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What to do in the Event of a Workers' Compensation Claim
- Provide first aid when necessary if trained staff is available.
- Consult your medical provider if there are questions about the injury. Minor injuries
may become major injuries if not properly treated.
- Encourage your employees to report injuries to you.
- Take or send your injured worker to you preferred medical provider.
- Generally, the employer controls medical treatment 30 days after an injury is reported,
unless, in advance of the injury, the employee has given your written notice of the name
and address of his/her personal physician, in which case the injured employee may go to that
physician.
- If equipment breakdown contributed to the injury, prevent its further use until full repair
and a safety check have been completed.
- Consult your workers compensation's Loss Control Department.
- Investigate the circumstances of the injury and prepare an "Employers Report of
Occupational Injury of Illness"
- The law requires you to send the report to your insurance company within five (5) days
after you have knowledge of the injury. We recommend that you report it within 24 hours to
assist prompt delivery of benefits. (Some insurance companies will allow you to complete
this form either on line or via an 800 number)
- Please call your insurance company's claims adjuster if you have questions about an
injury, or in cases of serious injury of death.
- Promptly return the "Employers Report of Occupational Injury of Illness" to your insurance
Company.
- An Employers Report should be sent even though a claim seems extremely doubtful.
Sending an Employers Report does not constitute an admission of liability. Delays in
reporting make it more difficult to investigate the validity of a claim and control costs.
Provide a complete explanation of the situation on the report.
- Don't wait to hear form the doctor before reporting the claim. The doctor will report
directly to your insurance company.
- Provide the Employee and "Employee Claim for Workers' Compensation Benefits"
- This must be provided to the employee within one(1) working day of receiving notice of
a job-related injury.
- If possible, have your employee complete and return the form to you immediately. Send
the original of the employee claims form directly to your insurance company, keep a copy for
yourself, and provide a copy to the injured worker.
- The doctor should give your employee a notice stating when she or he can return to work.
- Often the doctor will recommend light or modified work. If you are able to provide
modified work, it can speed recovery to full duty and reduce expenses.
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