Workers' Compensation Claim
A formal request for benefits under state workers' compensation laws after an employee suffers a work-related injury or occupational illness.
Key Facts
- Filed when an employee is injured or becomes ill due to work
- State-administered — laws and benefits vary by state
- Benefits include medical treatment, lost wages, and disability payments
- Employer drug-free workplace programs may affect claim outcomes
- Post-accident drug testing often tied to workers' comp claims
A workers' compensation claim is filed when an employee experiences a work-related injury or occupational illness and seeks benefits under the state's workers' compensation system. Benefits typically include: medical treatment costs, temporary or permanent disability payments, vocational rehabilitation, and death benefits for surviving family members. The claims process involves injury reporting, medical evaluation, claim filing with the employer's workers' comp insurer, and determination of compensability. Some states allow employers to deny or reduce benefits if the employee tested positive for drugs/alcohol post-incident (drug-free workplace discount programs). Post-accident drug testing is often a component of the claim investigation. The Experience Modification Rate (EMR) is directly affected by workers' comp claim history.
Related Services
Related Industries
Simplify Your Compliance
BlueHive manages occupational health services so you can focus on your workforce.