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 <subject>Claims processing</subject>
 <subject>Compensation claims</subject>
 <subject>Performance measures</subject>
 <subject>Postal service employees</subject>
 <subject>Reporting requirements</subject>
 <subject>Workers compensation</subject>
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<titleInfo>
 <title>Postal Service Employee Workers&apos; Compensation Claims Not Always Processed Timely, but Problems Hamper Complete Measurement</title>
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<abstract>In fiscal year 2000, U. S. Postal Service employees accounted for
about one-third of both the federal civilian workforce and the	 
$2.1 billion cost of the Federal Workers&apos; Compensation Program	 
(WCP). During that same year, Postal Service employees submitted 
85,000 claims, or one-half of all claims for new work-related	 
injuries, to the Department of Labor&apos;s (DOL) Office of Workers&apos;  
Compensation Program (OWCP), which is charged with administering 
the program. Because of complaints the subcommittee received from
injured federal employees about the untimely receipt of WCP	 
benefits and because Postal Service employees account for such a 
large portion of the WCP, the Chairman, House Subcommittee on	 
Government Efficiency, Financial Management, and		 
Intergovernmental Relations, Committee on Government Reform,	 
asked us to determine specifically whether Postal Service	 
employees were receiving WCP benefits in a timely manner. For our
current review, we agreed to (1) determine the extent to which	 
Postal Service employees provided all of the evidence required by
OWCP regulations for determining the claimants&apos; eligibility for  
WCP benefits and (2) determine whether claims for WCP eligibility
and WCP compensation payments for lost wages or schedule awards  
were submitted and processed within the time frames set forth in 
OWCP regulations or performance standards. On the basis of our	 
analysis, we estimate that in about 99 percent of the cases	 
involving Postal Service employees who (1) had work-related	 
injuries during the 12-month period beginning July 1, 1997, and  
(2) filed claims for WCP benefits for lost wages or schedule	 
awards due to these injuries, the employees eventually provided  
OWCP the evidence it required to make a determination on their	 
eligibility for benefits. However, in about 69 percent of the	 
cases, OWCP claims examiners had to request additional		 
information because all of the required evidence needed to make a
determination of WCP eligibility was not provided initially. As a
result, claims for WCP eligibility were not always processed	 
within the time frames set forth by OWCP. For those Postal	 
Service employees in our sample cases who were determined to be  
eligible for WCP benefits and later filed claims for compensation
for lost wages or schedule awards, we could not reliably estimate
the percentage of claims for compensation that were processed	 
within the time frames set forth by OWCP. This was because the	 
dates we needed to &quot;mark&quot; the beginning and ending actions taken 
by the injured Postal Service employee and Postal Service	 
supervisor to complete, submit, and forward claims to DWCP were  
missing from the claim forms.</abstract>
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<identifier type="preferred citation">GAO-03-158R</identifier>
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<note>Correspondence</note>
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 <searchTitle>GAO-03-158R; Postal Service Employee Workers&apos; Compensation Claims Not Always Processed Timely, but Problems Hamper Complete Measurement;
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<subject>
 <topic>Claims processing</topic>
 <topic>Compensation claims</topic>
 <topic>Performance measures</topic>
 <topic>Postal service employees</topic>
 <topic>Reporting requirements</topic>
 <topic>Workers compensation</topic>
 <topic>Federal Employees Compensation Program</topic>
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