The important aspects of the claims process include: reporting an injury, obtaining medical treatment, and returning the employee to work.
To complete this procedure, the following steps must be followed:
- Employees must report an accident to their supervisor or their representative within 48 hours. All faculty, staff, and students who receive wages from UVA are covered.
- Employees must select a physician from the UVA List of Panel Physicians for medical treatment. This information will be provided by the supervisor. DO NOT go to your Primary Care Physician or your claim may be denied.
- The supervisor must fill out an accident report (where does the supervisor get the accident report? Maybe there should be a link to it here) and return it to Linda Coiner at Human Resources Benefits Office (Fax # 924-4486).
- The supervisor must immediately contact Linda Coiner in the University Human Resources Department, at 924-8939 or email at lgc3u@virginia.edu. As of July 1, 2008, telephonic reporting will no longer be available by calling Managed Care Innovations. This step must be done to guarantee WC claim benefits; the physician DOES NOT file the Workers Comp claim.
- If the approved Panel Physician writes a prescription for the employee, the employee should take it to a First Script Participating Pharmacy. Where to find this info?
- To expedite filling your prescription it is best to take a copy of the Workers Compensation First Script Pharmacy Card. Where do they get this pharmacy card?
After the Accident
Accident Investigation. All accidents resulting in injury, regardless of severity, should be investigated by the EHS Safety Coordinator, the departmental Safety Manager and/or the supervisor of the injured employee to determine ways to improve safety and prevent similar accidents from occurring. To assist in this process, a sample Accident Investigation Form from the Virginia Department of Human Resources (maybe a link to the form should go here) is available for use. For help on Accident Investigations contact Barbara Schroeder, Safety Coordinator at 3-5002, bls@virginia.edu.
Restricted Duty? The employee must obtain a Return To Work Status Form from the workers' compensation panel physician and send it to Linda Coiner at Fax # 924-4486 in order for any period of disability to be listed as Workers' Compensation leave.
Employee’s Own Leave Time? If the employee is given a work excuse from his/her panel physician, the first 7 calendar days that the employee is excused from work must be covered by the employee’s own leave time. Workers Comp does not kick in until after the 7th calendar day.
Still Getting Bills? Call UVA Workers Compensation Coordinator, Linda Coiner at 4-8939.
Denied Claim? In case the injury is not approved as being work-related, the employee’s own medical insurance should cover the amount above the employee’s regular co-pay amount.
Appeals? Employees can seek further appeal to the Virginia Workers Compensation Commission if they believe the claim should be compensated as a work place accident. http://www.vwc.state.va.us/employees_guide.htm
Last Modified: Monday, March 12, 2007 14:56
© Copyright 2007 by the Rector and Visitors of the University of Virginia