Reporting and Managing an Injury

Reporting and Investigating the Injury

Note: All referenced forms are available in the Forms Section of the policy.

• Employee reports injury to supervisor and completes the Employee Incident Report.
• Supervisor/Manager provides employee with copy of Workers' Compensation Information for the University of Minnesota Pamphlet; the Employer's Authorization for Care and a Work Status Report Form (Workability Form).
• Supervisor/Manager completes the First Report of Injury Form (FROI) within 24 hours or the reported injury and gives the employee a copy of the Minnesota Workers' Compensation Information Sheet.
• Supervisor/Manager completes the Supervisor Incident Investigation Report within 24 hours of the reported loss.
• Supervisor/Manager faxes the FROI to Sedgwick Claims Management Services (FAX: 952-826-3785) within 24 hours.
• The Supervisor/Manager should Fax the Employee Incident Report and the Supervisor Incident Investigation Form to Sedgwick.

In Cases of Severe or Questionable Losses

• If the loss is severe or has very questionable circumstances, the Supervisor/Manager contacts the Univeristy Risk Manager, for investigation assistance. (612-625-0062)
• If the Supervisor/Manager has any questions about the compensability or legitimacy of the claim he/she should contact University of MN Workers' Compensation Department, who will consult with Sedgwick. (612-624-6019)

Managing the Injury

Note: If the Supervisor/Manager receives any medical bills from the employee they should forward them on to Sedgwick.

Returning the Employee to Work

It is the Supervisor/Manager's responsibility to follow up with the injured employee for the Work Status Report Form within 24 hours of the initial doctor's appointment.

No Restrictions

• If there are no restrictions and no lost time, the Supervisor/Manager should fax the Workability Form to Sedgwick (952-826-3889).

With Restrictions

• If there are work restrictions that are easily understood and met, the Supervisor/Manager should put the employee back to work. He/she should then fax the original Workability Form to Sedgwick.
• If the Workability form provides the injured worker with work restrictions which, are not easily met, the Supervisor/Manager should contact Sedgwick.
• It is the Supervisor/Manager's responsibility to follow up with the injured employee if they are working with restrictions or are totally off work.
• If the employee is working with restrictions the Supervisor/Manager should contact that employee at a minimum of once a week to determine how the employee is doing and when the next office visit is. The Supervisor/Manager must obtain the Workability Form within 24 hours of any subsequent doctor appointments and should forward this form to Sedgwick.

No Release to Return to Work

• If the Workability Form does not return the employee to any form of work, the Supervisor/Manager will immediately contact Sedgwick for assistance.
• It is the Supervisor/Manager's responsibility to follow up with the injured employee if they are working with restrictions or are totally off work.
• If the employee is missing work, the Supervisor/Manager should contact that employee once a week to monitor the situation.