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: Relevant reports from workers, employers, and health care providers are obtained.
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.