do when you are examined by an RME or Designated
    Doctor;
  14. Explain to you what the Designated Doctor needs to examine and evaluate to obtain the appropriate impairment
    rating and maximum medical impairment date;
  15. Explain to you what action you need to take to dispute a low impairment rating;
  16. Make you aware of changes in the Workers' Compensation Act that impact the benefits you are entitled to;
  17. Educate you on the difference between representation by an attorney and assistance by an Ombudsman from the
    Office of Injured Employee Counsel (OIEC) and what this can mean in the successful resolution through the Division
    of Workers' Compensation dispute resolution process;
  18. Explain to you what a Benefit Review Conference (BRC) is, what documentation you need to exchange, how to
    comport yourself and present your issues, and what to point out with regards to your compensable injury;
  19. Explain to you what a Contested Case Hearing (CCH) is, the necessity of being represented by an attorney, what
    documents your attorney must exchange and the time period, who to exchange documents with, how the role of
    witnesses, what to expect and how to comport yourself at the CCH, and what the time-table for action from the
    Hearing Officer is;
  20. Explain to you what a Request for Review by DWC’s Appeals Panel entails, what the time line is, why representation
    is crucial, and when you can expect a response from the Appeals Panel;
  21. Explain to you your options if you wish to seek remedy through judicial review (take your case to District Court);
  22. Make you aware of wrongful termination scenarios, importance of an attorney, and your options with EEOC;
  23. Explain to you your options if you are involved in third party accident (involved in a vehicle accident while in the
    course and scope of employment);
  24. Explain to you what may constitute an "Election of Remedies" when you seek medical benefits from your health
    insurance carrier because your workers' comp carrier is denying you workers' compensation benefits;
  25. Explain to you the difference between an employer subscriber, non-subscriber, self-insured, self-funded, and
    employers who offer or require an employee to purchase occupational accident insurance;
  26. Show you how to find out from your attorney or ombudsman what DWC deadlines are applicable;
  27. Review and explain applicable DWC forms you may be required to complete;
  28. Gather information from every applicable entity that can impact your ability to receive workers' compensation so we
    can properly develop, prepare, and implement education and teaching that can make you better informed;
  29. Show you what to do when you encounter denial of prescription medication and/or diagnostic testing;
  30. Explain to you what the consequences are if you elect a "lump sum settlement" by commuting the remainder of your
    impairment income benefits;
  31. Teach you what you need to do if you are entitled to Supplemental Income Benefits (SIBs), to help you properly meet
    the requirements by properly seeking employment, getting current health care diagnosis and/or reports from doctors
    treating you, and filing documents in time;
  32. Explain to you the criteria and documentation of a job offer that constitutes a bona fide job offer;
  33. Educate you, if the need arises, on what you need to do in order to get assistance from the Division of Rehabilitative
    Services, Texas Department of Assistive and Rehabilitative Services (formerly Texas Rehabilitation Commission);
  34. Educate you, if the need arises, on what you need to do to qualify for job accommodations under the Americans with
    Disabilities Act;
  35. Educate you, if the need arises, on what you need to do to qualify for benefits under the Social Security
    Administration Act;
  36. Educate you, if the need arises, on what you need to do to qualify for financial and/or economic assistance from local
    social services organizations;
  37. Support your health care provider with peer review strategies if your provider requests such help;
  38. Support your health care provider with pre-authorization strategies if your provider requests such help;
  39. Review case documents, if requested by your health care provider, to develop medical necessity documents, help
    with causation elements, and any other issue(s) your health care provider encounters with your insurance carrier;
  40. Investigate the accident and extenuating circumstances, if so requested by your employer or health care provider, to
    substantiate the occurrence of your compensable injury through factual evidence;
  41. Educate you on what you need to do to file and process proof of reasonable and necessary health care through your
    treating doctor or through DWC's Medical Review Section;
  42. Educate you on what you have to do to file a complaint of abuse, mistreatment, denial of benefits, etc. with DWC;
  43. Educate you on how to keep abreast of the status of your case, your options, and what action you need to take to
    safeguard your workers’ compensation benefits;
  44. Provide training sessions and seminars on practical workers' compensation strategies to health care providers and
    their staff so they can provide you better service;
  45. Provide health care provider marketing services, as requested, to include the use of letters, flyers, posters, cards,
    newspaper, door hangers, radio program, internet media, and television spots; and
  46. Answer your questions when you call CIW at 210-995-4430 or send a fax to 210-257-8161.
CIW
CONSULTING
SERVICES
The Center for Injured Workers, Inc. (CIW) is a 501(c)(3) non-profit corporation located in San Antonio, Texas.  CIW is the leading advocate health
care providers, legal representation from an attorney or assistance from an OIEC ombudsman.  CIW also provides case review, assessment,
intervention, and marketing services to health care providers so they can provide more efficient and effective treatment to their workers’
compensation patients.
CIW DOES NOT REPRESENT INJURED WORKERS BEFORE THE TEXAS
DEPARTMENT OF INSURANCE, DIVISION OF WORKERS' COMPENSATION