Obtaining Workers’ Compensation: Everything You Need to Know

Young Man With Broken Arm.

Worker’s compensation is a crucial safety net designed to protect employees who suffer from injuries or illnesses due to their jobs. It ensures that workers receive medical care and compensation for their lost wages. Canal HR plays a vital role in simplifying this complex process, guiding both employees and employers through the maze of obtaining workers’ compensation and ensuring that claims are handled efficiently and effectively. To learn more about workers’ compensation, the benefits of this program, the application process, and how the expert team at Canal HR can help so the employee and employer get the best outcome, keep reading! 

Understanding Workers’ Compensation

Workers’ compensation is an insurance program mandated by the government, providing benefits to employees who get injured or sick from their jobs. It’s a no-fault system, meaning employees don’t need to prove their employer was at fault to receive benefits. Over the years, these laws have evolved to balance the needs of employees for quick, reliable benefits and the protection of employers from lawsuits. 

Eligibility for Workers’ Compensation

To be eligible for workers compensation, an individual must meet specific criteria, including employment status, the nature of the injury, and the circumstances under which the injury occurred. However, there are common reasons for ineligibility, such as injuries sustained while the employee was not performing job duties or was under the influence of drugs or alcohol. It’s also important to note that workers’ compensation laws may vary by state, so it’s best to contact a professional like the ones at Canal HR to ensure you qualify. 

If your business is based in Louisiana, check out our guide to workers’ compensation in the state, which covers the requirements, costs, exemptions, benefits, filing process, how we can help, and more! 

The Application Process

Applying for workers’ compensation involves several steps:

  • Reporting the injury to the employer immediately.
  • Seeking medical treatment and ensuring the injury is documented.
  • Filling out a workers’ compensation claim form
  • Submitting the claim to the employer who submits it to their insurance carrier 

Canal HR assists throughout this process, ensuring the employees’ and employers’ documentation is complete and submitted on time. Click here to learn more about how long a workers’ compensation claim can stay open. 

After Filing a Claim

Once a claim is filed, the insurance carrier undergoes a review process, which can result in approval, delay, denial, or dispute. Employees have the right to appeal denied claims, a process where Canal HR can offer significant assistance, guiding through the appeal process and ensuring the employee’s rights are protected.

Benefits of Workers’ Compensation for Employees

Workers compensation benefits include coverage for medical expenses, rehabilitation costs, disability benefits, and, in tragic circumstances, death benefits. These benefits aim to help the injured worker recover and return to work, though the duration and amount can vary based on the injury’s severity and the local laws.

Keep reading to learn more about what’s covered once you are finished obtaining workers’ compensation approval. 

Medical Expenses

Workers’ compensation provides additional coverage that can help pay for expenses related to workplace injuries. These expenses typically include hospital visits, surgeries, and short-term and long-term prescriptions. This coverage provides an extra safety net for employees to help prevent them from expenses beyond their means. 

Lost Wages

Recovery time is essential. Obtaining workers’ compensation allows employees to get paid while on leave following an accident or illness. This benefit will enable employers to ensure employees have the necessary support without taking a significant revenue cut. 

Ongoing Care

While some workplace injuries end quickly, others require ongoing care that is stretched out over time. This coverage includes follow-up doctor visits or ongoing treatment such as physical therapy. Ongoing care also allows employees to remain healthy and able to do their job once they return. 

Funeral Expenses

Obtaining workers’ compensation does not just cover time away from work, but it can also provide funeral expenses in the event an employee passes away from a work-related incident. Workers’ compensation can also provide death benefits to beneficiaries to ease the trauma. 

Benefits of Workers’ Compensation for Employers

While workers’ compensation is often viewed through the lens of how it benefits the employees, this program also offers advantages for employers, which underscores its value as a crucial element of workplace management. Understanding these benefits highlights the mutual advantage of workers’ compensation. 

Legal Protection

By participating in the workers’ compensation system, employers can be shielded from many lawsuits relating to workplace injuries. The no-fault system means that employees receive benefits without needing to prove employer negligence. 

Financial Predictability

Workers’ compensation insurance provides financial predictability for employers. The costs stemming from a workplace injury can be substantial, but through the insurance, the costs are covered by insurance premiums. This predictability aids in a businesses financial planning and budgeting, protecting the employer from unforeseen financial strains. 

Employee Retention and Morale

Benefits are a significant factor when employees accept a job and their morale while with a company. Offering comprehensive workers’ compensation contributes to higher morale and retention. Employees feel more secure knowing they are protected in case of an injury, which improves their loyalty to the company, and in turn, improves the company’s overall retention rate. 

Workplace Safety

Workers compensation insurance providers often offer resources and incentives for employers to maintain safe work environments, such as safety audits, trainings, and discounts for implementing safety measures. When an employer focuses on prevention, the number of injuries not only goes down but a culture prioritizing safety is built, which can potentially lower insurance premiums over time. 

Reputation Management

Companies that provid workers compensation benefits and prioritize employee well-being are often viewed more favorably by their current and potential employees as well as the general public. This positive reputation can be a significant asset, aiding in attracting top talent, maintaining customer loyalty, and differentiating the company in a competitive market.

Responsibilities and Rights

Employers are required to maintain a safe work environment, provide workers’ compensation insurance, and comply with the claim process. Employees, in turn, have the right to file a claim for any job-related injury or illness, receive medical treatment, and appeal decisions if necessary.

Role of Canal HR in Obtaining Workers’ Compensation

Canal HR offers a comprehensive suite of services to support workers’ compensation claims, including managing the claim process, ensuring compliance with regulations, and helping resolve disputes. By partnering with Canal HR, businesses can navigate the complexities of workers’ compensation, ensuring their employees are supported and their rights protected.

Preventing Workplace Injuries

Preventing workplace injuries is paramount. Employers should implement safety protocols, conduct regular training sessions, and create an environment prioritizing employee well-being. Canal HR can assist in developing these programs, emphasizing prevention to reduce the likelihood of injuries and associated claims.

Make Obtaining Workers’ Compensation a Breeze with Canal HR

Workers’ compensation is an essential aspect of employment, providing crucial support to employees in the event of workplace injuries or illnesses. Understanding the process, rights, and responsibilities can be daunting, but with the assistance of Canal HR, employers and employees can navigate these challenges effectively. 

Canal HR’s expertise ensures that claims are managed efficiently, compliance is maintained, and both parties are supported throughout the process, fostering a safer and more productive work environment. Our team of experts can handle countless workers’ compensation tasks to ensure obtaining workers’ compensation is easy for your employees and doesn’t negatively impact your organization. Some of our services include eliminating workers’ compensation down payments, negotiating and obtaining workers’ compensation insurance coverage, eliminating the audit premium, providing periodic safety training, processing and managing claims, handling hearings, coordinating a return-to-work program, and more. When it comes to workers’ compensation, leave it to the pros and contact Canal HR today! 
If you have any additional questions regarding workers’ compensation, be sure to check out our blog or contact a team member, and we’ll be happy to answer them!