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Assembled Workers' Compensation Claims: Beginning 2000

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data.ny.gov2024-09-23 更新2025-03-26 收录
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https://data.ny.gov/es/Government-Finance/Assembled-Workers-Compensation-Claims-Beginning-20/jshw-gkgu
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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

劳动者赔偿委员会负责管理和规范劳动者赔偿金、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防工作人员赔偿金。该委员会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范围的义务;并监管系统中的各方利益相关者,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。当劳动者赔偿委员会得知工作场所伤害事件并分配赔偿金以WCB赔偿金编号时,即发生赔偿金汇编。在劳动者因严重伤害失去超过一周的工作、可能因此永久残疾、赔偿金被保险公司或雇主质疑,或收到受伤工人提交的赔偿金申请表(C-3表)时,劳动者赔偿委员会将‘汇编’该赔偿金。已重新开启的赔偿金是指为解决新问题而重新激活以确认不再需要采取进一步行动的赔偿金。
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