You can file a workers comp claim by doing one of the following -
* If life threatening, call 911 and Notify HR.
* Email: hr@bohps.com or call (858) 208-3810
Workers Comp Claims are filed online at:
- Complete Employer’s Report of Incident
- Complete Employee’s Report of Incident
- Complete Employees Refusal of Medical Care (if applicable)
NOTE: All references to Employer needs to be Band of Hands Professional Services
INCIDENT REPORTING PROCEDURES FOR WORKERS’ COMPENSATION
IF INJURY REQUIRES EMERGENCY RESPONSE, CALL 911 & NOTIFY HR.
All forms should be completed online at the InSource website:
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Have employee complete the Refusal of Doctor’s Care Agreement.
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Have employee complete the Employee’s Report of Incident.
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Have employer/supervisor complete the Employer’s Report of Incident.
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Within 24hrs, submit the claim to InSource.
YES, Medical Treatment Is Needed:
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Find a Provider page – Use the rules for the claim’s state: 1) Panel Required, 2)
Employer Directs, or 3) Employee Selects. Call your Account Manager for guidance.
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Complete the Authorization for Medical Treatment form and send to provider
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Have employer/supervisor complete the Employer’s Report of Incident.
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Have employee complete the Employee’s Report of Incident.
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Have all witnesses complete the Witness Statement.
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Within 24hrs, submit the claim to InSource.
Claims reported after 72 hours increase costs by 40%. Please report all injuries the same day – even the same hour – so we can manage the injury/claim and reduce & control the cost. This helps minimize your deductible payments, too!
POST-INCIDENT REPORTING PROCEDURES FOR WORKERS’ COMPENSATION
- Stay in frequent contact with your injured employee throughout the entire claim, showing them you are concerned for their wellbeing. This reduces the likelihood the injured employee will retain an attorney.
- Employee receives medical & work status report – Send to InSource.
- In writing, provide a light duty job within the restrictions identified by the physician. A defined and consistent Return To Work program is crucial! If the Employer is not able to accommodate the light duty restrictions, the Adjuster will utilize a third-party vendor to help locate a light duty job for Employer to offer (unless specific jurisdiction requires modified duty be done directly with Employer).
- Make notes of all follow-up appointments & notify InSource of each one.
- Obtain a new work status report at every visit until a full medical release is received from the physician – Send all reports to InSource.
- Review the causes identified on the report: Every accident is caused by either an “Unsafe Act” or an “Unsafe Condition.” If an unsafe condition is identified, correct the condition. An unsafe act may be corrected through additional training, etc.
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