Sponsored: MTI America

If You Don’t Speak Your Injured Worker’s Language, They’ll Find a Lawyer Who Does

Immigrant workers often do dangerous jobs that expose them to a high risk of injury. Language barriers can complicate recovery, leading to litigation and overall poor outcomes for employer and employee alike.
By: | March 22, 2019 • 8 min read

No employer wants to see their employees injured and out of work, and no worker wants to be stuck at home worrying about the long-term consequences of both their injury and their time away from the job. A fast return-to-work is good for everyone.

Healing, however, is just as psychological as it is physical. When an injured worker doesn’t fully understand the workers’ compensation process, they feel uncertainty, fear and anxiety. That can lead to missed appointments, lack of adherence to treatment plans, or lost motivation to get better.

The employer has a critical role to play here. By showing compassion and ensuring that injured workers understand their situation, employers can reduce or eliminate psychological barriers from the get-go.

When employees speak a different language, however, that can be a tall order to fill.

“Speaking a person’s language is the first step to building trust. And without trust it’s impossible to be genuinely compassionate, which often drives much better outcomes,” said Janet Kus, President & Founder of MTI America.

According to the Bureau of Labor Statistics, “in 2017, there were 27.4 million foreign-born persons in the U.S. labor force, comprising 17.1 percent of the total.”

Non-English-speaking immigrant workers are prevalent in what Kus described as “3D” jobs — Dirty, Dangerous and Demanding. These are the jobs that many native-born Americans don’t want to do, but are vital in some of the nation’s most critical industries: agriculture, construction, transportation, and food, textile, and automotive manufacturing.

It’s no surprise, then, that immigrant workers are 15 percent more likely to be fatally injured on the job compared to their native-born counterparts. Language barriers are one reason for the increased risk, but employers can eliminate those barriers, improve safety, and promote speedy recovery by choosing the right interpreter partner.

How Language Barriers Imperil Worker Wellbeing

Misunderstandings arising from language barriers increase the risk that an immigrant worker will not understand safety training materials or be able to communicate effectively with their co-workers. In industries like construction and agriculture where heavy machinery is prevalent, miscommunication can be fatal.

“If a construction worker does not understand how to operate machinery, the odds of potential injury increase tenfold,” Kus said.

When injuries do occur, immigrants in the U.S. illegally are unlikely to report their injury or seek professional care due to fear of being detained and due to a lack of understanding of the workers’ comp process. Language barriers can also make the prospect of interacting with doctors and other healthcare professionals quite daunting. This not only impairs recovery, but also increases the likelihood of re-injury.

Even when the injuries are reported and the worker sees a doctor, he or she may not understand why certain medications are being prescribed or what other steps they should take to rehabilitate.

Literacy challenges could prevent an injured worker from understanding the medical terminology used to explain his diagnosis, test results, prescriptions and treatment plan. Part of the U.S.’s opioid problem stems from people not understanding the instructions on the label.

“Every aspect of the process is harder or doesn’t work. It makes compliance much more difficult and less successful,” Kus said.

Because they are ripe for errors that ultimately disadvantage the injured worker, these cases attract plaintiffs’ attorneys who do speak the immigrant workers’ language. Many workers’ comp claims involving non-English-speaking immigrant workers end up in court, adding time and cost to a claim while doing nothing to bring an injured worker closer to recovery.

While the ability to speak the worker’s language won’t eliminate all the issues above, it will go a long way to solving many of these unique challenges. Overall, about 21 percent of injured workers need translation services in order to successfully recover and return to work.

“Speaking a person’s language is the first step to building trust. And without trust it’s impossible to be genuinely compassionate, which often drives much better outcomes,”
— Janet Kus, President & Founder of MTI America

The Value of Professional Translation Services

Janet Kus, President & Founder of MTI America

Employers of immigrant workers too often forgo formal interpretation services when they have other bilingual employees on staff who can act as stand-in translators.

But “speaking two or more languages does not mean someone is a qualified interpreter or translator,” Kus said.

