Simplified Flow Chart Template For Claims Process
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1Simplified flow chart for claims process
Injury or illness
occurs at work
Immediately
notify your
supervisor
Employer gives you
a
claim
form. You
If your employer
complete the employee section and
does not give you the
return it to your
claim form, contact an
employer. Keep the
information and
bottom copy for your
assistance officer
records
Within one day after you deliver the
Your employer completes the
claim form, your employer must
claim form
authorize medical treatment under
and sends a copy to
industrial guidelines, to a maximum of
you and the insurance company
$10,000, while investigating your claim.
If authorization is not provided, contact
an
information and assistance officer
Within 14 days, the insurance
company should send you one of three
notices letting you know the status of
your claim. The notice will tell you if
the insurance company accepts,
denies or will delay your claim for review
If the insurance company delays your claim, an investigation
If the insurance
can take up to 90 days. During investigation, no benefits other
If the insurance company denies
company accepts
than medical treatment will usually be provided. You may be
your claim, contact an
information
your claim, you
able to collect state disability payments during the investigation
and assistance officer
will receive
period, and must apply separately at the
Employment
benefits and
Development Department (EDD)
office.
services
If you do not receive a final notice either accepting or denying
your claim within 90 days, your claim will be presumed
accepted. Contact an
information and assistance officer
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Parent category: Business