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AMBERCAREWorker’s Compensation
&Return to Work Program
Injury Procedure
INJURY OCCURS
Clock Starts
Employee Notifies
SupervisorIMMEDIATELY
Supervisor Fills Out
Accident & Injury Forms
Employee Sent to Medical
Provider with Packet
Copy of Accident Report & Injury Forms Sent to
Corporate HR in Belen
End 24 HR
Employee Turns in Medical Forms from Medical Provider to
Office Manager
All forms sent from Supervisor to
Corporate HR, HR will copy Employee Case
Manager
End 48 H
R
Employee Case Manager reviews documentation,
contacts employee & Supervisor
End 5th Day
Depending on Type of Work Release,
collaborative plan for Employee to Return
to Work will be initiated
WHAT IS LAG TIME?
Lag Time
Lag time is the time between date of injury and the date of reporting to the employer and from the employer to the carrier/TPA. Lag time can effect every aspect of the claim , most important is the cost. The prompt reporting of a claim is one of the easiest ways to lower total cost of risk. Here are some best practices to follow when it comes to reporting claims, as well as risk factors due to lag time.
Best Practices Designate an individual to be responsible for reporting claims Educate employees about their responsibility to report injuries Report claims within 24 hours of the incident or reported date Centralize the reporting process
Risk Factors Delayed access to medical attention Potentially higher rate of litigation Inability to maximize on injured worker’s. Inclusion in Return-To Work programs
Please e-mail questions to