Claims Information
Frequently Asked Questions
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| 1. |
I have been injured at work. How do I report a claim?
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| 2. |
What happens after my employer reports my injury ?
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| 3. |
What is a Dependency form and why do I need to complete this?
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| 4. |
How is my weekly benefit amount calculated?
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| 5. |
What is the maximum compensation rate per week?
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| 6. |
What if I have more than one job?
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| 7. |
Why is there a 3-day waiting period?
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| 8. |
Am I entitled to compensation for my scar?
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| 9. |
Am I entitled to a second medical opinion?
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| 10. |
Can I collect workers’ compensation and TDI?
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| 11. |
What type of benefits am I entitled to? Do you pay for my pain and suffering?
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| 12. |
What services does The Beacon offer me to help with my recovery?
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| 13. |
I had to pay for my own prescriptions. Can I get reimbursed for them?
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| 14. |
When should I expect to receive my first check?
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| 1. |
I have been injured at work. How do I report a claim?
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Notify your supervisor or human resource department immediately.
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| 2. |
What happens after my employer reports my injury ?
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After your employer reports the injury to our office, a claim representative is assigned. You will be contacted directly within 24 hrs to review information and begin the claim process.
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| 3. |
What is a Dependency form and why do I need to complete this?
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A Dependency form confirms your marital status and number of dependent children. If you are out of work, this information is used to calculate benefits on claims.
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| 4. |
How is my weekly benefit amount calculated?
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Injured workers are reimbursed at a state mandated rate, which is approximately 75% of the net weekly wage, with slight changes due to your marital status and number of exemptions/dependents.
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| 5. |
What is the maximum compensation rate per week?
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Every September 1st, the maximum rate for benefits changes. This information is posted on the Department of Labor and Training website.
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| 6. |
What if I have more than one job?
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If you lose time from a second job due to a work injury at your primary job, then you are also entitled to receive benefits from the second job. A wage form is sent to your second employer, and your earnings are included in the calculation of your benefit rate.
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| 7. |
Why is there a 3-day waiting period?
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The 3-day waiting period is state-mandated.
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| 8. |
Am I entitled to compensation for my scar?
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Yes. You are entitled to benefits for any permanent disfigurement you receive as a result of a work-related injury. Contact your claim representative for further information regarding scarring benefits.
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| 9. |
Am I entitled to a second medical opinion?
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Yes. If you desire a second medical opinion, contact your claim representative who can assist you in coordinating the second opinion and explain the process.
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| 10. |
Can I collect workers’ compensation and TDI?
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No. TDI payments are for non-work related injuries or illnesses.
Workers’ compensation payments are for work-related injuries.
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| 11. |
What type of benefits am I entitled to? Do you pay for my pain and suffering?
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Workers’ compensation does not reimburse you for pain or suffering. You are entitled to a lost wage benefit until you are able to return to work. Workers’ compensation also pays for medical expenses related to the work injury, as well as scarring and loss of use if appropriate to your injury.
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| 12. |
What services does The Beacon offer me to help with my recovery?
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We have nurses on staff to assist you with receiving appropriate medical treatment, and ergonomic specialists that work with you and your employer to aid in your return to work. Your claim representative helps you and your employer coordinate these services.
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| 13. |
I had to pay for my own prescriptions. Can I get reimbursed for them?
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Submit the pharmacy receipts to your claims representative or employer, and you will be reimbursed for any out-of-pocket costs.
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| 14. |
When should I expect to receive my first check?
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Our goal is to pay accepted claims within 7 to 10 days of notification of a work related injury.
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