Workplace accidents and incapacity
Criteria Médica provides advanced medico-legal assessment services in the field of workplace accidents and incapacity, delivering specialised technical support.
The service includes analysis of causation and determination of whether the contingency is occupational or non-occupational, as well as assessment of the degree of incapacity: temporary incapacity (IT) and permanent incapacity (IP) in its different grades (partial, total, absolute, and severe disability).
It includes assessment of the injury stabilisation period, identification and quantification of sequelae in accordance with the official scale, and analysis of pre-existing conditions, including causes or aggravations.
SCOPE OF SERVICES
The expert assessment includes evaluation of the injuries sustained by the worker and the relationship between the harm and working conditions.
Includes:
- Workplace accidents
- Occupational disease
- Work incapacity
- Return to work
Includes:
- Workplace accidents
- Occupational disease
- Work incapacity
- Return to work
EXPERT REPORTS
Expert reports are prepared under rigorous medico-legal criteria, aimed at the correct interpretation of policy terms, defining the scope of the claim, and detecting clinical inconsistencies or indications of fraud.
This approach strengthens the insurer’s technical position during handling, negotiation, and litigation. Criteria Médica also helps optimise technical reserves, ensure proper quantification of bodily injury, and improve control of claim costs.
The service is provided under criteria of independence, technical rigour, and alignment with current regulations, providing legal certainty and efficiency in the management of workplace accidents and incapacity cases.
Occupational medical report
Clinical assessment of the injuries sustained in the workplace accident and their progression.
Occupational disease report
Assessment of conditions arising from continued exposure to occupational risks.
Work incapacity report
Analysis of the worker’s functional limitations and their impact on work capacity.
Work-related causation report
Determination of the relationship between the work activity performed and the harm caused.
OCCUPATIONAL MEDICINE AND PREVENTION
The expert assessment is carried out taking into account the professional activity performed, the risks of the job position, and the available preventive documentation.
The medical assessment considers the worker’s fitness for their usual position or for alternative tasks.
ANALYSIS METHODOLOGY
The report is based on a review of the medical history, accident reports, occupational risk assessments, medical reports, and diagnostic tests.
Each case is assigned to specialists with experience in occupational medicine, ensuring a clinical assessment aligned with the patient’s actual working conditions.