Claims

• We will send letters to the employer and the injured worker confirming receipt of the claim. The employer’s letter will include a request for wage documentation for the employer to complete and return. The injured worker’s letter will include a request for additional claim related information as well as medical records release authorizations to sign and return.
• If the claim involves lost time from work, the Claim Professional assigned to handle the claim will be in contact with the employer and the injured worker within one business day of claim assignment. The purpose of this contact is to confirm the information provided on the initial notice of claim, gather additional information, and explain the claims process as well as the benefits available.

Workers’ compensation is a type of insurance that provides medical and wage loss benefits for people who are injured as a result of their work. Essentially all employers are required to have workers’ compensation insurance available for the benefit of their employees.

• First, ensure the injured worker receives timely and appropriate medical care. That may include rendering first aid, helping the injured worker locate a clinic, and/or calling 911.
• Then collect information regarding the accident and submit a workers’ compensation claim to us as soon as possible.

• You should file a claim if your employee sustained an injury related to their work that requires care by a medical professional or may require medical care in the future.
• Employers are required by law to report a claim when requested by an injured worker even if the employer does not believe the claim is legitimate. Filing a claim is not an admission of liability. If you don’t believe a claim is legitimate, please report it to us and share your concerns with the staff assigned to investigate the claim.

• Notify us as soon as possible, ideally within 24 hours, and no later than 10 days after you receive notice of the injury.
• State regulators may assess fines for late reporting of claims. You will be responsible for these fines if the late reporting is your fault.
  • Fatal or severe (in-patient hospitalization, amputation, eye loss) claims must be reported to us within 24 hours of the employer’s notice.
  • Additionally, employers must separately notify governmental regulators of such claims where required by law.

• Complete our online claim form and submit it via:
  • Email to ORMARKS@Lodestar.com
  • Fax to 888-329-2721
• Call the Lodestar Customer Service Center and make your claim report over the phone: 888-476-2669

Please provide as much information as is available, but do not delay reporting for lack of information.

Information to include:

• Policy number and contact information for the employer’s designated contact for the claim
• Injured worker’s name, Social Security Number, date of birth, and contact information
• Injured worker’s job title and description of duties
• A description of the accident, including: date, location, activity taking place at time of accident, and the nature of the injury
• The status of any medical care received prior to the notice
• Whether the injured worker has missed any work due to the injury