Performance bonuses for forcing injured workers back to work

For those of you who wonder if workcover insurance  employees  (e.g case managers) receive performance awards when they send injured workers back to work, you can now be assured that they do in fact receive blood and pain money for sending  injured workers back to work, yes even when they are not able to return to work!


In many cases a primary care doctor (e.g GP) will fill out a certificate of capacity  indicating their patient is not capable of any work and the workcover insurance Case Manager will obtain a second opinion from a workcover insurance “Medical Advisor”, or worse that of a so called independent medical examinator who provides a dissenting opinion.

The Case Manager will thus be eligible for a performance bonus by ignoring the primary care doctor’s opinion and informing the injured or disabled worker that they must return to work, thus fulfilling her commitment in forcing a disabled or injured worker back to work when they are not capable of performing any work.

And although the evidence gathered is from Canada, undoubtedly the same “rules” apply in Australia.

Great system, eh!

Performance bonuses for forcing injured workers back to work


Like A Thrown Cat, Tristar Insurance Group Lands On Its Feet With Bonuses For Christmas

After a year and a half like a cat on a hot tin roof, Tristar Insurance Group, aka Tristar Risk Management, passed out Christmas bonuses to their entire staff on Friday, December 17th.

“I can report that we handed out Christmas bonuses to all of our staff on Friday”,  Tom Veale, Tristar’s Owner and President, reported in an email earlier this week.  “Everyone got one no matter what their position.  Units with exceptional audit scores got an extra bonus…”

In spite of having their Long Beach claims office burn to the ground as a result of an electrical fire less than two years ago, in April of 2009, and a serious embezzlement and grand theft ring uncovered by an audit on the Los Angeles County account in 2009, precipitating the arrests of four former Tristar employees along with two other vendor owners in September of 2010, Tristar owner Tom Veale last Friday embraced success and thanked all his employees with a Christmas bonus, each and every one.

Twenty short months ago, Veale got a phone call from the Fire Department between 9 and 10 pm on April 28th, 2009, telling him that his Long Beach claims office building at 2835 Temple Avenue in Long Beach (Signal Hill) California, was on fire.  “You might want to come down here”, the caller said to Veale.

The loss of the building was total, but the data was recovered due to a sophisticated back-up system, Veale had put in place some seven years prior called the SAS-70 process, created and put in motion for him by Deloitte & Touche.

For a few to several days after the fire, all the Tristar offices had some email problems and the telephone system company-wide was dysfunctional, but within three to four weeks the Long Beach office had made a full recovery in temporary quarters while the systems company-wide were back up and running glitch free.  Then, just a little over a year later, the Long Beach claims office building was fully rebuilt as a state-of-the-art, energy efficient masterpiece of high tech lighting and power sources.

If that destruction and recreation effort wasn’t enough, less than a year and a half after the fire, Tom Veale had to face the reality of a discovered embezzlement.  In his Santa Ana claims office, which handles the workers’ compensation claims for the County of Los Angeles, a grand theft scheme was discovered involving three Tristar workers’ compensation claims professionals who had, while in cahoots, made excessive payments to a couple of Transportation Companies and a Private Investigations firm out of the L.A. County funds.  The two claims examiners, a claims payment clerk, and the vendor owners were all family members, consisting of husbands and wives.  The three former L.A. County claims unit employees and two of the vendor owners are now in Los Angeles County Jail.  One of the vendor owners is out on bail.

Veale has vowed to never conceal or cover-up any embezzlement that has ever occurred at his company. He stated in March of this current year, before any arrests were made from this current ongoing investigation over the L.A. County embezzlement debacle, that he would fully prosecute any Tristar employee caught stealing from Tristar and its clients.  He is adamantly committed to obscure no case of grand theft from the public view.  He wants to put out the message that the claims examiners in the industry who are dishonest cannot come to work for Tristar and think they can pull their scams, because if they do they will be fully prosecuted.

“We want to be known as an Employer of Choice”, Veale expressed.  “We hope that this (the bonuses) will make a big impact on our team members’ Christmases.”



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4 Responses to “Performance bonuses for forcing injured workers back to work”

  1. I wonder how much performance money my case manager made over the years, having sent me back to work several times – in  fact to the very same job that caused the injury in the first place.

    Saying that what goes around comes around for the time has come where I am too stuffed for any type of work, even by their own “advisors” and even by all 6 independent medical examinators they sent me to, and they tried very very hard.

    The insurance company, having paid x amount of bonus money, now faces xxx amount on a beautiful shiny very very expensive prosthetic joint and xxxxxxxx amount on pain and suffering and a life long of economic loss.

    Don’t they f*cking think for a minute?

    I wonder if they have retrospective punishments? As in taking a % of the case manager’s salary off every month for x amount of months to repay his/her foolish mistake?

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    • I reckon if we could get the bad faith act reinstated for workcover insurances (so they can be sued for not acting in good faith, as in denying a claim, denying surgery, underpaying, denying home help etc etc), AND have the bonus system scrapped our battle may be half won!

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  2. It’d merely cause a change the risk calculations at their end — it would cause a pressure back in the favour of the victim, however it wouldn’t be anywhere near sufficient to result in them acting to pay victims their full legal entitlements promptly, so as to allow the focus to be on the best outcomes, medically, socially, work function, for the victim.   (and they should sue for fraud afterward if there’s sufficient evidence to initiate a case for fraud against the victim or their doctors)

    Relevant clip from a movie:-

    Incentives predict behaviours better than the simplest explanation.   — “Occams Beard”


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  1. WorkcoverVictim (@WCVictimsdiary) (@WCVictimsdiary) - December 30, 2011

    Performance bonuses for forcing injured workers back to work

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