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Assembled Claims by OIICS Codes for Incident

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data.ny.gov2024-09-23 更新2025-03-26 收录
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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

劳动赔偿委员会(WCB)负责管理和规范劳动赔偿金、残疾赔偿金、志愿消防员赔偿金、志愿救护车工作人员赔偿金以及志愿民事防御工作人员赔偿金。劳动赔偿委员会负责处理和裁决赔偿金索赔;确保雇主遵守维持适当保险覆盖范围的义务;并监管包括自保雇主、医疗机构、第三方管理员、保险公司和法律代表在内的各系统利益相关者。当劳动赔偿委员会得知工作场所伤害事件时,会对索赔进行分配WCB索赔编号。若受伤工人因失去超过一周的工作时间、遭受可能导致永久性残疾的重伤、索赔被保险公司或雇主争议,或收到受伤工人提交的索赔表格(C-3表),则劳动赔偿委员会将“组装”该索赔。已重新开启的索赔是指因发现无需进一步行动而重新激活以解决新问题的索赔。
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State of New York | Open Data
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