Web Content Viewer
Actions
Web Content Viewer
Actions
Participating in the process
There are many parties that play a role in the workers' compensation process

When a work-related injury occurs, it’s important for all involved parties to assist with the workers’ compensation claim and their return-to-work efforts.  Below is a list of involved parties who will play an active role in the workers’ compensation process, along with some of their high-level activities.

 

An injured worker is responsible for:

  • Reporting a workplace injury to their employer.
  • Notifying their employer if a workers’ compensation claim has been filed.
  • Providing Bureau of Workers’ Compensation (BWC) and/or the Managed Care Organization (MCO) with all requested information related to their claim. To release medical information, the injured worker will complete the (C-101) Authorization to Release Medical Information form.
  • Following the medical restrictions their doctor recommends.
  • Keeping their employer informed of their progress and any obstacles encountered.

 

The employer is responsible for:

  • Reporting all workplace injuries to their Managed Care Organization (MCO).
  • Investigating all workplace accidents promptly.
  • Informing BWC of their decision to certify (confirm an injury has occurred) or reject the workers’ compensation claim. An employer can notify BWC of their decision by:
  • Monitoring the status of the injured worker, including during any time when the employee is not working.
  • Coordinating remain-at-work /return-to-work strategies with the injured worker, MCO, medical providers and BWC.

 

The Bureau of Workers’ Compensation (BWC) is responsible for:

  • Investigating reported work-related injury claims.
  • Making work-related injury claim determinations.
  • Determining allowed conditions, which means BWC issues a claim decision based on the injury’s diagnosis.
  • Managing and paying workers’ compensation benefits.
  • Determining eligibility for rehabilitation services.
  • Assisting with bringing a claim to resolution.

 

The Managed Care Organization (MCO) is responsible for:

  • Managing the medical aspects of the workers’ compensation claim.
  • Approving or denying treatment requests.
  • Paying the injury-related medical bills.
  • Working closely with the employer and BWC to return the injured employee to work as quickly and safely as possible.

 

The Third-Party Administrator (TPA) is responsible for:

  • Assisting an employer in managing their claims.

 

The Industrial Commission of Ohio (IC) is responsible for:

  • Resolving appeals filed by an injured worker or employer who disagrees with a claim decision. Refer to Appealing a claim decision for more information.