Immediately
after experiencing a work-related injury, questions begin to arise and you may
not be sure what to do next or what you can expect to happen. To help guide you
through the initial stages of your claim, we have provided the following on what to
expect after sustaining a work-related injury. Be sure to also check
out the Glossary of commonly-used insurance terminology. If you have additional
questions, please contact your claim representative or your employer.
Report your injury to your
employer.
Report
any injuries to your supervisor or safety manager as soon as they occur. Even
if you think you may not need medical treatment, it is always important to
notify your employer of all injuries as soon as they occur. You may think it
will get better over the weekend, or with rest, however it is still very
important for you to notify your employer of any work related injury or
accident. The sooner we know about your injury, the sooner we can implement a
proactive plan to help you return to wellness.
Employer reports claim to insurance
carrier.
Your
employer will report the injury to Eastern Alliance Insurance Group by
filing a claim, and your claim will be assigned a claim number. Your employer
will give you the claim number as well as a Work Status Report form to take to
the doctor or hospital. The claim representative will be in contact with you to
go over the details of the claim, as well as any benefit information. Keep your
claim number and claim representative’s contact information in an easily accessible
place, such as your wallet.
Medical treatment
Your
employer will advise you if they have a list of doctors that you are required
to treat with (sometimes referred to as a "medical panel"). When you
go for medical treatment, give the provider your employer’s information, your
claim number, and the insurance carrier's information.
There
is no co-payment or deductible for you to pay. Sometimes providers may not have
your claim information so they will bill the patient. If you are receiving a
bill at home, it is probably a sign that your claim representative has not
received the bill. If you receive any invoices at home, you can call the
billing department listed on your bill and give them your claim information, or
you can send the bill to your claim representative. Make sure to write your
claim number on any correspondence that you send to us.
Work Restrictions
Your
provider will determine if there is a need for any additional follow up
treatment or prescription medications indicated, as well as if you are given
any type of restrictions for work. Provide them with the Work Status report for
completion. This is proof of any type of restrictions or disability that you
are given. Give this to your employer and ask them to make a copy for you. They
should send a copy of this to the claim representative assigned to your claim.
After each following appointment, you should get your work status.
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