Child Support Directors Association of California in partnership with California Department of Child Support Services Workers’ Compensation: Issues and.

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Presentation transcript:

Child Support Directors Association of California in partnership with California Department of Child Support Services Workers’ Compensation: Issues and Incidents October 6, 2010 | 3:30 – 5:00 1

Workers’ Compensation: Speakers San Diego County – Department of Human Resources Jan Mazone - Deputy Director Susan Eldridge - Senior Risk and Insurance Analyst Jim Lery - Senior Human Resources Analyst Moderator Mark Mandel - Senior Departmental Personnel Officer San Diego County - DCSS 2

The Life and Times of a Workers’ Compensation Claim The convoluted workflow when processing a claim for an injured worker according to the complicated and scary laws of the State of California Department of Industrial Relations – Department of Workers’ Compensation. Anonymous Workers’ Compensation: Issues and Incidents 3

The Official Flowchart 4

California Labor Code Every California employer is required to secure payment of workers’ compensation benefits through either 1. Carrying insurance with a company authorized to write such insurance in California, or 2. Securing from the Director of Industrial Relations a certificate of consent to self-insure. 5

AND NOW IN TERMS WE CAN ALL UNDERSTAND…. Workers’ Compensation: Issues and Incidents 6

THE INJURY HAPPENS Workers’ Compensation: Issues and Incidents 7

Report incident Workers’ Compensation: Issues and Incidents 8

Fill out the Dreaded Paperwork Workers’ Compensation: Issues and Incidents 9

Should we Delay, Deny or Accept? Do you think he really slipped on the banana peel and rolled himself into a tape ball? Workers’ Compensation: Issues and Incidents 10

Communication is important Workers’ Compensation: Issues and Incidents 11

1 St 90 days to determine if accept or deny Workers’ Compensation: Issues and Incidents 12

Investigating can lead to a denied claim Workers’ Compensation: Issues and Incidents 13

Claim or No Claim 14

Most Claims are Accepted Workers’ Compensation: Issues and Incidents 15

A claim can be for medical treatment Workers’ Compensation: Issues and Incidents 16

Or severe enough to need intense treatment & lost time Workers’ Compensation: Issues and Incidents 17

All claims cost a little or a lot of these 18

Injured worker is under managed care Workers’ Compensation: Issues and Incidents 19

There could be a temporary disability Workers’ Compensation: Issues and Incidents 20

So finding transitional work is important Workers’ Compensation: Issues and Incidents 21

Once they are Permanent & Stationary Workers’ Compensation: Issues and Incidents 22

Accommodate with permanent modified duty Workers’ Compensation: Issues and Incidents 23

If not, Service Connected Disability Retirement Workers’ Compensation: Issues and Incidents 24

Some claims will need Future Medical Workers’ Compensation: Issues and Incidents 25

And some will be Permanently Disabled Workers’ Compensation: Issues and Incidents 26

Who Wants to be a Claims Adjuster? 27

But regardless of the outcome one thing is for sure…… Workers’ Compensation: Issues and Incidents 28

Our Office It takes Our Office to get the job done! Workers’ Compensation: Issues and Incidents 29

Contact Information Jan Mazone Deputy Director (619) or Susan Eldridge Senior Risk and Insurance Analyst (619) or Jim Lery Senior HR Analyst (619) or 30

QUESTIONS 31