“Translators and interpreters have training and experience as well as bi-cultural competence. They must be able to convey meaning and context, not merely a word-by-word account of what is said. And they must be able to translate in accordance with the reading level, terminology, and style that the employee understands, and which best fits the employer’s message. A qualified interpreter does so skillfully and abides by the highest ethical rules and confidentiality requirements,” she said.

A professional interpreter is trained to be a neutral party and an “invisible” mediator, but also knows when to step in to offer clarity. A bilingual employee may be more likely to take sides, or inadvertently misinterpret meaning. Especially in the context of a medical conversation, a bilingual employee who is not familiar with the medical terminology may add or omit words rendering the conversation inaccurate, which could cause more harm than good.

Though they make speak the same language, the injured worker and his bilingual coworker also may not speak the same dialect, thus creating room for misinterpretation.

“Words may have different meanings depending on the specific dialect. This often leads to misunderstanding or poor communication with the injured worker,” Kus said. “It is imperative to rely on professionals, preferably those who are certified as medical interpreters, to be a bridge of communication between the injured employee and the medical staff.”

A professional interpretation service will have certified translators who speak a variety of languages and dialects, so there is a greater opportunity to find the right fit.

Some states also require the involvement of certified translators any time an injured worker cannot communicate in English. California, for example, passed a statute six years ago that requires a Certified Medical Translator be present when an injured worker sees a doctor. California recognizes credentials awarded by The National Board of Certification for Medical Interpreters, but interpreters may also be certified through the American Translator Association.

Language and cultural understanding provided by skilled translation services helps injured workers understand why, when and how treatment is ordered. This applies beyond the population of immigrant workers who don’t speak English as a first language. Skilled translation services also aid elderly and under-educated workers who cannot read or have vision and hearing impairments.

Finding the Right Interpreter Begins With a Focus on Compassion

The search for a reliable and experienced translator should not be taken lightly. The interpreter chosen will not just translate written and spoken word, but act as an extension of empathy, compassion and understanding on your company’s behalf. They are the link that will help employers build trust and assuage the fears of injured immigrant workers.

Compassion has been at the center of MTI’s language services since its inception 30 years ago.

“Most immigrant workers don’t trust their employers for a variety of reasons. Speaking to them in their dialect is a way to build that trust, and we’ve seen that be successful over the past three decades,” Kus said. “Compassion produces better outcomes, but it’s also the core of why our translators do what they do. They are helpers.”

MTI has built one of the most extensive network of translation services. Its interpreters can be at any major metropolitan area — both within the U.S. and globally — often within two hours. For employers who are more remote, translators can reach them via a video platform.

“At MTI, we are strategically aligning with telehealth partners to offer telemedicine solutions in remote areas that will drive down costs and improve efficiency,” Kus said.

MTI’s translators collectively speak more than 240 languages, and many are certified in medical or legal communications and are therefore better qualified to guide injured workers through their healthcare experience and educate them about the workers’ comp system. Ninety-five percent of MTI employees are bi-lingual, so they bring an inherent cultural competence to the table as well.

When employers and employees better understand each other, there is room to drastically improve morale, reduce turnover, foster closer teamwork, and empower workers to take pride in what they do.

In this way, translation services can actually reinforce safety culture and help to prevent injuries in the first place.

“By building a bridge of communication, effectively eliminating the language barrier, companies will undoubtedly improve health, safety, and performance among their entire workforce,” Kus said. “Our workforce is changing. Let’s help critical industries change with them.”

To learn more about MTI’s professional translation services, please visit https://www.mtiamerica.com/.



This article was produced by the R&I Brand Studio, a unit of the advertising department of Risk & Insurance, in collaboration with MTI America. The editorial staff of Risk & Insurance had no role in its preparation.

