Reporting an on the Job Injury or Illness
In the event of a job related injury or illness, OptaComp staff will assist the injured employee in receiving prompt, quality and medically necessary care as well as maintaining the employee in an active work status, either in modified or transitional duty.
OptaComp provides 24/7/365 claim reporting through our Triage Unit. The role of the triage nurse is a key component of OptaComp's unique and proactive claim management program. At the time the claim is reported, the triage nurse will orient the employee to the workers' compensation system, demonstrate concern regarding the injured employee's well being, determine the level of medical care required and make the necessary medical referral. After the employee is directed for medical care, the claim will be assigned to the nurse case manager and adjuster team who will manage the claim to conclusion.
What do I do and what can be expected following an on the job injury or illness?
- In the case of a medical emergency, call 911 and then immediately contact OptaComp (1-800-316-5994) to report the claim.
- If the injury is not an emergency, the supervisor should immediately report the claim to OptaComp. Whenever possible, please have the injured employee present with the supervisor when the claim is reported. The triage nurse will then be better able to assess medical needs and arrange for immediate medical treatment.
- Once OptaComp has taken care of the injured employee, the intake specialist will then collect the Florida First Report of Injury claim information. The needs of your injured employees always come before the paperwork.
- Upon completion of the initial tasks: 1) assessing the employee's medical needs and, 2) directing and facilitating the medical treatment, the triage nurse will transfer the case to the nurse case manager and adjuster team for continued handling.
- The nurse case manager, following the clinician visit, will obtain the results of the initial medical encounter including diagnosis, treatment plan and any injury related restrictions. This information will be provided to the supervisor immediately after the clinician visit in order to support a stay at work strategy.
To best serve the needs of the injured workers, time is of the essence.
Immediately report all on the job injuries or illnesses.
TO REPORT A CLAIM, CALL 1-800-316-5994