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).

本筛选视角深入揭示了劳动补偿委员会裁决流程的功能。该筛选视角包含了用以解答关于工人伤害的常见问题的信息，例如：在特定年份内，针对某类案件类型举行了多少次听证会？涉及特定类型承保人的裁决被上诉的频率如何？劳动补偿委员会（WCB）负责管理和监管劳动者补偿金、残疾金、志愿者消防员福利、志愿者救护车工作人员福利以及志愿者民事防御工作人员福利。WCB负责处理和裁决补偿金申请；确保雇主遵守维持适当保险覆盖范围的要求；并监管系统各利益相关者，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。当WCB得知工作场所伤害事件并分配案件WCB编号时，便发生了索赔组装过程。当受伤工人失去超过一周的工作、遭受可能导致永久性残疾的重伤、案件被承保人或雇主争议，或收到受伤工人提交的索赔表格（C-3表）时，WCB将对索赔进行组装。