UNIVERSITY OF PITTSBURGH PROCEDURE 07-06-02
SECTION: Employee Support
SUBJECT: Workers' Compensation
EFFECTIVE DATE: February 1, 2012 Revised
To outline the steps for reporting and filing a claim for Workers' Compensation,
seeking appropriate medical treatment, and returning to work.
This procedure supports University Policy 07-06-02, Workers’ Compensation, and
applies to all University of Pittsburgh faculty, staff, and certain student employees
who believe they have sustained a work-related injury, illness, or disease.
III. ADMINISTRATIVE RESPONSIBILITIES
It is the responsibility of the Office of Risk Management, Insurance & Workers’
Compensation (ORMI) to oversee the University’s administration and management
of the Workers’ Compensation program in accordance with state regulations.
ORMI consults with the Office of General Counsel on claims as appropriate and
delegates claims administration to a third-party claims administrator (TPA). The
University’s Workers’ Compensation program’s primary goals are the resolution
of claims and the safe and timely return of employees to work.
Employees or their supervisor must report any illness, injury, or disease that is
believed to have arisen from the performance of one’s job duties to their supervisor
and the TPA immediately. Failure to report the injury immediately may jeopardize
the Workers’ Compensation claim.
Detailed directions for reporting a potential work injury or illness are located at
Reporting a Work-Related Injury, Illness, or Disease
Employee 1. Immediately call the University’s TPA, UPMC
Work Partners, at 1-800-633-1197 (24 hours/
day, 7 days/week) to report the work-related
injury or illness.
2. Notify your supervisor.
3. Emergency assistance may be obtained from
campus Security or Public Safety Departments.
Department/Supervisor 4. Confirm with the injured worker that they have
taken the proper steps to report their injury.
If he/she is unable to make this call, you
should do so on their behalf.
5. Immediately investigate injury site and verify
that any potentially unsafe situations are
corrected. Report any findings to the
University’s Office of Environmental Health &
Safety (EH&S) and to the TPA.
6. Review the electronic injury report received
from the TPA and maintain in the appropriate
departmental file for the injured worker/
7. Notify the TPA if the employee misses at least
one day of work because of the work injury/
illness, provide the date of the last shift
worked and paid, and provide a copy of
8. Follow appropriate Human Resources
guidelines, policies or procedures if the
employee begins missing time from work.
Employee 1. If you require medical treatment, non-
emergency treatment must be obtained
through the providerslisted on the Health
Care Provider Panel - Form C.
2. For a medical emergency, initial medical care
may be obtained at the nearest emergency
3. Understand your rights and duties as set
forth by the PA Workers’ Compensation Act.
4. Forward any medical bills related to your
work injury to the University’s TPA.
Department/Supervisor 5. Advise and assist employee in seeking
appropriate medical attention if necessary.
Non-emergency treatment must be obtained
through the providers listed on the Health
Care Provider Panel – Form C.
6. Ensure that your employee complies with
responsibilities as outlined above, #1-4.
Lost Time Wage Payments
Supervisor 1. Pursuant to state law and TPA claim
acceptance, a waiting period is applicable
before lost time wage replacement is available.
You must be disabled more than seven (7)
calendar days (including weekends) before
WC payments for disability are payable. Lost
time wage payments are payable on the
eighth (8th) day after injury. Once you have
been off work fourteen (14) days, you receive
retroactive payment for the first seven (7)
days. Please consult with the Office of Human
Resources for guidance on use of benefit
days, such as sick, vacation, FMLA, etc., to
cover any unpaid Workers’ Compensation
during this waiting period.
2. If an employee returns to work at wages less
than the time of injury average weekly wage,
partial wage replacement may be continued
as dictated by state law and administered
through the TPA.
Return to Work
Employee 1. If you are released by the physician to return
to work with or without restrictions, advise
your supervisor and provide a copy of
2. Communicate with your supervisor about any
changes in medical and work capability status
following each medical appointment related
to your work injury.
3. Adhere to restrictions set forth by the panel
Department/Supervisor 4. If the employee is released to return to work
with restrictions based on his or her work
injury or illness, make every reasonable effort
to accommodate the restrictions.
5. Ensure that the employee adheres to
restrictions as outlined by the Panel provider.
6. Instruct the employee to communicate with
you about any change in medical status
following each medical appointment related
to his/her work injury or illness.
7. When the employee returns to work, forward
a copy of the provider’s release and scheduled
return to work date to the TPA.
8. Notify TPA of any issues or problems with
the employee’s return to work efforts.
Exhibit A - Remember: It’s Important to Tell Your Employer About Your Injury
Exhibit B - Workers' Compensation Information
Exhibit C – Health Care Provider Panel
Exhibit D – Employee Acknowledgement of Rights & Duties
Policy 07-06-02, Workers' Compensation