High-impact claims by benefit payment percentage

High-impact claims are allowed lost-time claims that have big impacts on employees and businesses. We focus on return-to-work and recovery outcomes and supporting employees and businesses to lower the impacts of these claims. We have made changes to our processes to improve outcomes in these claims, including adding specialized case management teams, new evidence-based health services, and quicker access to expert medical treatment.

We have identified three types of high impact claims - low back, shoulder and fracture. These claims represent about 10 per cent of all benefits paid and about 21 per cent of all allowed lost-time claims.

High-impact claims average days lost

High-impact claims have higher average days lost within three and six months after an injury or illness when compared to all other lost-time claims combined.

We continue to focus on programs aimed at improving recovery and return-to-work outcomes for high-impact claims.

High-impact claims as a percentage of all lost-time claims

In 2020, the three types of high-impact claims made up 21 per cent of all lost-time claims. Low back claims had the highest number of these claims at 12 per cent. Between 2019 and 2020, the percentage of low back, fracture and shoulder claims went down slightly. 

In Schedule 2, the percentage of high-impact claims remained steady compared with 2019.

In 2020, high-impact claims were split 54 per cent for men compared to 46 per cent for women. This is different from Schedule 1, where 63 per cent of high-impact claims were from men. People 40 to 44, 45 to 49 and 50 to 54 years old had the highest number of these injuries at 14 per cent for each group.

2.13 - Leading high-impact claims characteristics by injury year

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2016 2017 2018 2019 2020
Leading Age Groups 40 to 44 13% 40 to 44 13% 40 to 44 14% 40 to 44 13% 40 to 44 14%
45 to 49 15% 45 to 49 16% 45 to 49 14% 45 to 49 13% 45 to 49 14%
50 to 54 18% 50 to 54 17% 50 to 54 17% 50 to 54 16% 50 to 54 14%
55 to 59 14% 55 to 59 13% 55 to 59 14% 55 to 59 14% 55 to 59 12%
Gender Male 50% Male 53% Male 50% Male 51% Male 54%
Female 50% Female 47% Female 50% Female 49% Female 46%
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Data in By the Numbers: 2020 WSIB Statistical Report may not match previously published results. This is due to factors such as data maturity, updated definitions and methodologies, and rounding. Data in By the Numbers is matured three months, with the exception of benefit payments, which represents cash paid during the year, to or on behalf of people injured at work and are not matured three months following year-end. Percentages may not add up due to rounding.