Effective March 16, 2013, the administration of the State Employee Workers' Compensation Program is being transitioned to a third party administrator, TRISTAR Risk Enterprise Management, Inc. TRISTAR is an experienced third party administrator that provides claims administration services to corporate and governmental entities across the United States.
The following phone number should be used effective March 16, 2013, to report all new Workers' Compensation Reports of Injury that may result in a Workers' Compensation claim:
Worksite accidents and injuries can occur in spite of everyone's best efforts. Although everyone strives to minimize on-the-job accidents, they can happen. If one occurs, here are some procedures to assure that employees receive prompt medical care and income for lost time due to the injury.
The State of Illinois and TRISTAR TRISTAR Risk Management is responsible for administering the Workers' Compensation program for state employees. TRISTAR monitors and evaluates the care received by the injured employee to assure appropriate treatment and optimal return to work.
Who to contact at SIUE At the local level, Tayanna Crowder from Human Resources is the campus Workers' Compensation Coordinator. She is responsible for assisting employees in the proper submission of reports to TRISTAR. Her office is located at Rendleman Hall Room 3210 and her phone number is 618-650-2106.
If the injury is life threatening, please seek prompt medical care and then proceed with the reporting of your injury.
Go to the nearest hospital ER or prompt care facility. Inform the facility that you are treating for a worker's compensation injury and to forward bills to:
TRISTAR Risk Management
Clinton, IA 52733-2803
For all other injuries, please follow the steps below:
- Notify your supervisor
a. Notice can be given orally or in writing but by law it must include all of the following: date, time and location. It is also recommended that your notice include a brief description of the accident and the injury sustained.
- Report your accident to the TRISTAR Risk Management Early Intervention 24-hour Hotline at 1-855-495-1554.
a. Make sure to provide your name exactly as it appears on your social security card and your current mailing address.
b. If you plan to seek medical treatment, please provide to TRISTAR the physician and/or facility information you plan to utilize.
c. Before you seek medical treatment, please print the Worker's Compensation Employee Packet below and take it with you. This is important information which includes information regarding medical expense billing which should be given to the medical care provider.
Please be aware that your WC claim is still pending until TRISTAR approves the incident as a covered Worker's Compensation event. If TRISTAR does not approve the incident, employees are responsible for their own medical expenses.
- Report your accident to Tayanna Crowder in the Office of Human Resources at ext. 2106.
a. Human Resources will mail the injured employee a Workers' Compensation packet. All claim forms should be completed in a timely manner and returned to the Office of Human Resources, Atten: Tayanna Crowder, Box 1040, Edwardsville, IL, 62026-1040. TRISTAR cannot determine compensability of the claim until they receive these documents.
- Complete Emergency Management Services Injury Form if you are a supervisor.
a. Complete the SIUE Injury Report form located at http://www.siue.edu/emergencymanagement/pdf/SIUE_Injury_Report_Form_Rev_3-13.pdf
b. Send it to Emergency Management and Safety, Box 1657, Edwardsville, IL, 62026-1657.
- If you require medical treatment and it is not an emergency, contact your primary care physician. If you have an emergency, go to the nearest hospital ER or prompt care facility. Please inform the facility that you are treating for a Workers' Compensation injury and to forward bills to:
TRISTAR Risk Management
Clinton, IA 52733-2803
a. It is recommended that you keep in mind the guidelines of your group insurance carrier when receiving medical treatment. If TRISTAR determines that your claim is not compensable, you can then submit the medical claims to your group insurance provider.
b. If your doctor places you off duty or on any form of restricted duty, you will need to provide a written work status slip from the doctor. The work status slip or off duty slip must be signed by the doctor.
Failure to follow these procedures may affect the employee's right to compensation for time lost or reimbursement for expenses incurred.
The following packet must be completed to establish a Workers' Compensation claim:
Workers' Compensation Employee Packet
Important Workers' Compensation Links