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).

本筛选视图深入揭示了纽约州雇员受伤的性质和原因。过往年份的索赔经过人工审查并编码以区分伤害和暴露。近期索赔则通过电子方式进行编码。本筛选视图包含了回答关于工人伤害的常见问题所需的信息，例如：在特定年份内，某一类型的伤害发生了多少起？由特定原因导致的伤害，其索赔被某一类承保人反驳的频率如何？工人赔偿委员会（WCB）负责管理和监管工人赔偿金、残疾福利、志愿消防员福利、志愿救护车工作人员福利以及志愿民防工作人员福利。WCB负责处理和裁决福利索赔；确保雇主遵守保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WCB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。WCB在受伤工人因工作而失去一周以上工作时间、遭受可能导致永久性残疾的重伤、索赔被承保人或雇主争议，或受伤工人提交索赔表（C-3表）时，会“组装”索赔。