Workers' Compensation Claims & Reporting Process


Overview
ChampionPEO, in partnership with Spire Insurance Solutions and Accident Fund Insurance Company of America, provides a detailed framework for managing workers' compensation claims. These updated guidelines emphasize compliance, efficient claim processing, and optimal medical care to protect employers and employees.



Updated Documents Description


1. Importance of Reporting Claims – Spire x Champion x Accident Fund
This document highlights the critical reasons for promptly reporting workplace injuries or illnesses. It explains the benefits of early reporting, including reduced claim costs, compliance with state laws, and ensuring employees receive timely care. It also addresses common employer concerns about the impact on experience modification rates (EMR).


2. Reporting Workers' Compensation Claims – Spire x Champion
This guide outlines the immediate steps required after a workplace injury. It includes essential details for completing the Employer’s Basic Report of Injury form, such as employee and accident information, and instructions for submission to ensure timely reporting and effective claims processing.



3. Workers' Compensation Claims Reporting Process – Spire x Champion x Accident Fund
This comprehensive document provides an in-depth overview of the claims process, from initial reporting to recovery and return-to-work plans. It explains the roles of the injured worker, employer, and claims team, ensuring clarity and effective collaboration. It also includes steps for meeting OSHA reporting requirements when applicable.



4. Employer's Basic Report of Injury Form
This form must be completed and submitted to Accident Fund’s Express Claims Service and ChampionPEO’s HR Department within 24 hours of a workplace injury.



Usage and Submission Guidelines


Who Should Use These Documents?
Employers, HR professionals, managers, authorized personnel, or incident witnesses covered under ChampionPEO’s Master Workers' Compensation Policy should reference these materials for guidance.


How to Use These Documents:

  • Step 1: Refer to the "Importance of Reporting Claims" document to understand the significance of timely reporting.
  • Step 2: Use the "Reporting Workers' Compensation Claims" guide to gather necessary details and initiate the claim process.
  • Step 3: Follow the "Workers' Compensation Claims Reporting Process" document for a detailed claims management roadmap.

Steps to Submit a Claim:

  1. When an Injury Occurs:

    • During Normal Business Hours (8 AM - 5 PM, Monday-Friday):
      Call Accident Fund's Express Claims Service at 866-221-9640.
    • After Hours:
      Email the completed Employer’s Basic Report of Injury form to ReportClaim@AssignedRiskSolutions.com or fax it to 844-778-1069.

  2. Submit to ChampionPEO:

    After notifying Accident Fund, send the completed form to your ChampionPEO Account Manager or email it to HR@ChampionPEO.com.


  3. Additional OSHA Requirements:

    Employers must report fatalities within 8 hours and hospitalizations, amputations, or eye losses within 24 hours.




Need Assistance?

For questions or support, contact your ChampionPEO Account Manager or email HR@ChampionPEO.com. You can also call 1-313-67-CHAMP (24267) and select Option 3 for HR assistance.