Workers' Compensation Injury / Exposure Filtered View

This filtered view provides insight into the nature and cause of injury to New York State employees. Claims from past years are manually reviewed and coded for injury and exposure. More recent claims are coded electronically. This filtered view contains information to answer commonly asked questions about worker injuries, such as: How many injuries of a certain type occurred in a given year? How often are injuries resulting from certain causes controverted by carriers of a certain kind?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).

本筛选视角深入揭示了纽约州雇员受伤的性质和成因。过往年份的索赔案例经人工审核并编码以确定受伤和暴露情况。近期索赔案例则通过电子方式进行编码。本筛选视角包含了回答关于工人受伤的常见问题所需的信息，例如：在特定年份中，某类伤害发生了多少起？由于特定原因导致的伤害，何种类型的承保人对其争议的频率如何？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。WCB负责处理和裁决津贴索赔；确保雇主遵守维持适当保险覆盖的要求；并监管系统内的各利益相关方，包括自保雇主、医疗机构、第三方管理员、保险公司和法律代表。当WCB得知工作场所发生伤害时，将为索赔分配一个WCB索赔编号。WCB在工人因受伤而失去超过一周的工作时间、遭受可能导致永久性残疾的严重伤害、承保人或雇主对其提出争议，或者受伤工人提交了索赔表格（C-3表）时，‘组装’索赔。