Understanding the Workers’ Compensation Claims Process

A workplace injury can be a difficult and even overwhelming situation for both employers and employees. Understanding and maintaining a suitable workers’ compensation insurance policy can be a valuable step for managing these scenarios, but simply having coverage may not be enough. You should also be prepared to help employees navigate the claims process and optimize their recovery and care.

What Is Workers’ Compensation?

Workers’ compensation is a type of insurance that can provide benefits to employees who experience work-related injuries or illnesses. In Colorado, most employers are required by law to carry this coverage. It can help cover various losses and expenses arising from covered incidents, including medical expenses, wage replacement and rehabilitation costs, while also financially protecting employers from certain legal claims.

How to Manage a Claim

Understanding the workers’ compensation claims process can help make sure the aftermath of on-the-job health issues is handled smoothly and efficiently. Consider the following key steps:

1. Report the injury promptly. Employees should notify their employer about a workplace injury or illness as soon as possible. Prompt reporting can help avoid delays in payouts and make sure the claim is valid under state law.
2. Seek medical attention. Your business may direct injured employees to a designated medical provider. It’s important to follow guidelines for treatment and to document care and services received.
3. File the claim. Your company should typically submit a First Report of Injury to its workers’ compensation insurance carrier within 10 days of being notified.
4. Stay in touch. The insurance carrier will review the claim, gather information and may request additional documentation. They will determine if the claim is approved and what benefits are available.
5. Receiving benefits. If approved, employees may receive benefits for medical care, wage replacement and other necessary support. If a claim is denied, there are options to appeal the decision.

We’re Here to Help

Our team at McDonald Insurance Group is here to guide both employers and employees through every stage of the workers’ compensation claims process. If you have questions about workers’ compensation insurance or need assistance with a claim, contact us today.

This blog is intended for informational and educational use only. It is not exhaustive and should not be construed as legal advice. Please contact your insurance professional for further information.