Return to work form sedgwick
Claim information is handled in a confidential manner.
Labor laws protect against retaliation for filing a workers' compensation claim. The employee will receive a written notification of this decision.Īccording to CSU policy, if an employee has returned to work and remains under the care of a physician, and "an employee loses work time for doctor's appointments, physical therapy, etc., such absences shall be charged to the employee's leave credits." Sedgwick has up to 90 days from the date the claim is filed to accept or deny a claim. The physician receives past medical records and other information relevant to injury/illness, treatment, and a to reach a claim determination. If deemed necessary, the employee is referred to a physician evaluator to determine if the injury or illness arose out of or in the course of employment and should be deemed industrially related. 3584) or manager prior to beginning work so temporary job accommodations can be facilitated, as applicable.Ī medical history is obtained by Sedgwick and a representative may interview the employee and any witnesses. Work restrictions should be provided in writing to UP (ext. A work status is required of the employee from the treating physician at the end of each appointment that should be provided to University Personnel or the manager after each medical visit. The Sedgwick claims examiner and the UP workers' compensation analyst supports employees and supervisors with the reporting and treatment process.Įmployees are expected to keep medical and treatment appointments and to contact the provider 24 hours in advance if rescheduling is necessary. The claims examiner at Sedgwick CMS, CSUMB's workers' compensation carrier, contacts the employee to confirm the claim has been filed and facilitates the claim process. Injured employees have the right to file a Workers' Compensation Claim Form within one year from the date of injury. The employee's direct supervisor submits a Supervisor's Report within 24 hours to UP.Įmployees are encouraged to submit the Workers' Compensation Claim Form (DWC-1) to UP within 24 hours after a work-related injury or illness. Injured employees must complete and promptly submit the Accident, Illness, and Incident Report within 24 hours to UP. UP also provides a Pharmacy Network Script to cover prescription drugs on the approved formulary for work-related injuries.
If a Physician Pre-designation form is on file with UP, the employee may choose to be seen by the designated physician instead of CSUMB's Medical Provider Network (CSUMB Health Center or Doctors on Duty). A referral to the designated Medical Provider Network for treatment is provided by UP or the supervisor. Refer to the Workers' Compensation FAQ for guidance on seeking medical treatment and reporting requirements. For assistance, call the UP Analyst for ADA, Leaves, and Workers' Compensation at (831) 582-3584. Student Assistants, registered volunteers, staff, and faculty are covered by workers’ compensation insurance. Injuries should be reported immediately to the supervisor and UP (ext. As required by law and CSU policy, workers’ compensation insurance coverage is provided for work-related injuries.