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Claims
1. Address any emergency or immediate medical needs.
2. Accompany your employee to obtain initial medical care if possible.
3. Call in and report the claim situation to the insurance company. Besides the incident report, you will need information from the employee's employment file. Get a claims number from the insurance company and a name, phone number (including extension) and email of the assigned adjuster. If an adjuster is not assigned on this first call ask how you can follow up on the status of the claim.
Claims Reporting:
Many companies will assist you in filling out the claims form. Some companies will do it for you when you call in your claim.
For the 24/7 toll-free number of the insurance company, look for it in the first pages and cover letter of your policy package or in the last pages of your policy package. When calling customer service ask for the Claims department.
OR type the name of the insurance company here exactly as it is on the policy.
(NOTE: Not all of them are available here.):
If you are having trouble, you may contact us and we can look into it with you and help to resolve any issues.
After an injury occurs:
| • | Stay informed and make follow up calls to the insurance company claims adjuster and/or case manager. |
| • | Call your employee at regular intervals to check on progress. It will keep you informed and show them you care. Send "get well" and "we miss you " cards. |
| • | Talk to your claims adjustor to discuss options for transitional duty. |
| • | Obtain a form or letter from the physician that states your employee's post-injury physical capabilities. Decide on transitional duty and submit the job description form to your claims adjustor. |
| • | Have your injured employee check in with you after each appointment with his physician. |
| • | Provide transitional duty. Some insurance companies recommend that you offer the job in writing and send it to the employee by certified mail. |
| • | Comply with the physical restrictions set by the physician once your employee has returned. |
| • | Celebrate your employee's return to full duty. |
| • | Continue to discuss the prevention of work injuries in safety meetings. |