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
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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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