Workers' Compensation Claims Info

Workers' Compensation Claims Info

Workers' Compensation is a state-regulated system designed to provide wage replacement and medical benefits to an employee who sustains a work-related injury or illness. The jurisdictions we service include Minnesota, Wisconsin, South Dakota and Iowa and our claim staff has extensive experience administering benefits and managing claims. We utilize the best medical and vocational resources to assist injured workers to make a prompt, complete recovery and to return to suitable work.

Reporting an Injury

Each State strictly monitors and enforces the timeliness of injury reporting and prompt payment of disability benefits. Prompt Injury Reporting is the responsibility of each employer. In most jurisdictions, financial penalties can be assessed directly against an employer when there is a delay in reporting an injury to the insurance carrier. Prompt injury reporting has also been shown to result in lower claim costs and better claim outcomes for both the employer and injured worker. We want to make the process convenient when it comes time to report an injury. Employers can:

Fax a completed First Report of Injury Form to our office

(952) 921-3155
(877) 862-8801 Toll Free

E-mail and attach a completed First Report of Injury Form to us (See Injury Report Forms below)

Mail a completed First Report of Injury Form to our office

Western National Insurance Group
Attn: WC Claims
P.O. Box 1463
Minneapolis, MN 55440-1463

Speak to a representative who will take the Report information by phone

(952) 921-5697
(800) 862-6069 Toll Free
Injury Report Forms

Each state jurisdiction has a required Injury Report form. These forms can be obtained from the following State Offices.

Minnesota Department of Labor and Industry
    (651) 296-2432
    (800) 342-5354
    (652) 297-4198 TTY
    MN First Report of Injury (Word Doc)
    MN First Report of Injury (Fillable .pdf format for printing)

Wisconsin Department of Workforce Development
    (608) 266-1340
     WI First Report of Injury (Word Doc)

South Dakota Department of Labor - Division of Labor and Management
    (605) 773-3681
    SD First Report of Injury (Word Doc)
    SD First Report of Injury (.pdf format for printing)

Iowa Department of Workforce Development
    (515) 281-5387
    (800) JOB-IOWA
    (515) 281-4748 TDD
    IA First Report of Injury (Word Doc)
    IA First Report of Injury (.pdf format for printing)

Staff

A team consisting of a Claim Administrator, Assistant Administrator, Investigator, and Medical Clerk is assigned to each employer (policyholder) to administer benefits and manage those cases. If you have questions about who is handling a claim or about the status of a particular case, don't ever hesitate to call. Contact our office if you would like a Directory of Department Staff.

Claim Services

Regular Loss Report Information
Claim Status Reports and onsite Claim Reviews
Preferred Provider Networks
Medical Bill Reviews
Utilization Reviews
Pharmaceutical Service Program
Medical Case Management
Return to work Planning
Vocational Rehabilitation
Workers' Compensation Management Programs

To contact the Workers' Compensation Department:
Phone: (952) 835-5350 or (800) 862-6070
Fax: (952) 921-3155 or (877) 862-8801
E-mail: wc.mail@wnins.com

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