Employee Claim (ECL)
The Employee Claim activity folder allows you to view an employee's worker' compensation claims. You can also create new claims and modify existing claims. You can search for particular workers' compensation claims by Employee ID, Appointment ID, and/or Claim Reference Number.
The Employee Claim activity folder contains the following tabs:
The Employee Claim tab display information based on the values entered in the search window.
Claim InformationClaim Information
This tab displays the detailed information about the claim, such as the OSHA Case Type, any work restrictions, the dates that the employee entered the claim, the supervisor reviewed the claim, and whether the TPA was notified of the claim, a police report number and/or attorney if necessary, and the date the employee returned to work. In addition, this tab is used to indicate if the claim has been paid by a TPA, has been accepted, is reportable, has had leave reimbursed or has had days away from work deducted from eligible retirement days. The total payment for the claim is also indicated on this tab.
Additional claim details can also be viewed that details exactly what happened to cause the injury/illness, where and by whom the injury/illness was treated, and whether or not a trip to the emergency room or an overnight stay in the hospital was required.
New claims can be created and existing claims can be modified from the Claim Information tab.
This tab contains the following row-level actions:
Create Claim - This action creates and opens the Employee Claim Detail (CLAIM) transactions, which allows you to captures data related to the processing of a workers’ compensation claim.
Modify Claim - This action creates and opens the Employee Claim Detail (CLAIM) transactions, which allows you to modify the employee claim details.
The Claim Activity tab displays detailed information on exactly what happened to cause the injury/illness, where and by whom the injury/illness was treated, and whether or not a trip to the emergency room or an overnight stay in the hospital was required. The Attachments link allows you to access any transactions that were included on the claim detail lines.
