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Many issues need to be addressed when an employee is injured, including who to call and when. Obviously, 911 is first, in emergency or life threatening situations. With minor injuries such as abrasions, lacerations, and bruises a visit to the ER or health clinic maybe all that's necessary.
There are other injuries that should be immediately reported to your MCO and your TPA (COSE Compensation Services). You should contact us as soon as possible in the event of a work related death or for any serious injuries such as head injuries, amputations, multiple fractures, repetitive motion injuries, etc. so that we can be involved in management of the claim from the start.
Additionally, it is in your best interest to make us aware of injuries to the back (neck, mid-back and lower back), knees, and shoulders as these are the types of injuries that often require more care and result in higher claim costs. Always contact your account manager if you question the validity of the claim, or have knowledge of a history of similar conditions for the injured worker.
It's important to obtain witness statements and keep detailed documentation from the onset of a claim. You may also want to photograph an accident scene as soon as possible after the injury occurs in order to document the scene as it was at the time of the injury.
We put together the following step-by-step guidelines which you may find helpful. For further assistance, contact your COSE Account Manager.
SOMEONE WAS HURT ON THE JOB; NOW WHAT?
AT THE TIME OF INJURY:
TO DO IMMEDIATELY:
- Call 911 if necessary
- Provide emergency first aid if necessary
- If 911 is not needed, transport injured worker to hospital/clinic/urgent care
- Gather names of witnesses and secure statements - hand-written by witnesses, if possible, and signed and dated. This should be done immediately after the incident.
TO THE INJURED WORKER:
- If possible, have the injured worker immediately complete an incident report, sign a medical release, and complete a FROI. The incident report should be completed in ink by the injured worker, signed, and dated. This should include a detailed explanation of their accident (how it happened, where it happened, witnesses)
WHO TO NOTIFY:
- Spouse or significant other of injured worker, if necessary­­­­­­­­­­­­­­­­
- MCO _______________________at ___________________ (MCO name and phone number)
- TPA COSE Compensation Services at (216) 592-2270 ­­­
- ESS ­­­­­­­­­­­­­­­­­_________________________ at _________________
- OTHER:__________________________________________
GOING FORWARD - FIRST FEW DAYS/WEEKS:
WHAT TO EXPECT:
- Release to work or documentation of disability from medical provider
- Follow up appointment information
- Call from BWC regarding incident and asking if you certify the claim. If you are not sure, do not agree to certification of the claim, or payment of compensation; call your TPA.
ON-GOING:
- Updated medical from MCO and questions regarding light duty work; contact from the BWC regarding wage continuation in lieu of payment of Temporary Total.
- Correspondence from BWC - do not ignore this!
- Hearing notices - it is important for the employer to attend hearings, if at all possible - do not disregard any correspondence from the Industrial Commission!
- Call your TPA with any questions or concerns and stay in contact for updates on the claim.
Submitted by Patricia Ryba, COSE Compensation Services 216-592-2494 pryba@cose.org