Do you need to worry about workers’ compensation for remote employees?
In short, yes.
When your organization adopts or expands a work-from-home policy, it’s a good idea to take a fresh look at your workers’ compensation coverage and processes.
Understanding which injuries your workers’ compensation might cover, adapting your safety program and updating your claims reporting process can help your organization handle injury claims more efficiently in the age of remote work.
It’s important to understand that employee injuries at home may be covered by workers’ compensation. However, determining precisely what is a work-related injury at home can be tricky. That’s because every state has its own laws and interpretations of each injury claim.
In general, to have a compensable claim that is accepted by your company’s workers’ compensation carrier, the employee has to be in the course and scope of their job and the accident has to arise out of their job-related activities.
For example:
Not every injury that happens at home during work hours may result in a successful workers’ compensation claim, though.
It’s important to keep in mind that it’s not up to the employer to determine whether an injured employee has a valid claim. Each workers’ compensation claim is subject to an investigation that complies with state employment law.
Fewer injuries means fewer workers’ compensation claims, which is why most organizations build workplace safety programs.
One challenge when your workforce – or even just a few employees – shifts to remote work is that your carefully crafted workplace safety program may not be applicable to employees at home.
For example, administrative employees working in a doctor’s office or a research library may face hazards related to accessing and moving paper records, so their safety program is focused on best lifting practices in the office. But when those employees are accessing records remotely from home, the risk landscape changes.
You can’t know what specific hazards might be present in each worker’s home, and it would be intrusive and impractical to ask. Instead, it’s best to focus on the injury risks that most remote workers face regardless of industry, like:
These pose a particular risk when employees have had to abruptly shift to working at home. Without a proper desk and chair, they may be working while sitting on a sofa or at a dining table. That might be tolerable for a day or two, but over the long run it raises the risk of neck, back and arm injury.
As long as you have people working remotely, your workplace safety program should emphasize the importance of proper posture, correct furniture placement and other
ergonomic best practices.
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Despite your emphasis on work-from-home safety, injuries may happen. In those cases, from a legal and compliance standpoint, your organization’s role is to gather as many details as you can about how the injury happened, such as:
It’s best to collect the employee’s report about their injury as soon as possible after the incident and to pass it along to your insurance carrier promptly. That pace allows the insurance adjuster and the employee to have their follow-up discussions while the facts are still fresh.
Once you collect the employee’s initial report and file it with your workers’ compensation insurance carrier, the matter goes to their adjuster. This is the person who has the resources and knowledge to decide if a claim is work-related or not, based on their investigation and the law in the state where the injury happened.
The adjuster will get in touch with the employee for a detailed interview and to collect any supporting documents. Typically, the adjuster will:
With that information, the adjuster may decide the case is clearly work-related or clearly not a result of work activities.
If the claim falls into a gray area, your company’s insurance carrier may seek a legal opinion from an attorney with experience in the state’s workers’ compensation law on:
If the claim does go to court, your state’s written laws plus existing case law – how previous similar claims have been judged – will determine the outcome of the case.
Every state (except Texas) requires employers to have workers’ compensation insurance, although the details vary from state to state. It’s wise to regularly review your workers’ compensation policy to identify ways to reduce costs and to make sure your coverage is optimal for the way your business is growing and evolving.
A professional employer organization can offer your workers’ compensation coverage with a workers’ compensation carrier and often will help identify safety improvements that can reduce the likelihood of workers’ comp claims.
Now is also a good time to review your organization’s claims management and reporting system, to make sure it addresses workers’ compensation for remote employees.
To learn more about workers’ compensation and other business compliance requirements, download our free e-book:
HR compliance: Are you putting your business at risk?