Claim Management

Claim Management CheckList

How to Lessen the Severity of a Claim

1.

Before Any Injury Ever Occurs

 Conduct a thorough background check on candidates for hire.

 Require a pre-employment physical exam when appropriate.

 Set up a pre-employment drug-testing program.

 Provide safety training for all employees.

 Inspect your operations on a regular basis to uncover and fix unsafe work conditions.

 Establish and communicate incentives for safe work behaviors.

2.

Immediately After an Injury Occurs
Getting the injured worker proper medical attention is so critical that The Hartford offers a network of medical providers who specialize in various types of on-the-job injuries. The Hartford makes it easy to report claims early, 24/7. Read more

 Tend to the injured employee; show concern.

 Get the injured worker proper and immediate medical attention.

 Call us to report the injury right away, filling out any necessary paperwork and formsand file the claim.

3.

As Soon as Possible After an Injury Occurs

 Investigate and document the accident.

 Report as many details of the incident and injury as possible.

 Remember to ask the 5Ws when investigating an accidentWho, What, Where, When, Why.

 Use an Investigation Report form to make sure you collect all pertinent information.

 Take photos of the accident scene and interview all witnesses.

 Check up on the injured employee.

 Contact the doctor for a prognosis.

 Obtain medical records.

 Keep all accident reports in a secure and accessible spot.

 Update your OSHA log.

4.

Within 24 Hours or as Soon as Possible After Injury Occurs
Learn how Team-WorkTM offers the guidance you need to get injured workers back to work safely.

 Obtain medical records.

 Maintain a good relationship with the injured employee.

 Make initial contact with your claims adjusterand keep a file.

 Bring the injured employee back to work in an appropriate capacity as soon as possible.

5.

Once the Injured Employee Has Recovered
See how The Hartford’s Medical Bill Review service can be instrumental in helping you to control workers’ comp claim costs while providing appropriate medical care to your employees.

 Obtain and audit all medical provider invoices, carefully reviewing them for any duplicate charges and upcodes.

 Close the claim.