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CLAIMS REPORTING
- What must I do if an injury occurs?
In the event that an injury occurs that may be covered by your workers compensation policy, you will have several duties. These would normally include:
- Provide for immediate medical and other services required by the workers compensation law.
- Provide the carrier with the names and addresses of the injured persons, witnesses, and other information that may be needed.
- Promptly give notices, demands, and legal papers related to the injury, claim proceeding or suit to your carrier.
- Cooperate and assist your carrier as they may request, in the investigation, settlement or defense of any claim, proceeding or suit.
- Do nothing after an injury occurs that would interfere with your carriers right to recover from others.
- Do not voluntarily make payments, assume obligations or incur expenses, except at your own expense.
- What claims must I report?
A workers compensation case may exist when either the employer or employee believes that the employee may have been injured or became ill because of a work related exposure. If you believe the employee has or will seek medical care beyond the first aid care you that you have provided, or if the employee has lost time from work because of a work related incident you should report the claim to your carrier. This is especially important if you disagree with the workers allegations, or if you have reason to believe that a third party may have been responsible for the injury or illness.
We would advise that you report all cases to Montlake. Cases where there is no medical care procured, or no time is lost from the job will be treated and reported as first aid / incident only claims. This will protect you against liability in the event that complications later develop, normally without adversely affecting your premium.
- How much time do I have to report a claim?
All claims should be reported as soon as is possible, but in no case later than 48 hours or as your carrier advises, from your notice of a potential loss. The first few days after a loss occurrence are a critical time in the life of a claim. Injured parties are in need of support to help them deal with the uncertainty and fear that often accompanies an on the job injury. Witnesses have facts fresh in their minds.
Effective claims response during these first few days can often have a significant positive impact on the ultimate claims outcome.
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