Insurer claims adjusters can now take advantage of the Claims Coverage Research feature for WCIRB Connect. Claims Coverage Research provides insurer claims adjusters immediate access to detailed coverage information for policies back to 1996 to aid in proper claims handling. The Claims Coverage Research feature is available at no cost to WCIRB insurer members and will eliminate the need for insurer claims adjusters to submit hard copy coverage research requests.
To conduct a coverage search, an insurer claims adjuster must attest that he/she is authorized to access the information and must enter specific claim data such as claimant name, insured employer name, insurer claim number, date of injury, and either a Jurisdiction Claim Number (JCN) or an Adjudication Unit (ADJ) authorization number. Based on this information, WCIRB Connect will provide:
This feature will reduce costs and streamline your claims adjusters’ workflow. Please help us reach this new audience by forwarding this information to your colleagues who have responsibility for claims handling. To learn how to obtain access to the WCIRB Connect Claims Coverage Research feature, visit the WCIRB Connect page of WCIRB.com.
If you have questions, please email [email protected].
Injured workers and their attorneys, policyholders and medical providers should continue to use WCIRB Form 807, Coverage Research Service Request to obtain coverage information. Requests for coverage information for policies prior to 1996 must be submitted using Form 807.
Injured workers, employers and others may obtain at no cost the name of the insurer that wrote a California workers’ compensation insurance policy for a specific employer on a specific date within the last five years using the California Workers’ Compensation Coverage Inquiry (http://www.caworkcompcoverage.com) website.