UMD Procedures February 2015 11/7/2015 Agenda Overview and Introduction  Roles and responsibilities  Process for reporting a work-related injury  Recent changes to the process 

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Transcript UMD Procedures February 2015 11/7/2015 Agenda Overview and Introduction  Roles and responsibilities  Process for reporting a work-related injury  Recent changes to the process 

UMD Procedures
February 2015
11/7/2015
1
Agenda
Overview and Introduction
 Roles and responsibilities
 Process for reporting a work-related injury
 Recent changes to the process
 Resources
 Quiz
 Demonstration of electronic-FROI
 Questions

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Workers’ Compensation Web
site

Go to UMD HR
 Click on Workers’ Compensation
 http://www.d.umn.edu/umdhr/WorkComp/
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Overview and Introduction

Positive Employee Relations
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Worker’ Comp. Coordinator

Roles and Responsibilities
◦ First Point of contact
◦ Liaison to all the parties in the process
◦ Team approach – UMD services & resources
◦ Policy and procedure resource
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Team Approach
UReturn to
work
Workers’
Compensation
Environmental
Health &
Safety
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FMLA
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Process for Reporting a WorkRelated Injury

Supervisor Promptly Notify UMD Workers’
Compensation Coordinator (Cathy Rackliffe)
◦ All reported incidents
◦ When employee begins to lose time from work
◦ Sustains a re-injury
◦ Can’t work within restrictions
◦ Receipt of medical report
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Process (continued)

Employee’s role
◦ Immediately notify supervisor of on-the-job injury, accident, or
◦
◦
◦
◦
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illness
First aid or seek medical attention
Complete
◦ Employee Incident Report
◦ Return medical report to W.C. Coordinator
◦ Follow medical imposed work restrictions at work AND outside
of work
Stay in touch with supervisor
Work with departmental payroll person on lost time claims
Cooperate
◦ HR and W.C. Coordinator
◦ UReturn-to-Work Coordinator
◦ Sedgwick Claims Management Services, Inc.
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Process (continued)

Supervisor’s role
◦ Make sure employee gets medical attention
◦ Dial 911 if injury is potentially life threatening
◦ Complete
◦ First Report of Injury
◦ Supervisor Incident Investigation Report
◦ Lost Time Report (as needed)
◦ Forward medical reports to W.C. Coordinator
◦ Stay in touch with employee
◦ Cooperate
◦ HR and W.C. Coordinator
◦ UReturn-to-Work Coordinator
◦ Sedgwick Claims Management Services, Inc.
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Process (continued)
 Seek
medical attention
 Emergencies: nearest hospital
 Burns: Miller-Dwan Hospital or nearest hospital
emergency room
 Eye Injuries: nearest hospital emergency room or
Ophthalmologist




UMD Health Services
St. Luke’s Occupational Health
Duluth Clinic Occupational Medicine
Personal Physician
 Other locations for NRRI, CMRL
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Process - Employee
 FORMS
 Employee Incident Report
○ Complete as soon as possible following the incident
○ Forward to Supervisor
○ Supervisor sends to W.C. Coordinator
 Medical Report
○ FAX or deliver a copy to W.C. Coordinator
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Process – Supervisor
 FORMS
 First Report of Injury (paper or electronic version)
 Complete for ALL incidents, except minor incidents
such as paper cuts unless develops into more serious
injury
 Complete within 8 business HOURS (1 day)
 Forward to W.C. Coordinator
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Process – Supervisor
 FORMS
 Supervisor Incident Investigation Report
 Complete for ALL incidents, except minor incidents
such as paper cuts unless develops into more serious
injury
 Complete within 72 business HOURS (3 day)
 Forward to W.C. Coordinator
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Process – Supervisor
 FORMS
 Lost Time Report
 Complete for lost time incidents
 Complete as soon as possible following end of
payroll period.
 Forward to W.C. Coordinator
 Have employee work with Payroll Coordinator
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Process – Supervisor
• FORMS
• Give injured employee paper copies of:
• MN W.C. Info Sheet
• UMD List of Designated Providers
• Temporary Prescription Drug ID Card
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Changes to the Process

2009
 New Policy and procedures
 Timelines for completing required forms tightened
○ Emphasis on early reporting
 Complete FROI for ALL incidents
 Temporary Prescription Drug ID Card
 First Fill (7-day prescription, 25 tablets, up to $125)
 Express Scripts absorbs cost if claim not accepted
 Permanent card for accepted claims
 Target, Walgreens, Duluth Clinic, etc.
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Changes (continued)
 Electronic-First Report of Injury
○ Also known as e-FROI
○ Completed by the Supervisor
○ Paper copy of FROI still available; however, e-FROI
is preferred
 Supervisor Incident Investigation Report
○ Completed by the Supervisor
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Benefits of the new e-FROI





Familiar x.500 login
Accessibility; no training required
No paper. No faxing.
Maximized automated field completion
Real time routing to our claims administrator
 Sedgwick Claims Management Services, Inc.

Automated notifications to departments in a position to add value:
 Occupational Health and Safety
 Environmental Health and Safety
 Disability Services
 Central Payroll

Automated confirmations to the Supervisor and injured Employee,
including links to important documents.
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e-FROI Benefits (continued)
Immediate involvement of important
resources
 Minimization of Supervisor effort
 Avoidance of double-payment situations
 Aggregate annual time savings of 1,0002,000 work hours
 A better Employee experience of the
Workers Compensation system

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Resources

FMLA Coordinator (Betsy Behning)
◦ Notify of all leaves
 Consecutive days
 Overnight hospital stay
 Intermittent leaves
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Resources (continued)

UMD UReturn-to-Work Program (Nancy Erickson)
◦ Incidents with lost time
◦ Incidents with work restrictions
◦ Incidents with accommodations
◦ If a QRC, NCM, or other professional assigned
◦ Funding program
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Resources (continued)

UMD Environmental Health and Safety
(Laura Lott and Jean Cranston)
 Safety
 Ergonomic evaluations
 Personal Protective Equipment
 Ergonomics showroom
 Funding program
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Quiz

Two Questions
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Demonstration of the electronicFirst Report of Injury
 https://webapps-prd.oit.umn.edu/froi/
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Cathy Rackliffe
Area Claims Reporting Help
UMD Workers’ Compensation Coordinator
269 Darland Administration Building
Tel. 726-6827
FAX: 726-8827 (new FAX #)
[email protected]
Nancy Erickson
UMD Director, UReturn – Employee Services
Tel. 612-624-3505 (Toll free: 855-458-2629)
FAX: 612-625-5572
[email protected]
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Betsy Behning
FMLA Coordinator
255 Darland Administration Building
Tel. 726-6520
FAX: 726-7505
[email protected]
Laura Lott and Jean Cranston
UMD Environmental Health and Safety
13-25 Darland Administation Building
Tel. 726-6917 / 726-7273
FAX: 726-6730
[email protected]
[email protected]
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Other Contact
Jacqueline Spadafore, Claims Supervisor
Sedgwick Claims Management Insurance, Inc.
P. O. Box 14454
Lexington, Kentucky 40512
Tel. 1-800-231-0165 / 952-826-3764, Extension 22538
FAX: 952-826-3785
[email protected]
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Questions?

Thank you for your time!
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