The Workers' Compensation Claim Process

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Submitted By amon69
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The Workers' Compensation Claim Process
University of Phoenix
Claims Preparation II

August 21, 2011

The Workers' Compensation Claim Process

In this paper we will go over a few components of the workers’ compensation claim process. Such as the overall description of the workers compensation claims process, the responsibilities of the employee, employer, physician, and insurance carrier and what are the implications of unrestricted access to a patient’s medical records.

When you are injured on the job, you need to apply for workers’ compensation. These settlements are to help provide you with money for medical bills and missed pay. The purpose or design for workers’ compensation is to support you while you can’t work, because of a work related injury. “In most states, workers compensation state laws contain exclusive remedy provisions. This means that your only remedy is to file workmen’s comp settlements. You may not sue your employer for injuries. Therefore, it is essential to understand how to file a workers compensation report to protect your ability to recover for job related injuries (, 2011, p. 1)”.
The responsibility of reporting an on work site accident or injury should be reported by the employee within 24 hrs. If the injury does not have a specific start date, such as carpal tunnel then the statute of limitations begins running from the time when you should have reasonably known about the injury. The responsibility of the employer would be to make sure that he or she gives you the correct forms to fill out then present them to the proper insurance companies. “These forms and claim documents may require you to submit proof of injury in the form of medical records and other expert statements. The physicians are responsible for the treatment of the patient. To determine the extent of the injury, then decide on what would be…...

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