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<classification authority="sudocs">GA 1.13:GAO-02-637</classification>
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 <subject>Claims processing</subject>
 <subject>Claims reconsiderations</subject>
 <subject>Claims settlement</subject>
 <subject>Compensation claims</subject>
 <subject>Customer service</subject>
 <subject>Internal controls</subject>
 <subject>Physicians</subject>
 <subject>Workers compensation</subject>
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<titleInfo>
 <title>Office of Workers&apos; Compensation Programs: Further Actions Are Needed to Improve Claims Review</title>
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<abstract>The Department of Labor&apos;s Office of Workers&apos; Compensation
Programs (OWCP) paid $2.1 billion in medical and death benefits  
and received about 174,000 new injury claims during fiscal year  
2000. GAO found that (1) one in four appealed claims&apos; decisions  
are reversed or remanded to OWCP district offices for additional 
consideration and a new decision because of questions about or	 
problems with the initial claims decision; (2) OWCP set a goal of
informing 96 percent of claimants within 110 days of the date of 
the hearing; (3) nearly all doctors used by OWCP to provide	 
opinions on injuries claimed were board certified and state	 
licensed, and were specialists in areas consistent with the	 
injuries they evaluate; and (4) OWCP has used mailed surveys,	 
telephone surveys, and focus groups to measure customer 	 
satisfaction. The Labor inspector general is monitoring fraud	 
within OWCP&apos;s workers compensation program and using the claims  
examiners as one source in identifying potentially fraudulent	 
claims.</abstract>
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 <searchTitle>GAO-02-637; Office of Workers&apos; Compensation Programs: Further Actions Are Needed to Improve Claims Review;
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 <topic>Claims processing</topic>
 <topic>Claims reconsiderations</topic>
 <topic>Claims settlement</topic>
 <topic>Compensation claims</topic>
 <topic>Customer service</topic>
 <topic>Internal controls</topic>
 <topic>Physicians</topic>
 <topic>Workers compensation</topic>
 <topic>DOL Black Lung Program</topic>
 <topic>SSA Disability Program</topic>
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  <partNumber>Title 5 Section 8101</partNumber>
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 <identifier type="USC citation">5 U.S.C. 8101</identifier>
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