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Assembled Workers' Compensation Claims: Beginning 2000

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data.ny.gov2024-09-23 更新2025-03-24 收录
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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者赔偿福利、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间防御工作人员福利。该委员会负责处理和裁决福利索赔;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、医疗服务提供者、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并分配索赔一个WCB索赔编号时,便发生索赔汇编。WCB在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、与保险公司或雇主存在争议,或从受伤工人处收到索赔表格(C-3表)时,会对索赔进行“汇编”。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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