SOP: Workers Comp Claim Procedure
FARO Services Main Distribution Warehouse Columbus, Ohio |
OPERATING STANDARDS PROCEDURE MANUAL |
Job Description Workers Compensation Claim Procedures |
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DATE ISSUED May 20, 2009 |
FARO Services
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REVISION # 1 |
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WRITTEN BY: Chad Reed |
Chief Operating Officer: Todd Davis
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SOP# 001-04 |
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Ohio Workers Compensation Claim Procedures:
1. What to do if there is an emergency situation?
· If it is an injury during an emergency situation - call 911.
· Instruct employee to tell hospital it is a work related injury.
· Send the employee to Mount Carmel East, if possible.
· Follow the normal reporting procedures.
2. Workers Compensation Handling Procedures for non-emergency (Columbus,
OH, Ashland, OH)
a. If there is an injury fill out an incident report and notify Human Resources. Located at Y:\HR Forms\ Ohio Workers Compensation Claim Procedures.
b. If employee chooses medical attention instruct employee to state at doctor’s office that it was work related injury. If the employee needs to go the Emergency Room send them to Mt Carmel East.
c. Once you receive notice that an employee has been injured. An investigation needs to be done.
1. You want to find out if the injury happened at work.
2. Is it a legitimate claim that should go under our policy.
3. If the injury happened at work or during the scope of the employees duties it can be considered a workers comp claim.
4. If you want to deny the claim or dispute it, you will contact your account representative. They will make arrangements to dispute the claim.
d. The employee will need to turn in all documentation from the doctor’s visit. You are especially interested in finding out if the doctor has excused the employee from work or put them on restrictive duty.
e. The employee will need to turn in all documentation from the doctor’s visit. You are especially interested in finding out if the doctor has excused the employee from work or put them on restrictive duty.
Misses less than 7 days: Employee does not get paid for time off. Full-time employees can use their sick or vacation days.
Misses more than 7 days: If the employee has missed more than 7 days, we will begin to pay them for their wages so it doesn’t count against us. When the employee misses more than 7 days of work due to an injury, they are automatically entitled to receive “temporary total” or wages from the BWC. We pay their wages to avoid this. A wage continuation form from the BWC, should also be signed by the employee. It is especially important to have this form if the employee is going to be off long term.
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Misses Long Term: If an employee does not return to work, and their doctor excuses them from work for an extended period of time. You will want to try to work with the employee to get the employee back to work with restrictions. Many times it’s a matter of convincing the employee to come back, so they can convince their doctor. Also, talk to CompManagement about what sets you should take or how they can help you. An event log needs to be filled out to document the day they stopped working.
f. Working with Restrictions
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1. If any employee comes back to work with a note from the doctor putting them on restrictive duty, discuss with the manager of the department what position to put the employee in. If that department is not able to accommodate their restrictions, find another department that can.
2. We will work with any work restrictions, if an employee wants to work we need to find something for them to do. We want them to work. Absent employees due to an injury dramatically effects our insurance rates and premiums.
3. If an employee returns to work with restrictions, a change of status needs to be filled out transferring them to the Workers Compensation Department. It’s a good idea to put the employee in a different department so that the supervisor is reminded that the employee is on restrictive duty.
4. If they employee misses any days due to the injury and have already missed the 7 days, they should be paid for the time off. They will need a note from the doctor or it will be unpaid.