Initial coordinator actions

This description of worker’s compensation coordinator duties and responsibilities provides a general overview and reference. Your campus may allocate specific tasks and responsibilities in a different manner.

Collect and review initial documentation

When you receive notification of an employee injury, illness, or occupational exposure, you will need to obtain and review three forms:

Prioritize claim and process accordingly

Prioritize claims as follows:

  1. Fatality or multiple hospitalizations. URGENT, 8-12 hours.stopwatch
  • See Fatality or multiple hospitalizations page for mandatory requirements.
  • Enter claims data into the STARS database. Fill in mandatory and required data fields per recommendations in the STARS User Guide. See the STARS data entry resources page for more detail.
  • Fax completed forms immediately to the Worker’s Compensation Claims Examiners at UW System Administration: (608) 263-7330.
  • Continue with File documents and acknowledge receipt of claim, below.
  1. Lost time. IMPORTANT, within 48 hours.
  • Enter claims data into the STARS database. Fill in mandatory and required data fields per recommendations in the STARS User Guide. See the STARS data entry resources page for more detail.
  • Fax completed three initial forms (above), plus any additional documentation, to Worker’s Compensation at UWSA: (608) 263-7330.
  • Continue with File documents and acknowledge receipt of claim, below.
  1. Treatment by medical professional. No later than 14 days.
  • Enter claims data into the STARS database. Fill in mandatory and required data fields per recommendations in the STARS User Guide. See the STARS data entry resources page for more detail.
  • Continue with File documents and acknowledge receipt of claim, below.
  • If claim turns into a Lost Time claim, immediately fax documentation pertaining to the Lost Time to Worker’s Compensation at UWSA: (608) 263-7330.
  1. Incident (no treatment by medical professional). No later than 14 days.
  • Enter claims data into the STARS database. Fill in mandatory and required data fields per recommendations in the STARS User Guide. See the STARS data entry resources page for more detail.
  • Continue with File documents and acknowledge receipt of claim, below.

File documents and acknowledge receipt of claim

  • Send original claim documents to the Claims Examiner at UW System Administration, a copy to your Safety Manager, and keep a copy in your files. This must be done within 14 days of the report of injury/illness.
  • Send receipt of claim acknowledgement to the injured worker and to his/her department.

 

Page last saved: 10/24/2013