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Frequently Asked Questions for Employees
What do I do if I am hurt on the job?
What happens after a work-related incident is reported?
Additional Information
What do I do if I am hurt on the job
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Report the Injury to your Employer
Tell your supervisor right away so that he/she can complete the
required form for reporting a work-related injury or illness. If
your injury developed gradually, report it as soon as you learn
it is job related. Reporting your injury promptly helps to prevent
delays in receiving benefits, including medical care you may need
to prevent further injury.
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2) |
Get Medical Treatment
Emergency: (life threatening injuries)
On campus: call 911 for paramedic assistance or 2-3333 for campus
police.
Off campus: use the nearest available medical facility for care.
Tell medical staff that the injury happened while working and
provide names of your department, direct supervisor and the University's
Workers' Compensation administrator, Sedgwick CMS, [PO Box 2063,
Oakland, CA 94604.
(510) 302-3180.
Urgent Care: (serious injuries but not life
threatening)
Urgent care is available on a drop-in basis at the Urgent Care
Clinic at the University Health Services, Tang Center at 2222
Bancroft Way, Berkeley, CA 94720
((510) 642-3188). The entrance and urgent care parking is on Durant
Ave. See Tang Center Hours
for regular business hours. If UHS is closed, you may use Alta
Bates Medical Center’s Emergency Room located at 2450 Ashby
Avenue, Berkeley, CA 94705 or the emergency room of your personal
health plan. Follow-up visits for medical care can be scheduled
with the Occupational Health
Clinic (OHC) by calling
(510) 642-6891.
Non Urgent Care:
You may be treated at the Occupational Health Clinic (OHC) by
calling
(510) 642-6891 for an appointment, or may be treated by your personal
physician. "Personal physician" is defined as a “medical
or osteopathic physician, chiropractor or licensed acupuncturist
who has previously directed the medical treatment of the employee,
and retains his/her medical records including the medical history.”
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If your physician indicates that your work-related injury/illness
requires treatment beyond first-aid (or you lose time from work),
the UCB Disability Management Services office will mail you a
Workers' Compensation Claim Form (DWC-1). You will be asked to
complete the Employee section of this form and return it to Disability
Management Services, who will complete the Employer section and
send a final copy back to you.
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What happens after a work-related
incident is reported?
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The University of California utilizes a third-party company,
Sedgwick CMS, to administer our Workers' Compensation claims.
A claims administrator from Sedgwick CMS will contact you to discuss
your claim, investigate the incident and determine compensability.
This Sedgwick CMS administrator will notify you by mail of the initial
status of your claim (e.g., accepted, denied, delayed for
further investigation).
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2) |
If approved, temporary disability (TD) benefits are paid
until you return to work or the medical condition becomes
permanent and stationary (P&S).
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If you are unable to perform your usual and customary job
on a temporary or permanent basis, your restrictions will
be reviewed for possible accommodation through transitional
or alternative work. A Vocational Rehabilitation Counselor
from Disability Management Services works with your supervisor,
Department Personnel Manager and you to identify the appropriate
accommodation.
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4)
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If you are permanently disabled, you may be eligible to receive
permanent disability (PD) benefits. The percentage of PD is
determined using State guidelines and an assessment of your
permanent impairment and limitations. Future medical treatment
may also by awarded, depending on medical recommendations.
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Any person who makes or causes to be made any knowingly
false or fraudulent material statement or material representation
for the purpose of obtaining or denying workers' compensation
benefits or payments is guilty of a felony.
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Additional Information
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To learn more about UC Berkeley’s Disability Management
Services program, you may review the Workers’
Compensation Handbook for Supervisors. The handbook covers
many topics that may be of interest to you including relevant
questions and answers.
To learn more about California Workers’ Compensation System
and Vocational Rehabilitation Services contact the California
Department of Industrial Relation’s Division of Workers’
Compensation. You may call the local DWC office found in the
white pages under State Government/Industrial Relations/Workers’
Compensation or you can go to DWC’s website www.dir.ca.gov
and link to DWC or Commission on Health & Safety
& Workers’ Compensation. There are a number of informative
guides
for injured workers which may be helpful.
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