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Home > Employers > Managing Claims > Claims Coordinator Responsibilities

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.

As claims coordinator, you're responsible to:

 
 
 

A segment for claims coordinators on how to get claims off to a good start. Taken from SFM’s "Responding to work injuries" webinar. For specific information about your state's laws, click on the appropriate state icon below.

 

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

The idea is to have injured employees treated at a clinic you have a relationship with and know is experienced in occupational medicine. But in some states, choosing where to receive care is up to the employee.

Be sure to check your state's guidelines on choosing the right medical provider...

Iowa Minnesota Nebraska SouthDakota Wisconsin

Act now! Report work injuries right away

  • Report injuries to SFM as soon as possible, ideally within 24 hours.
  • Report injuries online. It's the fastest, easiest way to report.
  • 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

  • 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) Arrow

Related SFM resources


These resources, plus more on other topics, are available in SFM's Resource Catalog.

 

     
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