Claims Coordinator Responsibilities
Every organization should have a designated claims coordinator, the person responsible for reporting work injuries to SFM and managing the claim. The claims coordinator is a critical communications link between your organization and your SFM claims representative.
Develop a reporting process
- Type up a process description that works for you and your organization. Use this to plan ahead and refer to it when an injury occurs.
- Create a packet of helpful reporting resources, which are available in SFM's Resource Catalog.
Train employees how to report work injuries
- Stress the importance of timely reporting.
- Let employees know how and when to report an injury.
- Encourage support from co-workers.
- Be sure supervisors are aware of their responsibilities and who to contact.
Work with a chosen clinic
- In some states the choice of where to receive service is up to the employee. Be sure to check your state's guidelines on this. However, feel free to explain the advantages of working with a clinic specialized in handling occupational injuries.
- Tell the treating physician about available transitional work.
- Ask the clinic to visit your work site.
- Have the clinic complete a Report of Work Ability form describing any restrictions.
Report work injuries right away
- Report injuries to SFM as soon as possible, ideally within 24 hours.
- Let SFM know about anything that may be useful in managing the claim.
- Be accurate and complete, but don’t let missing information delay you from reporting.
- If the employee misses time from work, contact your SFM claims representative immediately.
Communicate with injured employees
- If the employee is missing work, show your concern by calling or arranging a personal meeting.
- Discuss available benefits, your organization's commitment to return-to-work, and your expectations.
- Check in weekly.
Coordinate return to work
- Identify transitional work ahead of time.
- Call your SFM claims representative when the doctor releases the employee back to work.
- Arrange a return-to-work date with the employee.
- Make sure the employee's return goes smoothly.
- Present the employee with a formal return-to-work job offer letter.
Stay on track
- Contact the employee and supervisor weekly.
- Keep in touch with the physician and your SFM claims representative.
- Monitor developments through CompOnline®.
- Prevent the accident from reoccuring.
- Review your reporting and claims management process regularly to identify improvement opportunities.
View full detail on claims coordinator duties (PDF) 
Related SFM resources
These resources, plus more on other topics, are available in SFM's Resource Catalog. |
