Injured worker

• Report all workplace injuries
• Notify your employer if a claim is filed
• Timely provide BWC or the MCO with all requested information related to a claim
• Follow medical restrictions given by the provider of record
• Keep your employer informed of progress and obstacles encountered

• Report workplace injuries
• Investigate workplace accidents promptly
• Timely inform BWC on a decision to certify or reject the claim
• Monitor the status of an injured worker if there is time off work
• Coordinate remain-at-work/return-to-work strategies with the managed care organization, medical providers and BWC.

• Investigates reported claims and makes claim determinations
• Determines allowed conditions
• Manages and pays compensation benefits
• Determines eligibility for rehabilitation services
• Assists with bringing a claim to resolution

• A private company that partners with BWC and the employer to manage the medical portion of the claim
• Approves or denies treatment requests
• Pays medical bills
• Works closely with the employer and BWC to assist in returning the injured employee to work as quickly and safely as possible

• Assists an employer in the management of claims
• Employers may use the services of a TPA; however, it's not required. So not all employers will have a TPA.