The SIA Workers’ Compensation Program is self-insured and self-administered. It is a unique program designed with special features that provide the injured worker the support to return to work as soon as reasonably possible. Among those features are:
Injured employees can call a toll free intake line and speak directly to a nurse regarding a potentially compensable incident, and be directed to the most appropriate physician for treatment. SIA’s physician partners are hand-selected based on quality of care, their understanding of workers’ compensation laws, and the needs of member districts and employees. This partnering generally allows for the scheduling of non-emergency medical care within 1-2 days, expediting the employee’s care while also ensuring that costs and evaluations are appropriate under all circumstances.
SIA uses a Structured Return to Work Program in which all Members have developed a pre-identified listing of modified duty tasks for injured employees. SIA’s Return to Work Specialist obtains the work restrictions from the physician, contacts the Member to gain assistance in the modified duty placement, and works to bring the employee back into the workplace. This approach also keeps the employee engaged in the workplace, easing the transition back into his/her regular position.
SIA’s In-House Utilization Review Program provides a quality assessment of the reviewed treatment request in compliance with workers’ compensation laws. Teaming with a respected local physician, who also serves as SIA’s Medical Director, unnecessary treatment or inappropriate treatment, is avoided. Selective and appropriate use of this process complements sound claim review and ensures that costs are not wasted.
These components in conjunction with the overall processes and people involved in the administration of workers’ compensation claims maximize the best outcomes for the injured worker and the member districts.
(These instructions apply to members participating in SIA’s Workers’ Compensation Program)
When an employee is injured at work, follow these instructions:
Call 911 or go to the nearest hospital
As soon as possible:
Immediately:
Please note: In the event of non-emergencies, seeking medical treatment before reporting the injury to your supervisor and SIA’s Early Intervention Nurse may be considered self- procured medical treatment and the District may not be responsible for payment.
