Assembled Claims by OIICS Codes for Incident

The Workers’ Compensation Board (WCB) administers and regulates workers’ compensation benefits, disability benefits, volunteer firefighters’ benefits, volunteer ambulance workers’ benefits, and volunteer civil defense workers’ benefits. The WCB processes and adjudicates claims for benefits; ensures employer compliance with the requirement to maintain appropriate insurance coverage; and regulates the various system stakeholders, including self-insured employers, medical providers, third party administrators, insurance carriers and legal representatives. Claim assembly occurs when the WCB learns of a workplace injury and assigns the claim a WCB claim number. The WCB “assembles” a claim in which an injured worker has lost more than one week of work, has a serious injury that may result in a permanent disability, is disputed by the carrier or employer, or receives a claim form from the injured worker (Form C-3). A reopened claim is one that has been reactivated to resolve new issues following a finding that no further action was necessary

工人赔偿委员会（WCB）负责管理和监管工人赔偿金、残疾津贴、志愿消防员津贴、志愿救护车工作人员津贴以及志愿民防工作人员津贴。工人赔偿委员会处理和裁决津贴索赔；确保雇主遵守维持适当保险覆盖范围的要求；并监管包括自保雇主、医疗服务提供者、第三方管理员、保险公司和法律代表在内的各个系统利益相关者。当工人赔偿委员会得知工作场所伤害事件并分配索赔编号时，便发生了索赔汇编。在工人赔偿委员会汇编的索赔中，受伤工人因严重伤害而失去超过一周的工作时间，可能造成永久性残疾，或被保险公司或雇主质疑，或收到受伤工人提交的索赔表格（C-3表）。已重新开启的索赔是指因发现无需采取进一步行动而重新激活以解决新问题的索赔。