Claims Coordinator Responsibilities
Every organization should have a designated claims coordinator, the person responsible for making sure that injuries are reported 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.
- Make sure all supervisors in your organization have your contact information.
Train employees 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
Work with a preferred clinic
While the choice of where to seek medical treatment is ultimately the employee's in most states, you can encourage employees to go to a clinic you have a relationship with. If you're looking for a clinic, seek out a high-quality provider that's certified in occupational and environmental medicine.
Be sure to check your state's guidelines on choosing the right medical provider, as there can be some meaningful differences between states...
Report work injuries right away
- Report injuries as soon as possible via the SFM Work Injury Hotline at 855-675-3501. Through this 24/7 nurse hotline injured workers and their supervisors will be able to speak to a specially trained nurse about the injury.
- 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.
Stay in contact with the injured employee, doctor and claims representative
- If the employee starts losing time after filing the First Report of Injury, call the claims representative right away.
- Stay in contact with the employee weekly to review progress.
- Stay in touch with the treating doctor after each visit to re-evaluate job restrictions.
- Call your SFM claims representative with any updates to the injured employee's status.
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 temporary job offer letter.
Use CompOnline® to track claims progress
- Stay current on claims in progress through CompOnline.
- Here you can access up-to-the-minute information about what's happening on a specific claim.
Do whatever you can to lower costs
View full detail on claims coordinator duties (PDF)