Knowledge Bank: Reporting a Work-Related Injury

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A brief overview of the process to complete the action.

Workers’ compensation is intended to ensure that an employee who sustains a work-related injury or illness receives medical attention for the injury or illness, partial wage-replacement benefits and other support so they can return to work. The University of California is self-insured for Workers’ Compensation by Sedgwick, CMS.
Workers’ Compensation insurance provides the following benefits:

  1. Medical care - paid for by the University to help employee recover from an injury or illness caused by work.  
  2. Temporary Disability (TD) - payments if the employee loses wages because the injury prevents her/him from working during recovery. 
  3. Permanent Disability (PD) - payments for any lasting disability resulting in reduced earning capacity after maximum medical improvement is reached. 
  4. Supplemental Job Displacement Benefits (SJDB) - vouchers to help pay for retraining or skill enhancement. 
  5. Death Benefits - payments to surviving dependents if the injury or illness materially leads to the employee’s death.

Estimated time to complete action, aligned with campus SPA turnaround times when applicable, and factors that may affect timing.

The following steps provide a high level process overview , but do not constitute a specific timeline due to varying elements associated with work-incurred injury and illness.

  1. Incident occurs and is reported to the Workers' Compensation Department within 24 hours.
  2. If needed, employee obtains medical attention.
  3. The employee completes an "Employee Event" incident report in the online IR system and any documentation from the employee's medical provider is provided to Occupational Health Services.
  4. The manager reviews the incident report online.
  5. Medical provider determines if employee can work.
    1. If so, documents any work restrictions needing accommodation. Disability Management Analysts work with department on accommodation process.
    2. If not, medical provider provides documentation for work absence and effective dates, and Medical Center Leave Administration works with employee to determine pay status during the leave.
  6. Employee returns to work when restrictions are accommodated or accommodation are no longer required and is released to work by medical provider.

Check with Disability Management Services (DMS) representative or the claim administrator with questions regarding the Workers' Compensation program.

Relevant UC and local policies or collective bargaining agreements.

UCSF Medical Center Administrative Policy 4.02.07: Work Incurred Illness and Injury

UC Policies:

Management of Health, Safety, and the Environment

PPSM–12: Nondiscrimination in Employment
PPSM–44: Work-Incurred Illness and Injury
PPSM–43: Leave of Absence
PPSM–81: Reasonable Accommodation

Links to HR Knowledge Base entries about other actions that may be relevant.