Your Claims Needs:
Reporting all accident and workplace injuries/illnesses within 24 hours – regardless of the severity of the injury – is beneficial to all parties and can significantly reduce time lost from work and overall claim costs. Need to report a claim? Everything that you need to do so is below, including tips on keeping claims costs low!
Ways You Can
Report A Claim
Login to the Policyholder Portal login to report your claim. If you don’t have a login set up, please send an email to firstname.lastname@example.org and we will create one for you.login to the portal
Complete the appropriate claim form, save it to your computer and email it to email@example.com us
To report a claim by phone, call (800) 311-0997 and press * when prompted. You may also fax your claim form toll-free to (800) 923-1871.call us
Complete the appropriate workers’ compensation claim form and mail it to: 5615 Corporate Blvd., Suite 800 Baton Rouge, LA 70808
Nurse Triage & Reporting Hotline
Receive immediate assessment, guidance, and care from a registered nurse 24/7 at (844) 901-1837.
Triage services offered may include first aid/self-care instructions, telemedicine, or referral to an appropriate medical provider. Claim reporting services include assitance with completion of the First Report of Injury to expedite the claim process. Spanish-speaking and other multi-lingual nurses and operators are available. All hotline services are provided at no charge to our policyholders, even if a claim is not made.Call the Hotline
Workers’ Compensation Claims Forms
First Report of Injury Forms by State
Second Injury Fund Questionnaire for LA Employees
Longshore Claim Forms
Other Claims Forms
Malingering or exaggeration of symptoms
Working while allegedly disabled and not reporting income
Claiming a job-related injury that never occurred
Claiming a non-work related injury as a work-related injury
Falsifying mileage reports
Underreporting payroll or misclassifying employees for lower insurance premiums
Deducting premium dollars from employee’s wages
Employer knowingly fails to have necessary workers’ compensation coverage
Health Care Provider Fraud:
Providing unnecessary testing or treatment of injured workers to reap financial benefit
Billing for services or treatment never performed
Billing the workers’ compensation insurer and the workers’ health insurer for the same services
Review each claim separately.
Become involved with the reporting procedures utilized by your workers’ compensation insurance carrier and interview the injured employee yourself, if at all possible, to ensure you know exactly what happened.
Review each notice of injury, regardless of severity, to identify problem areas.
Once identified, these injury-causing factors should be corrected or modified in order to reduce the likelihood of future claims. Employee education programs should be required in situations where the characteristics of the company's physical plant or the procedures utilized in the daily operations of a business cannot be altered.
Require routine drug testing at the time an employee is injured.
This testing can easily be made part of the routine medical exam which is performed after an injury is reported. These test results provide the employer with a sorely needed advantage when dealing with an employee who reports to work in an impaired condition.
Require routine pre-employment drug testing.
The benefits of this procedure are well-documented. Although it represents an additional cost associated with the employment process, the savings and long-term benefits are substantial and have been validated in the workplace. The cost should be viewed as an investment rather than an expense.
Require all new employees to complete a thorough, personal profile during the pre-employment screening process.
An honest, credible job applicant will not hesitate to provide this information. This profile should include the following:
Basic personal information (name, address, social security number, date of birth, etc.);
The prospective employee's actual physical address as well as his mailing address;
A complete medical history;
A complete claims history (this can be verified by the employer's workers’ compensation carrier);
A clear copy of the prospective employee's driver's license;
A list of all former addresses for the past ten years; and
The name of his family doctor or the last physician who treated him.
Tips for Keeping
Claim Costs Low
Timely Reporting of Information
From initially reporting the claim to the reporting of all recommended treatment and diagnostic tests to the authorization and payment of bills directly, timely communication is crucial to helping keep claim costs low.
Providing Light-Duty Work
Once an injured employee has been cleared to return to duty, working with us to offer modified duty work as early as possible will reduce the length of time the claim stays open and overall claim costs – both in indemnity and medical costs.
Use of the Second Injury Fund
The Louisiana Second Injury Fund encourages the hiring of individuals who have a permanent, partial disability. In return, if an employee has a subsequent injury which merges with the pre-existing condition to cause a greater disability than what would have resulted from the subsequent injury alone, the employer/insurer will be limited in the amount they are required to pay for the new claim.Learn more here