Workforce

The Ins and Outs of Workers’ Compensation

Accidents happen – so having workers’ compensation isn’t just an option, it’s necessity. Here are tips on benefits of workers’ comp, what to do, what to avoid and how to prevent accidents.
By Edith Gates
June 26, 2018
Topics
Workforce

Accidents happen. Regardless of how stringent a company’s safety measures are, there is no possible way to completely eliminate the threat of workplace accidents. That’s where workers’ compensation insurance comes in. Having workers’ compensation isn’t just an option, but a necessity.

WHAT ARE THE BENEFITS OF WORKERS’ COMPENSATION INSURANCE?

In the case of an employee accident and subsequent claim, workers’ compensation insurance can provide businesses with following benefits:

  • Access to professionals who will help the business through the claims process. These professionals can include adjusters, case managers and attorneys to represent the insured’s interests.
  • Financial stability through the payment of medical bills and loss of wages for an employee who is unable to work due to an on-the-job accident. These are usually expenses that are unforeseen in a business’ budget, can add up quickly, and can potentially result in the financial bankruptcy of a company without insurance.

What should a business do if an employee is injured?

When an employee is injured, no matter how seemingly insignificantly, it is important for the company to cover all of their bases each and every time. Here are some tips on how to respond:

  • Have the employee seek medical attention right away. If an employee delays visiting a doctor, the injury could worsen and the employee may be out of work longer.
  • The appropriate person should fill out the appropriate form reporting the injury. All companies should have some type of “first report of injury” form to fill out when a work place accident occurs. It is important to fill this out while the incident is still top of mind.
  • Once the form is filled out, the company needs to send the form to their workers’ compensation carrier or insurance agent right away. A claim can take up to 24 – 48 hours to be set up. This will expedite the authorization process if the employee needs to seek additional medical treatment. Insurance companies also like to be involved from the start of a claim since this can cut down on the overall claim costs.

THINGS TO AVOID

Do not engage in any of the following methods. They can — and usually do — backfire.

  • Don’t prolong reporting an incident and getting a claim started. This can cause an employee’s injury to worsen and prevent them from getting timely medical treatment. This can also cause medical bills to go unpaid for longer than necessary, resulting in frustration for the employee — especially if there are overdue bills and have yet to receive compensation for lost wages. Frustrated employees are typically the ones who seek legal representation and any type of lawsuit will cause the claim to stay open longer and cause a company’s cost to increase.
  • Businesses should never try to pay an employee out of pocket to avoid a claim. This can often cause employees to “extend” recovery time and stay at home longer. Insurance companies usually only pay a claimant a percentage of their full wages. This percentage will vary based on state. This reduced rate will often encourage employees to return to work sooner.

PROACTIVE WAYS TO AVOID ACCIDENTS

While it is commonly known that accidents are unavoidable, that doesn’t mean businesses can’t take preventative measures. It is the responsibility of every employer to provide their employees with a safe working environment. Some ways employers can prevent possible accidents and strengthen the safety of their work environment include:

  • Drug testing. It is important, particularly in high-risk industries such as construction, to include a drug test as a routine part of the hiring process. It is also crucial to conduct a drug test AFTER an injury occurs.
  • Conduct regular safety classes. Make safety an important part of the overall corporate culture. Not only should classes be conducted, but make it a priority to enforce the rules and regulations introduced in those classes.
  • As appropriate, enforce the use of safety clothing and protective gear. These could include goggles, hard hats, proper footwear and safety vests.

By taking these steps, business owners can best protect their company, ensuring its financial future is not threatened by workers’ compensation claims.

by Edith Gates
Edith Gates, CISR,  has been a proud team member of Georgetown Insurance Service, Inc. since 2004 and a licensed insurance agent since 2006. She has also received her Certified Insurance Service Representative (CISR) designation from The National Alliance for Insurance Education & Research. Edith specializes in Workers’ Compensation claims and has expanded her duties to also include all lines of business insurance coverages. She prides herself on making her clients’ claim experiences as stress free as possible.

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