HEALTH AND SAFETY
Workers' Compensation Coordinator
||The Workers' Compensation coordinator has dual
responsibilities as a case manager and an administrative coordinator of certain employee
health and safety related programs.
|Case Manager Role
||In the role of a case manager, the Workers' Compensation
coordinator shall manage the following functions:
Monitoring and Control
The coordinator supervises the staff assigned to the central office Workers'
The WC Unit staff shall
- maintain the accuracy and integrity of DCF Workers' Compensation claim records in the
State's Automated Workers' Compensation Claim System (AWCS)
- maintain an agency based control and tracking system to enable compliance with OSHA
record keeping and annual filing requirements
- maintain derivative databases that track the incidence of certain types of
injury/illness (e.g., carpal tunnel, motor vehicle); and WC program expenditures by a
variety of factors (e.g., indemnity, medical costs, permanencies, stipulations)
- assist in the development and/or modification of state level automated systems to help
bring about improved communications and efficiency in the handling of WC claims
- monitor the performances of the third party administrator and managed care provider to
help ensure the timeliness and thoroughness of the process. Resolve identified
problems informally and/or through regularly scheduled meetings.
- monitor Department compliance with WC guidelines.
Note: Under the current communication structure, all
treaters within the State of Connecticut provider network send medical reports directly to
the Berkley Care Network, which, in turn, must forward them to the DCF Central Office WC
Unit. An injured employee should also receive medical informaton at the office
The Workers' Compensation coordinator shall
- communicate with employees and/or worksite liaisons/supervisors, as appropriate,
regarding information needed to process and judge claims; e.g.,
- medical documentation
- filing status and exemption form
- election to use accrued leave
- return to work plans
- respond to employee concerns, such as
- completion of paperwork
- claim status
- payment of medical bills
- send forms, as appropriate, to the third party administrator (TPA)
- communicate with union representatives, attorneys, doctors, and other interested
parties, as necessary, regarding claim related matters
- liaison with Department operating units, the managed care provider, the third party
administrator, the Department of Administrative Services (DAS), the Attorney General's
Office, and the Chief State's Attorneys Office regarding claims; and as appropriate:
- request a functional capacity or other medical examination
- determine whether a claim has arisen in and out of the course of employment
- initiate action to "disclaim" the injury as workers' compensation
- request that a claim be investigated
- coordinate a less arduous duties search process to try to locate an alternate job when
staff have attained maximum medical improvement and are permanently unable to continue in
the normal duties of their job classifications.
The coordinator shall
- identify training needs related to the WC program
- provide or arrange for training for employees and supervisors.
The coordinator shall
- attend WC claim hearings when potentially helpful to the outcome, or as required, and
- maintain related communications with the TPA's hearing representative and/or the Office
of the Attorney General's Worker's Compensation Unit.
The coordinator shall
- issue management reports regarding the status, costs, causes of Department WC claims
- perform trend analyses
- estimate future costs
- implement system changes where and when necessary.
|Safety Coordinator Role
||In the role of a safety program coordinator, the Workers'
Compensation coordinator shall manage, perform, or assist in the functions listed below.
Note: Many of the case manager functions also have a
relationship to workplace safety.
The WC coordinator shall
- conduct periodic research into current and emerging health and safety issues that may
impact DCF and its employees
- facilitate accident prevention and risk management activities in compliance with OSHA
regulations or guidelines, to include the following topics:
- OSHA Bloodborne Pathogens Standard
- Tuberculosis (PPD) testing
- Ergonomics awareness and evaluations
- Workplace violence
- Pre-placement physical examinations
- help to plan and coordinate the implementation of the above activities through the
Department and a variety of public and private sources
- recommend and/or draft new and revised program policy
- work with the Training Academy, the Institution Training Network, and other staff to
help develop and promote Department safety training programs
- participate as an advisor or member of safety committees, as requested.
Connecticut Department of Children and Families
Effective Date: October 15, 2000