Workers' Compensation Claim Process / Resolution Filtered View

This filtered view provides insights into the function of the adjudication process of the Workers’ Compensation Board. This filtered view contains information to answer commonly asked questions about worker injuries, such as: How many hearings were held for claims of a certain case type in a given year? How often are decisions involving carriers of a certain kind appealed? 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).

本过滤视图揭示了工人赔偿委员会裁决程序的功能。该过滤视图包含了用以解答关于工人伤害的常见问题的信息，例如：在特定年份，某一类案件的听证会举行了多少次？涉及某一特定类型承保人的裁决被上诉的频率如何？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负责处理和裁决赔偿金申请；确保雇主遵守维持适当保险覆盖的要求；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WCB得知工作场所伤害事件并分配赔偿金以WCB赔偿金编号时，便发生了赔偿金汇编。当受伤工人因严重伤害而失去超过一周的工作，该伤害可能导致永久性残疾，被承保人或雇主争议，或从受伤工人那里收到赔偿金申请表（C-3表）时，WCB将对赔偿金进行‘汇编’。