WC Claims Coordinator Orientation Information
Key Responsibilities of a Claims Coordinator:
- A District Claims Coordinator acts as the liaison between certain District staff (as determined by District policy) and CCCSIG to ensure an immediate and direct line of communication for the administration of Workers’ Compensation benefits and associated claims cost containment activities.
- Assists with district-wide communications for telephonic claims reporting through Company Nurse for new Supervisors (training and materials) and Employees (materials)
- Assists with the reporting of new claims to Company Nurse in lieu of a supervisor or manager if necessary
- Assists in providing payroll, personnel and general claims information to the CCCSIG Claims staff assigned to the claim
- Receives and provides medical information to CCCSIG Claims staff, as available to them
- Working in conjunction with CCCSIG Return to Work Specialist, is responsible for placing employees into Temporary Work Assignments (TWA) or Modified Duty after each medical visit
- Assists CCCSIG in obtaining signatures/authorization of District HR Managers on required forms pertaining to permanent modified/alternate work assignments
- Participates in the district claims review meetings and in many cases reports results to designated district staff
- Ensures CCCSIG has current district information including contact and site data to pass on to Company Nurse
- Receives/orders updated workers’ compensation materials (medical panels, pamphlets, posters, etc.) and distributes, as appropriate
- Attends countywide Claims Coordinator meetings and training sessions at CCCSIG, usually once a year
- Emails the Accident Investigation Form (included in the Company Nurse Report email) to the manager of the injured employee (see Accident Investigation Form Best Practices and Prevention Recommendations for Accident Investigation Form Emails to Managers).
Claims Coordinator Orientation Materials:
Overview of Programs
Company Nurse
Accident Investigation Form Emails
- Accident Investigation Form Best Practice
- Prevention Recommendations for Accident Investigation Form Emails to Managers
Return-to-Work Program
- RTW Guidelines
- RTW Process for Claims Coordinator
- RTW Process for Injured Employee
- RTW on Day of Injury for Claims Coordinator
- Temporary Work Agreement
- Pre-Designated Temporary Work Assignments
- RTW Process for Injured Employees Flyer
Utilization Review & ACOEM
Overview of Self-Administration
- Red Flags for Claims Investigation
- CCCSIG Preferred Provider List
- Statement of Personal Physician Designation & Pre-Designated Physician Form
- Statement of Personal Physician Designation & Pre-Designated Physician Form (Spanish)
- Statement of Personal Chiropractor or Personal Acupuncturist
- Average Weekly Wage Flyer
- WC Frequently Asked Questions
- WC Glossary of Terms
Information Sources
- CCCSIG Facts About Workers’ Compensation
- Sample Monthly Trend Report
- Time of Hire Pamphlet
- Medical Panel Posters:
Acalanes Union High School District (PDF)
Antioch Unified School District (PDF)
Brentwood Union School District (PDF)
Byron Union School District (PDF)
Canyon School District (PDF)
Contra Costa Community College District (PDF)
Contra Costa County Office Of Education (PDF)
John Swett Unified School District (PDF)
Knightsen Elementary School District (PDF)
Lafayette School District (PDF)
Liberty Union High School District (PDF)
Martinez Unified School District (PDF)
Moraga School District (PDF)
Oakley Union Elementary School District (PDF)
Orinda Union School District (PDF)
Pittsburg Unified School District (PDF)
San Ramon Valley Unified School District (PDF)
Walnut Creek School District (PDF)
West Contra Costa Unified School District (PDF)
District Claims Coordinators
Acalanes Union High SD | Karin Faizi |
Antioch USD | Erin Fleming |
Brentwood Union SD | Debbie Valladao |
Byron SD | Desiree Lopez, Stefanie Brundy |
Canyon SD | Monica Santiago |
CCC College District | Andrea Medina, Jerry Johnson |
CCC Office of Education | Marie Middleton |
John Swett USD | Tova Freels |
Knightsen SD | Diane Bodon, Cindy Friedmann |
Lafayette SD | Brandy Hennefer |
Liberty Union High SD | Debbie Matteson, Jean Kindt |
Martinez USD | Stacy Joslin |
Moraga SD | Christine Avellar |
Oakley Union Elementary SD | Heather Partida, Tammi Lauderdale |
Orinda Union SD | Mary Brakefield |
Pittsburg USD | Christine Huston |
San Ramon Valley USD | Angelina Silva, Mary Garcia |
Walnut Creek SD | Anne Siri |
West Contra Costa USD | Patti Ramos-Baker |
For questions please contact Phyllis Robinson, Claims Manager.