For more than 25 years, MTI America (www.mtiamerica.com) provides integrated health solutions serving the workers’ compensation industry. Through our knowledgeable, multilingual staff and in-house RN clinical oversight, we deliver the solutions our customer’s need, while ensuring compliance with legal and regulatory requirements. We provide post-injury to return to work medical services from Physical Therapy, Transport & Translation to Catastrophic & Complex Home Care, Medical Equipment and Diagnostics to Dental and Hearing programs. At MTI we don’t just talk exceptional service, we deliver on those values every day.

4 Companies That Rocked It by Treating Injured Workers as Equals; Not Adversaries

The 2018 Teddy Award winners built their programs around people, not claims, and offer proof that a worker-centric approach is a smarter way to operate.
By: | October 30, 2018 • 3 min read

Across the workers’ compensation industry, the concept of a worker advocacy model has been around for a while, but has only seen notable adoption in recent years.

Even among those not adopting a formal advocacy approach, mindsets are shifting. Formerly claims-centric programs are becoming worker-centric and it’s a win all around: better outcomes; greater productivity; safer, healthier employees and a stronger bottom line.


That’s what you’ll see in this month’s issue of Risk & Insurance® when you read the profiles of the four recipients of the 2018 Theodore Roosevelt Workers’ Compensation and Disability Management Award, sponsored by PMA Companies. These four programs put workers front and center in everything they do.

“We were focused on building up a program with an eye on our partner experience. Cost was at the bottom of the list. Doing a better job by our partners was at the top,” said Steve Legg, director of risk management for Starbucks.

Starbucks put claims reporting in the hands of its partners, an exemplary act of trust. The coffee company also put itself in workers’ shoes to identify and remove points of friction.

That led to a call center run by Starbucks’ TPA and a dedicated telephonic case management team so that partners can speak to a live person without the frustration of ‘phone tag’ and unanswered questions.

“We were focused on building up a program with an eye on our partner experience. Cost was at the bottom of the list. Doing a better job by our partners was at the top.” — Steve Legg, director of risk management, Starbucks

Starbucks also implemented direct deposit for lost-time pay, eliminating stressful wait times for injured partners, and allowing them to focus on healing.

For Starbucks, as for all of the 2018 Teddy Award winners, the approach is netting measurable results. With higher partner satisfaction, it has seen a 50 percent decrease in litigation.

Teddy winner Main Line Health (MLH) adopted worker advocacy in a way that goes far beyond claims.

Employees who identify and report safety hazards can take credit for their actions by sending out a formal “Employee Safety Message” to nearly 11,000 mailboxes across the organization.

“The recognition is pretty cool,” said Steve Besack, system director, claims management and workers’ compensation for the health system.

MLH also takes a non-adversarial approach to workers with repeat injuries, seeing them as a resource for identifying areas of improvement.

“When you look at ‘repeat offenders’ in an unconventional way, they’re a great asset to the program, not a liability,” said Mike Miller, manager, workers’ compensation and employee safety for MLH.

Teddy winner Monmouth County, N.J. utilizes high-tech motion capture technology to reduce the chance of placing new hires in jobs that are likely to hurt them.

Monmouth County also adopted numerous wellness initiatives that help workers manage their weight and improve their wellbeing overall.

“You should see the looks on their faces when their cholesterol is down, they’ve lost weight and their blood sugar is better. We’ve had people lose 30 and 40 pounds,” said William McGuane, the county’s manager of benefits and workers’ compensation.


Do these sound like minor program elements? The math says otherwise: Claims severity has plunged from $5.5 million in 2009 to $1.3 million in 2017.

At the University of Pennsylvania, putting workers first means getting out from behind the desk and finding out what each one of them is tasked with, day in, day out — and looking for ways to make each of those tasks safer.

Regular observations across the sprawling campus have resulted in a phenomenal number of process and equipment changes that seem simple on their own, but in combination have created a substantially safer, healthier campus and improved employee morale.

UPenn’s workers’ comp costs, in the seven-digit figures in 2009, have been virtually cut in half.

Risk & Insurance® is proud to honor the work of these four organizations. We hope their stories inspire other organizations to be true partners with the employees they depend on. &

Michelle Kerr is associate editor of Risk & Insurance. She can be reached at [email protected]