Managing a claim and return to work
The goal of managing a claim is to return the injured worker to a productive working life. This requires the active participation of the worker, the employer and the health care community, working with the WCB in a co-operative relationship.
Effective claims management begins with prompt medical treatment, if required, and early and accurate reporting of the injury. Learn how to report a worker’s injury.
As soon as the WCB receives an injured worker report from either the worker, the employer or the caregiver, a claims entitlement specialist begins gathering information on the claim. The claims entitlement specialist assesses the circumstances surrounding the injury and makes a decision, based on legislation and policy, to either accept or deny the claim. An efficient decision-making process is important for prompt payment of any wage loss and for fair, timely and cost-effective return to wellness.
When a claim is accepted, the WCB pays medical expenses (these are not paid by Saskatchewan Health), wage loss and other benefits. The WCB also pays other benefits for permanent disabilities. In case of a work-related fatality, we pay burial costs and other benefits to the worker’s dependants.
Managing a claim
All parties are responsible for maintaining communication throughout the claims process.
Your injured worker should provide you with information from their care provider about the work duties they can perform and the date you can expect them to resume the work they were doing before the injury. The information will help you arrange temporary duties until the worker is ready to go back to their usual work.
Stay in touch with your worker, their care provider, union representative and the WCB to set up and follow a return-to-work plan to get the worker back on the job as soon as it’s medically safe to do so.
If your worker’s recovery takes longer than expected, or is serious in nature, their claim is reassessed as long term and your claim is assigned to a case management team. Teams are located in both our Regina and Saskatoon offices. Learn more about management services.
The injured worker will be assigned a case manager. The case manager and the rest of the team will work with you and your injured worker to co-ordinate medical and vocational rehabilitation services. This includes return-to-work plans to help your worker get back to productive work as soon as it’s medically safe.
The team approach to claims management has been developed to ensure that long-term claims are handled efficiently, appropriate medical treatment is provided when most effective and workers are returned to work as soon as medically safe. Learn more about the claims management process.
To help manage a claim, you need to:
- Investigate and document the cause(s) and factors contributing to the incident.
- Determine procedures or modifications to prevent similar incidents in the future. Keep accurate records of all incidents. Occupational Health and Safety legislation states that you must log all mishaps and injuries.
Return to work
Employers, workers, care providers and the WCB must work together to prevent work injuries and, when injuries happen, get injured workers back to work as soon as it is medically safe.
Working together, the partners will address workers’ medical needs, arrange for meaningful work during recovery and provide benefits.
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Frequently asked questions
A: Employers, workers, care providers and the WCB must work together to prevent work injuries and, when injuries happen, get injured workers back to work as soon as it is medically safe. Working together, the partners will address workers’ medical needs, arrange for meaningful work during recovery and provide benefits.
As an employer, your responsibilities are to:
- Provide a safe and healthy workplace.
- Report each workplace injury within five days of becoming aware of it.
- Keep in touch with the injured worker.
- Work with the injured worker and the WCB to reduce the duration of the injury claim.
- Modify job duties to accommodate the worker’s return to work.
- Set up safety and injury prevention programs to prevent other injuries.
A: The WCB’s goal is to return injured workers to their normal activities as soon as medically safe. This requires a working partnership of the injured worker, employer, health care provider and the WCB. As an employer, there are things you can do:
- Report the injury to the WCB within five days of becoming aware of the injury.
- Initiate and lead return-to-work planning.
- You can help the worker to return to work by making changes to their job duties and workstation to accommodate for any restrictions caused by the injury. Your injured worker should give you information from their care provider about the work duties they can perform and the date you can expect them to go back to the work they were doing before the injury. The information will help you arrange temporary duties until they’re ready to go back to their usual work.
- Continue to adjust the worker’s duties as their condition improves, based on updates provided by the care provider.
Stay in touch with your worker, their care provider, union representative and the WCB to set up and follow a return-to-work plan to get the worker back on the job as soon as it’s medically safe.
Learn more about return-to-work programs and return-to-work information for employers.