8-13-4 Workers' Compensation|
BASED ON POLICY NUMBER AND TITLE
|SBTCE POLICY 8-3-103 OTHER LEAVE TYPES|
REPORTING AND CLAIMS PROCESS:
- To provide medical services and, when appropriate, wage compensation to all covered employees sustaining work-related injuries or illnesses;
- To provide medical services and, when appropriate, wage compensation to temporary and part-time faculty and staff sustaining work-related injuries or illnesses;
- To provide medical services and, when appropriate, wage compensation to work-study students sustaining work-related injuries or illnesses;
- To provide medical services to students sustaining work-related injuries or illnesses while participating in clinical or internship programs.
Students working in a clinical or internship situation should follow the reporting guidelines outlined in the appropriate academic program’s student handbook.
- The injured worker must report any work-related injury to the Public Safety Department. If the injured worker is not able to report the injury, then the worker’s supervisor must report the injury to the Public Safety Department.
- The Public Safety Department will report the injury to the Workers’ Compensation Coordinator as soon as possible within normal working hours. In the event of a fatal injury, Public Safety will immediately notify the Workers’ Compensation Coordinator.
- The Workers’ Compensation Coordinator will report all work-related injuries to Compendium Services. Compendium Services manages the medical issues relating to TTC workers’ work related injuries.
- In non-emergency situations, the Workers’ Compensation Coordinator and Compendium Services will arrange for an initial medical evaluation of the injured worker’s condition.
In an emergency, the Public Safety Department will call Emergency Medical Services to transport the injured worker to a hospital emergency room, prior to contacting the Workers’ Compensation Coordinator.
- Compendium Services will assign a Nurse Case Manager to the injured worker. The Workers’ Compensation Coordinator will notify the injured worker of his/her Nurse Case Manager’s name and telephone number. The injured worker must call his/her Nurse Case Manager no later than one working day following the date the worker reported the injury or illness. After Compendium Services has assigned a Nurse Case Manager to the injured worker, the injured worker must obtain prior approval for all medical care from his/her Nurse Case Manager. The injured worker must direct any questions he/she may have regarding his/her medical care to his/her Nurse Case Manager.
- The S.C. State Accident Fund is Trident Technical College’s workers’ compensation insurance carrier. The claims adjuster assigned to Trident Technical College will review the injured worker’s case and will notify him/her as to whether or not the State Accident Fund will accept the injured worker’s case and pay the expenses related to his/her injury. If the injured worker has questions regarding payment of medical expenses or payment of wages for days lost from work, he/she must contact the S.C. State Accident Fund Claims Adjuster. If an injured worker seeks medical care from a doctor or care provider that has not been previously approved by Compendium Services or the S.C. State Accident Fund Claims Adjuster, the State Accident Fund will not cover the expenses for the unapproved care.
- If the injured worker receives invoices or billing statements relating to his/her injury or illness, he/she must forward the documents to the Workers’ Compensation Coordinator for processing.
- The injured worker must notify his supervisor:
- of any work restrictions prescribed by the treating doctor;
- of the dates and times of any doctor’s appointments, physical therapy appointments, or other surgical or medical procedures requiring the worker to be absent from work;
- and, in the event the worker is unable to return to work, of the date when the worker expects to be able to return to duty.
- The injured employee’s supervisor must notify the Workers’ Compensation Coordinator if the employee misses work as result of the work related injury or illness, and the supervisor must notify the Workers’ Compensation Coordinator when the employee returns to work.
- The Workers’ Compensation Coordinator will provide an Employee’s Notice of Election form to the employee. All injured employees must complete an Employee’s Notice of Election form. The Notice of Election form allows the employee to indicate his/her preference to receive sick/annual leave, workers’ compensation temporary disability benefits, or a combination of both in the event that the employee misses work as a result of the work related injury. If the employee has questions regarding the Notice of Election form, the employee should contact the S.C. State Accident Fund Claims Adjuster. The injured employee will complete a separate form for each work related injury or illness. The payment option the employee chooses will apply to compensation paid for all lost time from work relating to the injury or illness.
- If an injured employee is absent from work without authorization from the employee’s doctor, the S.C. State Accident Fund will not compensate the employee for wages lost during that absence.
- The Workers’ Compensation Coordinator will provide the injured worker with two (2) copies of the HIPAA Notice of Privacy Practices form. The injured worker will complete one copy of the form and return it to the Workers’ Compensation Coordinator. The injured worker should keep the remaining copy for his/her records.
Updated June 13, 2011
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