Office Administrative Assistant Practice Exam

What action should be taken when receiving a workers' compensation claim?

1. Forward it to HR

2. Document it in the patient’s file

3. Consult with the insurance provider

4. Submit it directly to the insurance

The correct answer is: Submit it directly to the insurance

When a workers' compensation claim is received, the appropriate action is to submit it directly to the insurance. This step ensures that the claim is processed quickly and efficiently, allowing the employee to receive the necessary benefits and support for their injury or illness. Submitting the claim directly to the insurance provider streamlines the process, minimizing delays that might occur if the claim were to go through multiple layers of approval or processing. It also ensures that the insurance provider has all the relevant information needed to assess the claim, which is crucial for determining the appropriate benefits owed to the employee. Other options may include actions that, while important, do not pertain to the immediate and critical first step in handling a workers' compensation claim. Forwarding it to HR or consulting with the insurance provider could be relevant later in the process, but submitting the claim directly initiates the required procedures for the employee and guarantees that the claim is officially on record with the insurance provider. Documenting it in a patient's file would not be relevant because workers' compensation claims pertain to work-related injuries, not medical records in a patient file context.