Workers’ Compensation Claims Reporting Procedures
1. Each employee injured on the job, no matter how minor, should be instructed to report the incident to their immediate Supervisor/Manager on duty.
2. The Supervisor/Manager should complete a Supervisor’s Accident Investigation Report. You should determine from the employee, what happened, what body part was injured, and who witnessed the incident. Then, an Employers First Report of Injury or Illness (forms are state specific) MUST be completed by the Supervisor/Manager.
3. The employee should complete the Employee’s Report of Injury Form. The employee should sign off on the form acknowledging that the information is true and accurate.
4. If the employee identified a witness to the incident/accident, the witness should complete the Witness Report of Injury Form.
5. The reports and forms should be completed prior to the end of the shift/day. The report must be filed with Fridrich, Pinson & Associates within 24 business hours following a reported injury from an employee. There can be no exceptions. It is your legal obligation to see that the report is filed timely.
6. The Supervisor/Manager should instruct the employee to see one of the doctors at a local “walk-in clinic” for non-emergency cases where medical treatment is necessary. In cases of emergencies, the employee can see a physician at their local hospital emergency room. However, any follow-up treatment will be done by a doctor assigned by the insurance company. If an injury occurs after hours, the employee should notify their Supervisor/Manager the next business day. At that point, the Supervisor/Manager should remind the employee that the insurance company will be assigning a doctor for future treatments.
7. The Workers Compensation claim should be reported to Fridrich, Pinson & Associates. If you have additional information relative to the claim, you should communicate this to the person taking the claim.
8. The employee should be instructed to return to see or call the Supervisor/Manager after each doctor’s visit. The employee should be able to give you the following information:
* The length of his/her disability period. A medical leave of absence slip will be given to the employee by the doctor if the employee is to remain off work. It is the employee’s responsibility to get the disability slip to you. A copy of the slip should be maintained in the employee’s Workers Compensation file.
* The date and time of his/her next doctor’s visit.
* A telephone number where he/she can be reached.
9. If the employee is allowed to return to work with limitations, an effort (within reason) should be made to accommodate the employee’s limitations.
10. While the employee is out of work due to the injury, he/she should be contacted periodically by the Supervisor/Manager. If you are having continual problems reaching the employee, the claims adjuster should be notified immediately, so that the adjuster can conduct an activity check or have surveillance completed on the employee.
11. Once the employee has returned to work, the claims adjuster at the workers’ compensation carrier should be notified so that weekly benefits can be adjusted or stopped to avoid any overpayment. The adjuster may no know until several days later that the employee has returned to work unless you call.