Claims Coordinator Responsibilities

The claims coordinator is pivotal and can be part of the risk management department, finance, or human resources. The important thing is the claims coordinator has access to all information necessary to control the claim.

Claims Coordinator will:

• Establish a transitional duty program prior to injuries occurring.
• Provide all new hires and annually to current employees the employee brochure on what to do in case of an accident.
• Arrange immediate medical care at the required or recommended medical provider. Nurse triage can be the initial step to ensure the appropriate level of medical care.
• Provide the medical provider with a detailed job description prior to the employee arriving for initial medical treatment.
• Interview the injured employee to obtain a detailed description of how the injury occurred.
• Interview the employee's supervisor to verify the description of the accident and what could have been done to prevent the accident.
• Complete the first report of injury and give it to the claims office the day of the injury.
• Contact the employee immediately following the initial medical treatment for diagnosis, prognosis, and expected period of disability, if any.
• Arrange for transitional duty (light duty or modified duty) for the injured employee.
• Send the employee a get well card while the employee is off work.
• Maintain weekly telephone contact with the employee while off work and treating. Have a nurse case manager contact the employee after each scheduled medical visit. On-going contact with the injured employee allows for discovery of any problems - such as not keeping medical appointments or difficulty with healing or medications prescribed - before they get out of hand.
• Facilitate on-going contact with the claims adjuster and the nurse case manager.
• Coordinate and complete all necessary paper work related to the claim.

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