DiscoverBreaking OWCP with Chris & GiniOWCP Claims Guide: How to Win Federal Workers' Compensation Benefits
OWCP Claims Guide: How to Win Federal Workers' Compensation Benefits

OWCP Claims Guide: How to Win Federal Workers' Compensation Benefits

Update: 2025-10-11
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Description

Chris and Gini host their final Wednesday night OWCP chat before a two-week break, covering essential workers' compensation topics in a Q&A format. They discuss claim approvals, denials, common supervisor violations, and upcoming training opportunities.

Key Announcements

  • National OWCP Convention: Sunday, November 16th, 3-6 PM Eastern (Facebook only)
  • Upcoming Travel: Utah meetings and BYU vs. Utes game, followed by FOA National Convention in Wisconsin
  • Woodshed Night: October 29th - covering rules, laws, and regulations supervisors violate
  • New Leadership: Congratulations to Jonathan Smith, new APW National President
  • FIC Tallahassee: Opening December 1st (Dr. Stephick)

Critical Statistics Discussed

  • Only 6.78% of non-postal federal employees had accepted claims in 2023 (down from historical 14%)
  • Federal Injury Centers maintains over 95% success rate
  • Most denials are due to inadequate medical documentation, not claim examiner bias

Major Topics Covered

1. Understanding Claim Denials

  • Denials happen due to inadequate medical narratives from doctors
  • You DON'T need an attorney for denied claims
  • File reconsideration with improved narrative addressing denial reasons
  • Attorneys are only necessary for: car wrecks on the job, federal disability, schedule awards with second opinion denials

2. Essential Forms & Processes

  • CA-10: What federal employees should do when injured (often hidden from workers)
  • CA-16: Pays all medical bills for 60 days, must be issued within 4 hours of reported injury
  • CA-17: Limited duty form - supervisors cannot withhold until claim is approved
  • CA-7/CA-7A: Payment forms for intermittent time off
  • CA-2A: Notice of recurrence (verify with doctor first that it's same injury)

**3. The "Black Sharpie Method"

  • When supervisors refuse to complete CA-17 side A
  • Write "Supervisor [name] refused to issue" in black Sharpie
  • Submit to claims examiner to create accountability
  • Prevents supervisor from ignoring medical restrictions

**4. Common Supervisor Violations

  • Refusing to issue CA-16 within 4 hours
  • Withholding CA-17 until claim approval
  • Retaliating against injured workers (federal crime: fines, imprisonment, or both)
  • Sending workers home claiming "no work available" on restrictions
  • Not honoring limited duty assignments

**5. Payment & Benefits

  • Choose COP (Continuation of Pay) over sick/annual leave
  • Pay based on current salary if working full-time, or pre-injury pay with blanket increases
  • Mileage reimbursement limited to 100 miles round trip (get authorization for more)
  • Lifetime medical coverage for accepted claims
  • Schedule awards available for permanent impairment

6. Key Rules & Rights

  • Report injuries NOW (within 7 days maximum, but immediately is best)
  • You have the right to choose your own doctor
  • Supervisors cannot tell you where to go for treatment
  • Rural carriers: job held for 2 years; other crafts: 1 year
  • Retaliation for reporting injuries is ILLEGAL

**7. Getting Help

  • File grievances through your union for supervisor violations
  • Contact claims examiner directly about issues
  • Call OSHA: 1-800-321-OSHA for retaliation
  • Contact Inspector General or Postal Inspectors
  • Replace nurse case

Website for Locations. www.federalinjurycenters.com
Contact: 877-787-OWCP or message us Facebook
To Buy The Book: www.breakingowcp.com
To Email information: Info@federalinjurycenters.com
Find Us on Facebook, YouTube, LinkedIn, Instagram @
Wednesday Night OWCP Chats with Chris & Gini

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OWCP Claims Guide: How to Win Federal Workers' Compensation Benefits

OWCP Claims Guide: How to Win Federal Workers' Compensation Benefits

Chris & Gini Helms