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Workers Compensation Process

How to Apply For Workers’ Compensation

  1. In the event of a work-related illness or injury, an employee should immediately notify a supervisor or administrator.
  2. The supervisor is responsible for the prompt completion of the Supervisors’ Injury or Illness Investigation Report and notify the Office of Risk Management of the injury.
  3. The employee is responsible for the completion of the Employee Accident Statement Form.
    1. Witnesses should complete the Witness Accident Statement Form (as applicable).
  4. The Office of Risk Management will arrange an initial evaluation of the injury or illness at the required treatment location.
  5. Treatment cannot be administered without an OMEGA Clinical Passport (for Evanston) or a Treatment Authorization Form (for Chicago), which can be brought into the appointment or faxed prior to the appointment. 
  6. All employees receiving either initial or emergency room follow-up treatment will be given a Duty Status Report indicating when they can resume modified or full duties and whether a follow-up visit with the doctor may be requested. Employees are responsible for ensuring the report is delivered to the Office of Risk Management as soon as possible and that his/her supervisor is notified.

Both the employee and the supervisor have a responsibility to assure that complete and accurate information is conveyed to the University’s Office of Risk Management. Northwestern University employees are advised that if these instructions are not followed, Workers' Compensation claims cannot be reviewed. Employees may not be entitled to Workers' Compensation benefits and can be held responsible for any expenses incurred.

Workers Compensation Resources

Guidance for Workers' Compensation Billing

If you are an employee and have a workers' compensation claim with Northwestern University, please inform your medical facility that your visit is in relation to that claim and provide the claim number. All bills and appropriate records associated with your workers' compensation claim should be directed to the Office of Risk Management, either through mail or secure e-mail.

Mailing Address E-mail

Northwestern University

Risk Management
2020 Ridge, 4th FL
Evanston, IL 60208-4335

 wc@northwestern.edu

Contact

Risk Management
 
Karina Garcia

Claims Manager
847.491.5582

karina.garcia@northwestern.edu