What information your Design Professional firm will need in the event of a Workers Compensation claim?

workers compensationWhat information your Design Professional firm will need in the event of a Workers Compensation claim?  It is good to know what items are important when you are reporting a claim.  Below is a list of some of the items needed:

  • Date of loss, when did the employee get injured?
  • Employer/loss location information – address, phone number. If loss did not occur at the employer location, information on the accident location.
  • Policy number
  • Date of notice (date reported to carrier)
  • Information about contact person at your firm, name, address, phone number, email address, etc. Also, what is the best way to reach the contact person, phone or email?
  • Employee/Claimant information – employee name, address, phone number, email address, date of birth, gender, social security number, marital status and preferred language.
  • Employment information – date of hire, State of hire, work hours/days, pay type and frequency, employment status (full time, part time), occupation, physical demands of the job, supervisors name and information.
  • Description of the incident – a detailed description of what has occurred, the more detail provided the better.
  • Initial treatment information – where did the employee receive treatment, type of treatment received, follow up treatment, etc.
  • Loss time – has the employee returned to work or not. If not, details on the time the employee has been away from work.
  • Witness information will also be requested if there is indeed a witness.
  • Any additional documentation you may have with regards to the loss

The more information your firm can provide to the carrier the better.  The carrier may have additional questions as the claim proceeds, your firm may be asked to provide additional information.

Your PUI agent is available to answer questions on items needed for the claim and can help with reporting of the claim in most cases.  Please be sure to ask questions if you have any.

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