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Getting Involved in Your Claims

Workers Compensation. Getting Involved in Your Claims . The Employer’s Perspective Lucinda Fountain Asst. Mgr Honda of South Carolina Mfg., Inc. Reporting a Claim. Professional Reporting.

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Getting Involved in Your Claims

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  1. Workers Compensation • Getting Involved in Your Claims The Employer’s Perspective Lucinda Fountain Asst. Mgr Honda of South Carolina Mfg., Inc.

  2. Reporting a Claim

  3. Professional Reporting • The employer is responsible for initiating a claim with a timely first report of injury, providing details of the accident and verifying the injured worker's account of the incident or illness.

  4. When to Report a Claim for a Work-related Injury • When the employee requires or will require medical treatment beyond the ordinary first aid; • When the injury has caused, or will cause the injured employee loss time from regular duties.

  5. Policies and Procedures

  6. Policies and Procedures • An employer must have documented procedures on reporting work related injuries • In-house Safety Policy • Drug Screening Policy • Employee Interaction (Covers the Employer’s Responsibility to the Workers Comp Claim) • Injury and Treatment Procedure • First Notice of Injury • OSHA Record Keeping • Return to Work Procedure • The procedure must be addressed in the company’s employee handbook • Procedures must be a vital part of a new-hire’s review during a new-hire’s orientation

  7. Investigation

  8. When to Investigate & Why • Immediately ! • Facts are fresh • Little time for excuses • No influence by witnesses • Physical conditions are the same • People are available

  9. Investigation Details • Accident Description • Detail, Detail, Detail ! • Identify • Who? What ? Where? When, Why and How? • Nature of associates job duties • What happened • Preceding events • Objects involved • People involved • Witnesses

  10. Document, Document, Document! How? How many? Who? What? Where? When? Why? Plus Plus

  11. Internal Investigation Data Operation Standard Department Layout

  12. Investigation Data 5Why Training Report John Doe Front Comp Pipe Associate performing Abnormal Process. A-3 Container Mig Welder Temp Flow Change fromnormal process Main 1 Jig

  13. Benefits of Employer Involvement • Provide Prompt Care and Compensation for the Injured Worker • Reduce Medical Treatment and Cost • Reduce/Avoid Case Litigation and Litigation Cost • Encourage Employer Interest In Safety • Return the Employee Back to Work

  14. Improve Employee’s Self Esteem!

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