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Employee_guide (1).doc - Workers Compensation Employee's...

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Workers' Compensation Employee's Guide Introduction What is Workers' Compensation? What is a Work-Related Injury? Who Is Covered by the UCSD Workers' Compensation Program and When? Where Do You Receive Initial Medical Treatment? How Do You Report an Injury? How Is Your Claim Processed? Who Is Sedgwick CMS ? Recording Time Lost Due to a Work-Related Injury or Illness What Are Your Responsibilities? Procedures For Pending Claims Procedures For Accepted Claims If You Are Working a Reduced Schedule State-mandated Benefits How UC Supplemental Leave Is Used 80% Extended Sick Leave Procedures For Denied Claims Additional Phone Numbers to Call For Assistance Introduction These guidelines were prepared by the EH&S/Risk Management Office to help employees understand the Workers' Compensation Program at UC San Diego. These guidelines will familiarize you with 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? Workers' Compensation is a state-mandated benefit designed to be a "no-fault" system. 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 Workers' Compensation Program is to bring about your expedient recovery and return to productive work. What is a Work-Related Injury? The California Labor Code's 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 can be categorized in three ways: Specific - Injury to one or more parts of the body resulting from a specific incident. 1
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Cumulative - Injury from repetitive traumatic activities over a period of time, such as exposure to chemicals or fumes that 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 UCSD Workers' Compensation Program and When? Who – UC San Diego employees and volunteers with paperwork on file. When - Workers' Compensation coverage begins the first minute you are on the job and continues any time you are officially on the job. The only requirement is that you are officially working as an employee providing a service to the University at the time of your injury.
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