Instructions For Filing A Claim

When an employee is injured on-the-job and you need to file a workers’ comp claim, there are several steps you should take to expedite the claims process:

1. Assist your employee in obtaining prompt medical care.

• In an emergency, the employee should seek immediate medical care at the nearest emergency room and notify you as soon as possible thereafter.
• In all other instances, the employee should inform you of the injury before seeking medical care. You should provide first aid on site, if necessary. Then refer the employee to an approved medical provider.
• Immediately request a drug screen from the medical provider.

2. File a claim with Construction Claims Management immediately after a work-related injury occurs (within 24 hours of occurrence).

• Complete the First Report of Injury (FROI) form with your worker, if possible. No decision can be made on a claim until all required information is received. Explain workers’ compensation procedures to the worker and assist in relieving any anxieties they may have relating to the injury and their position.
• Fax the First Report of Injury (FROI) form to 334-834-9293.

3. Conduct an investigation immediately while the information is fresh in people’s minds—then take the necessary corrective action to prevent the injury from occurring again. The AHBSIF has loss control reps who can assist you in this investigation. Call for the rep in your area. Your written accident investigation report should include:

• Inspection of the accident site.
• A determination of the reasons why the accident happened.
  
• The circumstances involving the accident.
  
• Evidence and photographs.
  
• Interviews of all witnesses and others in the accident area and writing down their statements. Interviews should be conducted in a sensitive manner at a comfortable location.
  
• An outline of the necessary corrective action that will be taken to prevent the injury from happening again.

If the investigation suggests that your employee’s injury is not your responsibility or seems questionable in nature, be sure to provide your comments and attach it to the FROI form. If you have already submitted the FROI form with the Employer Section completed, please write or call us with your concerns.

4. Complete all the required paperwork in a timely manner and fax it to the Construction Claims Management office at (334) 834-9293. This includes: Wage Statement, Consent form, and Employee’s Report of Injury form. This information may be faxed to our office at 334-834-9293.
5. Promptly send in any medical documentation and/or bills to our office for processing. (P.O. BOX 244202; Montgomery, AL 36124)
6. Refer all medical providers to CCM for any authorization or approvals for treatment.
7. Immediately forward any LEGAL documentation/ suit, etc. to CCM.

Stay in contact with the worker, the medical provider, and Construction Claims Management. Help the workers continue to feel they are an important asset to your company.