WC CLAIM KIT – Virginia
Who will handle your claims?
The Orlando Claim Office will handle your Virginia claims:
1064 Greenwood Blvd., Ste 300 P O Box 958426
Lake Mary, FL 32746 Lake Mary, FL 32795-8426
Phone: 407-710-4900
Phone: 800-423-3060
How to Report Workers’ Compensation Claims?
To report via the Internet: Log on to the Crum & Forster website at http://one.cfins.com. Use your assigned User ID and Password. If you do not have a current User ID, please contact your local Crum&Forster Claims or Marketing resource.
To report via fax: 1-877-622-6218
To report claims via telephone: 1-800-690-5520
(7 day/24 hour toll free reporting line for all states)
· In the event of a serious or fatal injury, notify the local claim office immediately by telephone.
What forms and pamphlets does the employer need to be aware of?
Click on this link for the Virginia Forms:
http://www.vwc.state.va.us/forms_work_comp.htm
Virginia W/C Posting Notice:
Prominently display the notice where each employee is likely to see the notice on a regular basis. The Virginia posting notices are available on the Crum Forster website. Notices should be displayed in English and Spanish.
Employer’s First Report of Injury:
If you report the claim via the Internet or by telephone, you do not need to fill out this form. If you report the claim via fax, complete the form below, and fax it to Crum Forster at the fax number provided above.
Employer’s Wage Statement:
File this form with the carrier, claimant, and claimant’s representative when the claimant is losing time from work. Read the instructions for more specifics on when to file the form.
What is the Waiting Period For Lost Wages in Virginia?
The waiting period is 7 days. If there are more than 7 days out of work, the employee is entitled to benefits from the first day out of work with a retroactive period of three weeks.
What is the Choice of Physician Rule in Virginia?
The carrier will provide a panel of three providers notassociated in the same practice. Referrals beyond the initial panel choice are at the direction of the carrier unless the referral doctor has specifically named a particular doctor.
Preferred Provider Organization Network (PPO):
Crum & Forster has a PPO network available. Follow the instructions below to access the PPO Network:
Logon to the website at: http://www.corvel.com
· Select the “PPO Lookup” box under “Connect”
· Select the “Search” button under “Find a Provider”
· Using the drop down option, select “Workers’ Compensation” in the “Select a Network” box
· Fill in or select from the drop down options for the remaining fields. Make sure you limit your search by selecting the provider type for specialty or service
· When you have completed all the files, select “find providers that meet the search criteria” to obtain a list of providers meeting your search criteria
Important Websites:
Virginia Division of Workers Compensation: http://www.vwc.state.va.us/
SAWCA – Southern Association Workers’ Compensation Administrators (link to website with information on all states): http://www.sawca.com/htm/wcusa.htm.
Multi-State Information: http://www.workerscompensation.com/