How does the claims process work?

The claims process determines the WSCC benefits workers can receive if they are hurt at work.

Benefits may include:

  • Compensation for wages lost while they recover from their work injury or disease;
  • Medical care and other non-financial benefits;
  • pensions; and
  • Other services like help to return to work, prescriptions, and out-of-pocket expenses.

The claims process has four steps:

  1. Information Gathering: a worker files a claim with the WSCC.
  2. Claim Entitlement: the WSCC makes a decision on the claim.
  3. Benefit Calculation: if the WSCC accepts the claim, we calculate benefits.
  4. Ongoing Communication: the injured worker works closely with a WSCC Adjudicator or Case Manager throughout their recovery.