Report a claim

What to expect for a nurse triage call

• Record the call
• Reassure the employee
• Triage the injury
• Coordinate the referral to the physician
• Report the injury or incident, create the claim

Report checklist

Employer Info

• Company DBA
• Company Legal Name

Injured Employee Info

• Full name
• Address
• Phone number
• Date of birth
• Date of hire
• Social security number
• Occupation/role
• Full-time or part-time
• Weekly wages or salary

Injury Details

• Specific injury and body part
• Date and time of injury
• Location where injury occurred
• Activity being performed when injury occurred
• Time employee began work the day injury occured
• Date last worked
• Date returned to work