There are five stages to the claims process.
Stage 1: Report the injury. Workers, employers and health care providers should submit a report of injury. This form looks a bit different depending on what role you play. Here’s how to report for the worker, employer or health care provider.
Stage 2: Claim classification. After reporting, the injury will be registered and classified as one of the following: lost-time claim (missed time from work), no-time-lost claim (didn’t miss time from work) or interjurisdictional claim (injured in a province that they are working in, but are not a resident—the injured worker can choose where to claim).
Stage 3: Claim decision. An initial decision is made on the claim, and it will be given one of the following status types:
- Not accepted
- Pending (a decision has not been made yet)
- Processed (claim is registered and medical costs are being paid, but the claim has not been reviewed for a decision)
- Medical investigation (further medical assessments are required before a decision can be made).
Once a claim is accepted, the worker can check the ongoing status of their claim online.
Stage 4: Treatment and recovery. We review each claim individually and talk with the worker to determine the benefits and services that are best suited to their recovery. We place a strong focus on rehabilitation to get the worker back to their pre-accident job.
Stage 5: Return to work. Throughout the entire claim process, we work with the worker and their employer to develop a care and return-to-work plan to help the worker recover and get back to work safely.