Filing An OJI Claim

All injuries and/or illnesses, on the job, whether requiring medical attention or not, must be reported to the supervisor immediately or within the current working shift.  If the incident involves loss of consciousness, a fatality, broken bones, loss of a body part or third degree burns, the supervisor should be notified immediately. It is then the responsibility of the supervisor to immediately notify the Safety Coordinator 615-898-7715 ext. 7720.
 

 What to do when an OJI Incident occurs

  • Notify your supervisor immediately, or within the current working shift. 
  • Supervisors refer to the Supervisor Checklist.

  • Complete the OJI Claim Forms and submit to [email protected].

  • Forms should be completed whether the employee is seeking medical treatment or not.
  • If the employee chooses not to seek treatment check Report Only at the top left of the form. The employee will have 7 days counting the day of the incident to seek treatment. 
  • If an employee is seeking medical treatment check Claim on the top left of the OJI Claim Report Form, complete all sections of the form including selecting one of the clinics. Please submit OJI Claim Forms as soon as possible to ensure timely set up of the claim.

  • The Panel of Physicians are the only approved treatment facilities for an OJI. Seeking treatment anywhere else will not be covered under the OJI Program and will result in lose of all OJI benefits. 

  • The Emergency Room (ER) is not an approved treatment facility for an OJI, except in cases of life threatening emergencies. Such emergencies include loss of consciousness, uncontrolled bleeding, a visible broken bone, an amputation. 

  • To avoid out of pocket expenses employees should not present their insurance card to the treating facility or the pharmacy. For prescriptions contact the Safety Coordinator for a First Fill Card. Prescriptions must be filled at one of the authorized pharmacies.

  • If the physician recommends light or restricted duty, or time off it is the employee's responsibility to notify their supervisor.

  • The supervisor will determine if restrictions can be accommodated through light or restricted duty or a temporary job assignment. Please complete the Employee Accommodation Plan. If accommodation can be met the employee is expected to return to work. If the employee refuses the accommodation they will not be eligible for out of work benefits (TTD) through the OJI Program.

  • If you have questions regarding light or restricted duty or availability of a temporary job assignment please contact your Department Head/Elected Official or contact our office.
  • If accommodation cannot be met the employee may be eligible for out of work benefits (TTD) through the OJI Program.