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Worker’s Compensation & Return to Work Program. INJURY OCCURS.

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Presentation on theme: "Worker’s Compensation & Return to Work Program. INJURY OCCURS."— Presentation transcript:

1 Worker’s Compensation & Return to Work Program

2 INJURY OCCURS

3 Clock Starts

4 Employee Notifies Supervisor IMMEDIATELY

5 Supervisor Fills Out Accident & Injury Forms

6

7

8 Employee Sent to Medical Provider with Packet

9 Copy of Accident Report & Injury Forms Sent to Corporate HR in Belen

10 End 24 HR

11 Employee Turns in Medical Forms from Medical Provider to Office Manager

12 All forms sent from Supervisor to Corporate HR, HR will copy Employee Case Manager

13 End 48 HR

14 Employee Case Manager reviews documentation, contacts employee & Supervisor

15 End 5th Day

16 Depending on Type of Work Release, collaborative plan for Employee to Return to Work will be initiated

17

18 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

19 Please e-mail questions to wc@ambercare.com


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