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

wc@ambercare.com