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Published byRosemary Hudson Modified over 9 years ago
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Worker’s Compensation & Return to Work Program
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INJURY OCCURS
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Clock Starts
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Employee Notifies Supervisor IMMEDIATELY
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Supervisor Fills Out Accident & Injury Forms
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Employee Sent to Medical Provider with Packet
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Copy of Accident Report & Injury Forms Sent to Corporate HR in Belen
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End 24 HR
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Employee Turns in Medical Forms from Medical Provider to Office Manager
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All forms sent from Supervisor to Corporate HR, HR will copy Employee Case Manager
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End 48 HR
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Employee Case Manager reviews documentation, contacts employee & Supervisor
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End 5th Day
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Depending on Type of Work Release, collaborative plan for Employee to Return to Work will be initiated
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Lag time is the time between date of injury and the date of reporting to the employer and from the employer to the carrier/TPA. Lag time can effect every aspect of the claim, most important is the cost. The prompt reporting of a claim is one of the easiest ways to lower total cost of risk. Here are some best practices to follow when it comes to reporting claims, as well as risk factors due to lag time. Best Practices Designate an individual to be responsible for reporting claims Educate employees about their responsibility to report injuries Report claims within 24 hours of the incident or reported date Centralize the reporting process Risk Factors Delayed access to medical attention Potentially higher rate of litigation Inability to maximize on injured worker’s. Inclusion in Return-To Work programs
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Please e-mail questions to wc@ambercare.com
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