OWCP Claims for Compensation for federal - civil employees injuries, must meet certain requirements before being accepted.  These five (5) requirements ( also known as the 5 elements of coverage determination criteria) must be met within the sequence below and if not, claim will be adjudicated or held up by requesting information from the injured work to satisfy each of the 5 element requirement in sequential order to be given due process:

A. Time                                                                                                                                        

B. Civil Employee                                                                                                                    

C. Fact of Injury or Occupational Disease or Illness                                                          

Two factors are involved in the determination of whether the employee did in fact suffer the injury: 

                 1) Occurrence of the Event                                                                                                              2) Existence of a Medical Condition          

D. Performance of Duty                                                                                                        

E. Causal Relationship  

Each of these 5 requirements (elements) for establishing conditions of coverage criteria are covered in detail in this podcast episode to assist civil employees with successful claim adjudication of an on the job injury or illness.  This episode is utilizing OWCP claims examiner training materials to explain how to meet the eligibility requirements from the claims examiner's training and understanding. It helps to understand how to speak the language that the OWCP claims examiner is trained in. 

Click on the transcript for more information to source for Initiating Claims with OWCP

The podcaster is Dr. Stephen Taylor, OWCP legal consultant for Oberheiden Law Firm.  Dr. Taylor’s contact information is:

https://[email protected] If you need a medical provider or assistance with an OWCP /  DOL claim in Tampa, Jacksonville, Pensacola Florida, Southern Mississippi or Da

For responses email Dr. Taylor at [email protected]

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