Reporting and Managing a Workers Compensation Claim

Reporting a Workers' Compensation Injury

Employee Responsibilities

• Immediately -
  • Notify your Supervisor. Your Supervisor will assess the situation, assist with arranging proper medical care and begin the injury reporting process.
• Promptly cooperate with your Supervisor and the Claims Administrator in the completion of all relevant documents.

Supervisor Responsibilities

• Immediately -
  • Assess the incident and assist the Employee in seeking appropriate medical care or necessary treatment for any work-related injury. If an injury is a potential life-threatening emergency, call 911.
  • Provide the Employee with the Minnesota Workers Compensation Information Sheet, list of Designated Medical Providers, and Temporary Prescription Drug ID Card.
• Within 8 business hours -
  • Complete the online First Report of Injury form, or
  • Complete the paper First Report of Injury form and fax it to the Claims Administrator.
• Within 24 business hours -
  • Complete a Supervisor Incident Investigation Report and email or fax to the Claims Administrator.
• If an Employee reports an on-the-job injury which may not be compensable, the First Report of Injury form must still be submitted. Contact the Claims Administrator with any questions regarding claim compensability.

Referring the Employee for Medical Care

When an injury requires medical attention, the University encourages the use of Designated Medical Providers as these providers specialize in Occupational Medicine and are familiar with the Workers Compensation process. Under Minnesota law, an injured Employee has the right to select his/her own treating physician. At times, the Employee may be required to see a provider selected by the University.

Express Scripts administers the Prescription Drug Program for the University of Minnesota's Workers Compensation program. The Prescription Drug Program will eliminate co-pays and out-of pocket expenses for medications prescribed for an accepted Workers Compensation claims.

Employees who experience an aggravation or re-injury of a previous work-related injury should be directed for medical treatment.

Forward all medical bills to the Claims Administrator for payment.

Returning the Employee to Work

The Medical Provider must complete a Report of Workability(1) and provide it to the Employee and Claims Administrator. The Report of Workability will indicate when the Employee can return to work and whether job modifications are required to accommodate physical restrictions. The Employee will provide a copy of the Report of Workability to the Supervisor.

• Employees without restrictions can return to their usual work duties.
• If the Medical Provider imposes work restrictions, the Supervisor and Claims Administrator will review the job modifications that are required to comply with the restrictions. Every effort will be made to accommodate the employee's restrictions. If work is available within the restrictions, the Employee will return to suitably modified work. The Supervisor will monitor the Employee's recovery on a weekly basis and report the Employee's recovery progress to the Claims Administrator.

(1)Medical Providers will have their own versions of the Report of Workability.