What information must an adjuster verify before paying time loss?

Before an adjuster can approve payment for time loss benefits, it is crucial to verify the worker's inability to return to work. This verification is essential because time loss benefits are intended to support workers who are unable to perform their job duties due to a work-related injury or illness. The adjuster must ensure that there is sufficient medical documentation indicating that the worker is temporarily or permanently unable to fulfill work responsibilities as a direct result of the injury.

This step is fundamental to the claims process, as it not only helps in determining eligibility for benefits but also protects the integrity of the compensation system by ensuring that payments are made only to those who truly need assistance due to their occupational injuries. Proper verification may include reviewing medical reports, evaluating the recommendations of health care providers, and confirming that the worker is following prescribed treatments and recovery protocols, which collectively substantiate the claim for time loss payments.