A guide on workers' compensation | Business Upturn

A guide on workers’ compensation


State law varies from one place to another. However, all employees who suffer an occupational disease or are injured at work are entitled to benefits and assistance under the state-mandated insurance program known as workers’ comp. This “no-fault” arrangement avoids holding the employment relationship responsible at any time.

Medical expenses, temporary or permanent disabilities, vocational rehabilitation, and death benefits are all examples of benefits. This post’s primary goal is to help you improve quickly to return to work.

What comes under work injury?


The term “injury” is defined as “any injury or disease originating out of work and happening in the process of employment” in the California Labor Code. A sickness or traumatic event may be the cause of the injury.

A specific occurrence might result in an injury to one or more bodily components known as a specific injury.

Damage from repeatedly traumatizing actions over time, such as chemical exposure or gasses, is known as cumulative trauma damage


A pre-existing illness or a condition unrelated to employment has been made worse by an occupational illness or injury. When the employee reaches the pre-injury state of the pre-existing ailment, the employer pays for medical care.

When can you claim your compensation?

Worker compensation coverage often starts the moment you step foot in the workplace and continues for the duration of your time working for the institution as an official volunteer or employee.

Worker compensation doesn’t cover accidents that happen on the way to or from work, during unpaid breaks, during leisure activities, as a result of substance misuse or intoxication, or as a result of getting into a violent altercation or playing around.

What are the responsibilities of the employee?

  • Inform your supervisor about your illness or injuries.
  • Send your supervisor any doctor’s notes regarding your disability or employment status, and keep them informed of your advancement.
  • Record all of your absences from work.
  • Take an active role in the healing.
  • When your doctor says you can return to work, whether fully recovered or qualified to participate in the Transitional Work Program, let your supervisor know (TWP).
  • Save any relevant paperwork for your records.

When will you receive acceptance for your claim?

Officials will let you know the status of your worker compensation claim between 14 days after submitting it. There will be a delay, denial, or acceptance of your claim.

The claim is postponed if the administrator requires additional time to gather data. The administrator may ask for your permission to study your medical records, speak with your supervisor or coworkers, or speak with you directly to get more information. When a decision has been made, the manager will send you a letter to let you know.

How will you compute the days of work?

A day-of-injury or day-of-illness absence should be treated as administrative leave with pay. Your accumulated sick leave will cover any time lost following the day of your accident or illness.

For more information and support, speak with your manager or contact Worker Compensation.

What if your application gets rejected?

If your application is rejected, officials will write a letter to your house outlining why, along with a copy going to the workers’ comp office or your manager. This letter must be submitted no later than 90 days following the initial filing of your claim. You will typically hear quicker than that.

Your earned leave balances may be utilized to make up for any time missed from work if your claim is rejected. Using vacation time to make up for the missed time is optional.


Workers’ compensation insurance has two functions: it ensures that injured employees receive medical attention and reimbursement for a percentage of the money they lose. At the same time, they cannot return to work, and it typically shields businesses from lawsuits brought by employees hurt at work.