HomeMy WebLinkAbout310-12DC ty af ti
o i :Q O ' POLICY & PROCEDURE
Subject: Index: HUMAN RESOURCES
WORKERS COMPENSATION/ INDUSTRIAL Number: 310-12 (supersedes 300-38)
INSURANCE PROGRAM n
Effective Date: Supersedes: Page:Staff Contact: Approved B
S/15/2012 1/1/1993 1 of 5 Nancy A. Carlson G
1.0 PURPOSE:
This policy describes the claims submittal and processing procedure for industrial
insurance claims, and designates responsibilities within the organization for the
administration of the self-insured Workers' Compensation/Industrial Insurance
Program.
2.0 ORGANIZATIONS AFFECTED:
All City departments and employees in a full/part-time status, excluding those
employees who are members of the LEOFF I retirement system.
3.0 REFERENCES:
Chapter 51.28 RCW
WAC 296-15, 296-18
City of Renton Policy& Procedure 700-09, Occupational Illnesses and Injuries
4.0 POLICY:
Effective January 1, 1984, the City of Renton instituted a program of self insurance for
all industrial insurance claims. It is the City's policy to process all claims efficiently and
expeditiously, to insure avoidance of unnecessary delays in either the receipt of
benefits by injured employees or in the payment of claims for medical services
rendered in the treatment of work-related injuries or illnesses.
Volunteers are covered by the City of Renton Self Insured Program for injuries sustained
while volunteering for the City. Coverage is for medical payments only. Volunteers are
not entitled to indemnity payments for time off work.
To insure that this objective is met, the following procedures will be followed in the
administration of the self insured Workers' Compensation/Industrial Insurance
Program.
Workers'Compensation/Industrial Insurance Program
p.2
5.0 DEFINITIONS:
Not applicable.
6.0 PROCEDURE:
6.1 Administrative Services Administrator:
6.1.1 The Administrative Services shall be responsible for the assurance that
the City meets all financial obligations as set forth by State law regarding
the Workers' Compensation Self Insurance Program. This will be
accomplished through the establishment of an appropriate loss fund,
posting of cash and performance bonds, and the securing of appropriate
levels of excess insurance.
6.2 Human Resources and Risk Management Administrator or designee:
6.2.1 The Human Resources and Risk Management (HRRM) Administrator,
through coordination with the City's Third Party Administrator (TPA),
shall be responsible for claims tracking once a reportable work-related
injury or illness has occurred. Tracking shall include the forwarding of all
claims information to the TPA, monitoring of claims via the claims
database through final disposition, and maintenance of the internal
claim files. It shall be the additional responsibility of the HRRM
Administrator to advise the Administrative Services Administrator of any
potentially large claims to insure adequate resources are identified to
meet all monetary obligations related to those claims, and to assure the
Excess Carrier has been notified.
6.2.2 The HRRM Administrator shall be responsible for the establishment of
and representation of an employee education program to insure that all
employees are aware of their rights and obligations in industrial
insurance claims.
6.2.3 The HRRM Administrator shall be responsible for the analysis of causes
of industrial injuries and the development of programs and policies that
will aid in increased employee safety awareness and accident prevention.
6.3 Claims Administrator
6.3.1 The City of Renton has contracted with a Third Party Administrator for
the purpose of representing the City and administering all claims activity
due to work-related injuries/illnesses.
Workers'Compensation/Industrial Insurance Program
p.3
6.3.2 The Claims Administrator (TPA) shall, upon proper notification and
receipt, be responsible for the investigation, audit, and payment of all
industrial insurance claims. Verification shall be accomplished through
comparison of the physician's initial report and the Self Insurer Accident
report.
6.3.3 Auditing responsibilities shall include determination of proper or
excessive treatment and time loss authorizations by the attending
physician.
6.3.4 Upon determination of the appropriateness of a claim, the TPA shall
authorize and disburse on behalf of the City, any and all disability
allowance benefits and medical treatment payments.
6.3.5 Additionally, the TPA shall insure that timely notification is issued to the
HRRM Administrator regarding the status of all claims and to the
Administrative Services Administrator regarding any and all
disbursements from the claims fund.
6.4 First-line Supervisor: Upon notification of an injury requiring medical attention
or resulting in time loss, the first-line supervisor shall take the following actions:
6.4.1 Direct the injured employee to seek immediate medical treatment if
necessary. (See Policy and Procedure 700-09, Occupational Illnesses and
Injuries.)
6.4.2 Provide the injured employee with an industrial insurance claims packet.
Packets are distributed to each supervisor's office by the HRRM
Department. Additional stock of claims packets are available upon
request from the HRRM Department.)
6.4.3 In accordance with City Policy and Procedure 700-09, complete a
Supervisor's Report of Injury; and immediately notify the Department
Administrator and HRRM Department of the name of the injured
employee and the extent of the injuries.
6.4.4 Insure that, as soon as physically possible, the injured employee
completes the Washington State Labor and Industries Form SIF-2, Self
Insurer Accident report. Upon completion, the supervisor will complete
the employer's portion, sign and date and forward all copies to the
HRRM Department.
6.4.5 Upon the return of an employee who has been on disability leave, the
supervisor shall immediately notify the HRRM Administrator.
Workers'Compensation/Industrial insurance Program
p.4
6.5 Employee
6.5.1 The employee is responsible for immediately reporting all work-related
injuries to his/her supervisor.
6.5.2 When medical treatment is necessary, the employee must present to the
attending physician the pre-addressed Physician's Initial Report
contained in the claims packet); and inform the medical facility that his
or her employer is self-insured for industrial insurance. If the employee
does not have a claims packet, he or she merely informs the medical
facility that the injury/illness is work related and that the employer is self
insured. This will alert the facility to complete the appropriate forms,
which should then be forwarded to the City of Renton HRRM
Department, which will in turn forward the report to the Claims
Administrator.
6.5.3 As soon as possible, complete the employee (worker) portion of the Self
Insurer Accident report (contained in the claims packet) and forward it to
your supervisor. This should be accomplished as soon as possible as
failure to submit this report in a timely manner can result in delays in the
receipt of time-loss payments by the injured employee or the satisfaction
of inedical treatment billing obligations on behalf of the City.
7.0 CLAIMS PAYMENT:
7.1 The TPA shall establish the proper amount of benefit payment, either or lost
wages due to time-loss or for medical treatment, and will process payments in
accordance with Washington State Industrial Insurance laws.
7.2 According to Washington State law no employee shall receive compensation for
the day the injury occurs of the three days following it unless the disability
continues for a period of fourteen (14) or more consecutive calendar days from
the date of injury.
7.2.1 Accrued sick leave can be used to supplement time-loss payments. In
those cases where accrued sick leave is applied in conjunction with the
disability allowance, the disability allowance will be forfeited by the
injured employee and the employee's sick leave account credited for the
value of the disability allowance.
7.3 Payment of benefits to employees or dependents for permanent disabilities or
death is determined by the Washington State Department of Labor and
Industries.
Workers'Compensation/Industrial Insurance Program
p.5
8.0 APPEALS:
8.1 In accordance with Washington State law, the Department of Labor and
Industries shall retain jurisdiction over all appeals relating to industrial insurance
claims.
8.2 Any employee who disputes the findings or payment of an industrial insurance
claim may file an appeal directly with the Washington State Department of
Labor and Industries, Appeals Division.