The Return To Work Blog

Gary Lavoie

Gary Lavoie joined Windham Group in February of 2012 in the position of Operations Manager. He came to Windham Group with more than 10 years of workers' compensation experience as both a claim manager and senior claims specialist. Gary is designated as a Society of Claims Law Associate, has a Bachelor of Science degree in Economics, and is currently pursuing his Masters in Business Administrations with a concentration in entrepreneurship. A combination of claims and risk management experience sets Gary apart in his ability to identify solutions to complex claim scenarios. As a return to work organization, this knowledge is invaluable to Windham Group's purpose.
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Recent Posts

Where Did My Purpose Go?

Posted by Gary Lavoie on Mar 24, 2016 1:20:02 PM

...said every Claims Adjuster.

The past few months we’ve been talking about Return To Work, and specifically a changing industry working hard to overcome the musculoskeletal shift that is the root cost driver in the workers’ compensation insurance segment.  What we know is that the moment a negative psychosocial component is introduced at the onset of a claim, that “6-figure eye roll,"  naturally causes the injured worker to go into benefit preservation mode. 

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Topics: Life of an Adjuster

Who Is In Charge of Return To Work Spend?

Posted by Gary Lavoie on Jan 27, 2016 9:30:00 AM

More Band-Aids

We participated in some interesting dialogue just recently, about Workers’ Comp costs.  Workers’ Compensation has a cost problem that we’re all trying to patch up or put a band-aid on.  Our efforts include implementing a pharmacy program, engaging with a bill review provider, aligning with a physical therapy network, discounting both DME (Durable Medical Equipment), diagnostics and maybe even psych treatment, all with the intent of creating SAVINGS.   But there is a problem.  Costs are still going up!   We can all recognize that while a healthy managed care program SHOULD be leveraging all of the above, we’re not actually saving anything. 

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Topics: Return To Work, Rising Indemnity and Medical Costs

The Callaway Big Bertha of Rising Indemnity and Medical Costs

Posted by Gary Lavoie on Dec 23, 2015 1:30:48 PM

What LENS ARE You LOOKING THROUGH?

Weeks ago, we discussed the necessity of looking through the lens of the injured worker to truly understand the root cause of psychosocial factors that are impacting workers’ compensation claims.   The industry has changed, claim volumes are now comprised of “job description induced pain” more so than acute accidents.  

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Topics: Rising Indemnity and Medical Costs

There's a Macaw On My Shoulder - How Workers’ Compensation Adjusting Has Changed Course

Posted by Gary Lavoie on Oct 22, 2015 7:00:00 AM

It certainly isn't happening today, but at one point in time a claim rep would spend a considerable amount of time in the field.  I can imagine how that might sound to today’s claims community; “in people’s homes?!”  Yup, in injured employees’ actual homes, taking statements, working through the details and dealing with all the elements that come along with it.  Today, the life of an adjuster is very different.  Today a claim rep's desk is so jam-packed, so completely full, drowning in stacks of bills to pay that there is no way they are going out in the field to meet an injured worker in person.  What's happening in case loads today that impact our ability to generate positive outcomes?

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Topics: Return To Work, Life of an Adjuster, Work Comp Adjusting Life

The Golden Return To Work Rule

Posted by Gary Lavoie on Oct 14, 2015 7:30:00 AM

Introduction

A few moons ago in an earlier post, we talked about the “six figure eye-roll” and how psycho-social barriers have a drastic impact on claims dollars and outcomes.  It’s time we dig a bit further into that and develop strategies for overcoming those barriers.   From this writer’s perspective, that eye roll is the root cause of not just rising indemnity cost, but also the staggering medical inflation that this industry is experiencing.

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Topics: Return To Work

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