SAMPLE POLICY WORK

– The complete package is forwarded to the Workers’ Compensation administrator within three days of the incident. 3. Claim Investigation: – The Workers’ Compensation Team reviews the submitted claim for completeness and verifies that the injury is work-related. – In cases where additional information is needed, the employee is contacted promptly. – The team liaises with external workers’ compensation carriers to validate the claim. 4. Medical Treatment and Follow-Up: – The employee receives immediate medical treatment following the claim submission. – Regular follow- ups are scheduled to monitor the employee’s recovery and work capacity. – Adjustments to work duties are made as necessary, and ongoing support is provided. 5. Final Resolution and Compensation: – Once the claim is approved, compensation measures are initiated in accordance with state guidelines. – A final report is provided to the employee, outlining the compensation benefits, duration of treatment, and return-to-work plans. – All documentation is maintained in the Workers’ Compensation file for future audits and compliance verification.

Roles and Responsibilities • Employees: –

Report injuries promptly and cooperate with required documentation submissions.

Supervisors: – Ensure immediate reporting and assist in gathering initial documentation. • HR Department: – Manage the claims process, provide guidance on filling out forms, and liaise with the Workers’ Compensation administrator. • Workers’ Compensation Team: – Verify claims, ensure compliance with regulatory standards, and track the compensation process. • Quality Assurance Team: – Periodically review workers’ compensation claims to detect patterns and identify areas for improvement.

Waiver Consulting Group © 2025 | 240

Powered by