3 key steps for filing a successful workers' compensation claim

If you have been hurt at work, the last thing you need is paperwork and red tape interfering with getting the benefits you deserve. Here are three key steps to take after you have been injured to help ensure a successful worker’s compensation claim with the Department of Labor and Industries or a Self-Insured Employer.

Step 1. Report

Promptly report the injury/ condition to the proper person. This person could be your supervisor or a designated health and safety coordinator with your employer. The report of accident must be via a form, not verbal. The report of accident form includes worker information, dependent information, employer information, and lastly, medical provider information. Fill out the injured worker and dependent portions of the form. You should have the option to fill out the form electronically or on paper. Claims filed electronically are processed faster. Common mistakes on the report of accident form include, but are not limited to:

• Not including your dependents

• Giving an incomplete description of how the injury occurred or the body parts impacted

• Incorrect dates for when the injury occurred or when the condition developed

It is important to note that a claim for an industrial injury must be filed with the Department of Labor and Industries within 1 year of the injury occurring. For an occupational disease, a claim must be filed within 2 years of being diagnosed with an occupational disease.

Step 2. Seek

Seek attention from a medical provider of your choosing. Your employer or the Department of Labor and Industries may try to steer you toward a provider. However, no one can make you see a particular provider for the initial appointment. At the initial appointment, the provider will fill out their portion of the report of accident and submit it to the Department of Labor and Industries or to the Self-Insured Employer. The provider must include whether there is an injury or condition, what the diagnosis is, and whether it was caused by a workplace incident or work conditions. For a claim to be accepted, the provider must indicate that the injury or condition resulted from work, or that it is at least “probable”. This initial appointment and any initial diagnostic testing will be paid for even if the claim is not ultimately accepted.

Step 3. Follow

The provider will likely have recommendations regarding treatment and your ability to work. Follow the provider’s recommendations. Additionally, follow up with your assigned claims manager at the Department of Labor and Industries or the Self-Insured Employer to make sure they have all the necessary documentation within the required timeframe.

If you have additional questions, or you want help filing or managing your claim, reach out to us here at Atlas Law and let us take the weight off your shoulders.