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Assembled Claims by OIICS Part of Body

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data.ny.gov2024-09-23 更新2025-03-25 收录
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https://data.ny.gov/es/Government-Finance/Assembled-Claims-by-OIICS-Part-of-Body/ywkq-zcxe
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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)负责管理和监管劳动赔偿金、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。劳动赔偿委员会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种系统利益相关者。当劳动赔偿委员会得知工作场所伤害事件时,便会为索赔分配一个WCB索赔编号,从而启动索赔汇编程序。在索赔汇编过程中,若受伤工人因严重伤害而失去超过一周的工作,或者可能永久残疾,或者索赔遭到保险人或雇主的争议,或者受伤工人提交了(C-3)索赔表格,则构成索赔。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。
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