Claims & Reporting - Supervisor's Responsibilities

1. INVESTIGATE THE ACCIDENT SITE IMMEDIATELY.

  • Contact NEWESD 101 Workers' Compensation Claims Department immediately if emergency care is necessary.

2. REQUIRE THE EMPLOYEE to complete an Employee Incident Report form and call to report the injury to
    NEWESD 101 Workers' Compensation Department if the employee will be seeing a medical provider.

3. COMPLETE Part 2 of the Incident Report form and:

  • Send the completed report to your school district office and
  • E-mail the report to riskmanager@esd101.net or fax to (509) 456-2999.

4. WHAT TO DO IF THE EMPLOYEE SEES A MEDICAL PROVIDER:

  • Have the employee contact you immediately after the doctor visit.
  • Require a copy of the Return to Work Status note within 24 hours after EACH doctor visit.
5. WHAT TO DO AFTER THE EMPLOYEE RETURNS FROM THE DOCTOR’S OFFICE:
  • Review the Return to Work note and identify any restrictions.
  • Fax the note to NEWESD 101 Workers' Compensation Claims Department at (509) 789-3780.
  • Contact NEWESD 101 Workers' Compensation Claims Department at (509) 789-3516 immediately to report whether:
    •  Employee has returned to full-time regular work without restrictions, or
    •  Employee has returned to working regular hours with restrictions, or
    •  Employee has returned to light modified work with restrictions, and
    •  The start date, scheduled hours, wage, and description of the light modified duties.
**Be sure to also forward the above information to your district office.
EARLY RETURN TO WORK - IMPORTANCE OF LIGHT DUTY
Part of a cost effective Workers' Compensation program is a return to work program which enables injured workers to maintain their full wages while performing temporary, less physical tasks while they recover.
When released by their doctor, it is possible to complete work outside their regular tasks, or department, which helps them recover, build strength, and maintain income.
Our claims adjusters will work with member school districts to see what light duty opportunity exists or can be provided.