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Supervisor_guide.doc - Workers Compensation Supervisors...

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Workers' Compensation Supervisor’s Guide Introduction What Is Workers' Compensation? What Is a Work-Related Injury? Who Is Covered and When? When an Injury or Illness Occurs How Are Injuries Reported? Timekeeping: Reporting Time Lost When a Claim Is Accepted 80% Extended Sick Leave Procedures for Pending Claims Procedures for Denied Claims When Can an Employee be Replaced? Important Points to Remember Additional Numbers to Call for Assistance Introduction These guidelines were prepared by the EH&S Risk Management Office to help supervisors understand the Workers' Compensation Program at UC San Diego, and the procedures that are activated when an employee experiences a work-related injury or illness. If you have questions or need assistance, please call or e-mail: Pamela Hauser: 858-822-2979, [email protected] Alyson Hong: 858-534-4785, [email protected] Edie Mitchell: 858-534-3820, [email protected] What is Workers' Compensation? Designed to be a "no-fault" system, Workers' Compensation is a state-mandated benefit. The purpose of Workers' Compensation is to provide benefits and assistance to all workers who are either injured or develop a job-related illness as a result of their employment. Benefits may include: Medical costs Temporary disability Permanent disability Supplemental job displacement voucher Death benefits The objective of the UCSD Workers' Compensation Program is to bring about expedient recovery and return to productive work. What is a Work-Related Injury? The California Labor Code definition of the term "injury" includes "any injury or disease arising out of employment and occurring in the course of employment." The injury may result from either trauma or disease. Injuries are categorized in three ways: SPECIFIC – An injury to one or more parts of the body resulting from a specific incident. 1
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CUMULATIVE – An injury resulting from repetitive traumatic activities over a period of time, such as exposure to chemicals or fumes which are injurious to an employee. AGGRAVATION – A preexisting condition or non-work-related condition aggravated by an occupational injury or disease. The employer provides medical treatment until the employee returns to the pre-injury status of the preexisting condition Who is Covered by the UC SAN DIEGO Workers' Compensation Program and When? WHO – UC SAN DIEGO employees and volunteers with paperwork on file. WHEN – Workers' Compensation coverage begins the first minute an employee is on the job and continues any time an employee is officially on the job. The only requirement is that the individual is officially working as an employee providing a service to the University at the time of the injury.
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