Specifications include, but are not limited to: The successful vendor shall provide the following;
A claims administrator, who upon receipt of an Employer’s First Report of Injury (SF-1) form,
will contact the injured worker, the employer, witnesses, if applicable, and the treating
physician within 48 hours.
The claims administrator will assign the case upon receipt of the Employer’s First Report of
Injury (SF-1) to the appropriate case handler.
The case handler will contact the injured employee within 48 hours by telephone or by a
The case handler will obtain information upon contact of the facts surrounding the injury or
A telephone recorded statement will be taken from the injured workers for certain types of
injuries or medical conditions.
If the injured worker is represented by legal counsel, permission shall be secured prior to
obtaining the recorded statement.
A signed medical authorization form shall be requested to enable the case handler to ascertain
medical documentation to determine compensability.
A thorough investigation of the alleged injury or medical condition will be conducted on each
claim within 15 days of receipt of the claim.
All policies must be non-assessable