Reporting Claims
PROMPT
AND ACCURATE BENEFITS ARE OWED TO AN INJURED
EMPLOYEE ONCE THEIR CLAIM IS DETERMINED
TO BE COVERED UNDER WORKERS’ COMPENSATION.
YOU MUST REPORT WORK-RELATED ACCIDENTS IMMEDIATELY
TO ENSURE PROPER DELIVERY OF BENEFITS. DELAY
IN THESE BENEFITS MAY EXPOSE BOTH YOU AND
LUBA TO PENALTIES AND ATTORNEY FEES.
When an accident is timely reported we
are able to conduct a prompt investigation
into the facts of the accident. Prompt reporting
also enables us to control the claim from
the beginning which in turn may lead to
cost savings. Once our investigation has
been completed, we will pay the claims we
owe and defend the claims that are not owed
under workers’ compensation. Timely
reporting of each and every work-related
accident saves you money!
There are 3 types of workers’
compensation claims that can be reported:
1. Reporting
purposes only (RPO) –
These are reported accidents which have
not, as of yet, yielded an injury warranting
benefits. Record of these accidents is input
into our system and the claim immediately
closed pending any further activity. This
serves as evidence of yours and our knowledge
of the accident.
2. Medical
Only – These are claims
that do not incur indemnity benefits. (wage
loss benefits)
3. Lost
Time – These are claims
that incur both medical and indemnity benefits.
How do I report an injury?
1. Report of Injury by Telephone
This is the most
preferred way to report a new claim.
Simply call 1-888-884-5822 or 225-389-5822
and you will be connected to our intake
specialist that will gather all of the claim
information from you over the telephone.
We will input the information into our computer
system and once completed, your new claim
will go to the proper claims handler. This
relieves you of the paperwork associated
with the reporting of a new claim. We will
complete all necessary forms and handle
the filings with the Office of Workers Compensation.
Some of the information you will need when
reporting the claim by phone is:
a. Employee name, Social Security number,
date of birth and any other information
regarding your employee
b. Date and facts of accident
c. Description of Injury/Illness
d. Any medical treatment information that
may have already taken place
2. Report of Injury by E-mail
You may send the completed Form 1007 – Employer Report of Injury/Illness via e-mail to FROI@lubawc.com
3. Report of Injury by Fax
You may also complete the enclosed Form
1007 - Employer Report of Injury/Illness
and fax it to us at 225-389-9300,
Attn: Claims Intake. Please make
sure you also complete and fax the reverse
side, Form 1025ER - Employer Certificate
of Compliance. Again, we will make the necessary
filings with the Office of Workers’
Compensation.
Click on the PDF forms and instructions
below:
LDOL
Form 1007
Instructions
to Form 1007
LDOL
Form 1025ER
4. Report of Injury by Mail
Lastly, if phone or fax is unavailable,
you may complete the enclosed Form 1007
- Employer Report of Injury/Illness (front
& back) and mail the form to:
LUBA Workers’ Comp
Attn. Claims Intake
P.O. Box 98082
Baton Rouge LA 70898-9082
PLEASE REMEMBER
THAT PROMPT REPORTING IS THE KEY TO PROPER
HANLDING OF YOUR WORKERS’ COMPENSATION
CLAIM. THANK YOU FOR YOUR COOPERATION!
Penalties
for Late Reporting of Claims
The Louisiana Workers’ Compensation
Act, LA R.S. § 23:1306, states
that within ten days of actual knowledge
of injury resulting in death or in lost
time in excess of one week after the injury,
the employer shall send a completed Form
1007, Employer Report of Injury/Illness,
to the insurer and the Office of Workers’
Compensation. The Louisiana Administrative
Code, LAC § 40:I.109, authorizes
a fine of up to $500 for failure to comply
with this law.
Upon LUBA’s receipt of your injury
report via phone, fax, or mail, we will
submit the proper forms to the Office of
Workers’ Compensation on your behalf.
Please be certain to provide the date of
your (the employer’s) actual knowledge
of the injury/illness, as requested in Item
7 of Form 1007. This is the date when the
ten day time requirement begins to run.
If you have any questions, please contact
us at 1-888-884-5822 or 225-389-5822.
What
Is Workers' Compensation Fraud?
Contrary to what most people believe, workers'
compensation fraud is more that just an
employee exaggerating his medical condition
or working for cash while supposedly disabled.
While these things do occur, employers are
also committing fraud by underreporting
their payrolls to receive lower premiums
and health care providers are billing for
services they've never performed. Workers
compensation fraud is costing the industry
and citizens of our state billions of dollars
each year.
But what is workers' compensation fraud? Workers' compensation fraud occurs when someone willfully makes a false statement or conceals information in order to receive workers' compensation benefits or prevents someone from receiving benefits to which they might be entitled. Below are a just few examples of how workers' compensation fraud can be committed. If, after reading these indicators, you feel you know someone who may be committing fraud, contact the Office of Workers' Compensation's Fraud Division at 1-800-201-3362 or by clicking here to report fraud.
Claimant Fraud
• Malingering or exaggeration of symptoms
• Working while allegedly disabled and not reporting income
• Claiming a job-related injury that never occurred
• Claiming a non-work related injury as a work-related injury
• Falsifying mileage reports
Employer Fraud
• Underreporting payroll or misclassifying employees for lower insurance premiums
• Deducting premium dollars from employee's wages
• Employer knowingly fails to have necessary workers' compensation coverage
Medical or Health Care Provider Fraud
• Providing unnecessary testing
or treatment of injured workers to reap
financial benefit
• Billing for services or treatment
never performed
• Billing the workers' compensation
insurer and the workers' health insurer
for the same services
Download
Workers' Comp Fraud Prevention Poster (LA
Dept. of Labor)
Download
Workers' Comp Fraud Prevention Guide (LA
Dept. of Labor)
Can having a company Drug/Alcohol Policy limit my claims liability?
The law is on the side of the employer to protect against increased insurance costs due to workplace accidents caused by the use and abuse of drugs and alcohol.
Policyholders with a login ID can access further information regarding the usage of a Drug and Alcohol Policy, as well as a "Sample" Drug and Alcohol Policy.
"Sample" Drug and Alcohol Policy
"Sample" Supervisor's Guide |
