Presentation is loading. Please wait.

Presentation is loading. Please wait.

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

Similar presentations


Presentation on theme: "Child Support Directors Association of California in partnership with California Department of Child Support Services Workers’ Compensation: Issues and."— Presentation transcript:

1

2 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

3 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

4 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

5 The Official Flowchart 4

6 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

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

8 THE INJURY HAPPENS Workers’ Compensation: Issues and Incidents 7

9 Report incident Workers’ Compensation: Issues and Incidents 8

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

11 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

12 Communication is important Workers’ Compensation: Issues and Incidents 11

13 1 St 90 days to determine if accept or deny Workers’ Compensation: Issues and Incidents 12

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

15 Claim or No Claim 14

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

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

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

19 All claims cost a little or a lot of these 18

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

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

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

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

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

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

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

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

28 Who Wants to be a Claims Adjuster? 27

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

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

31 Contact Information Jan Mazone Deputy Director (619) 531-6470 or janice.mazone@sdcounty.ca.govjanice.mazone@sdcounty.ca.gov Susan Eldridge Senior Risk and Insurance Analyst (619) 578-5787 or susan.eldridge@sdcounty.ca.govsusan.eldridge@sdcounty.ca.gov Jim Lery Senior HR Analyst (619) 578-5745 or james.lery@sdcounty.ca.govjames.lery@sdcounty.ca.gov 30

32 QUESTIONS 31

33


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

Similar presentations


Ads by Google