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WCB benefits and claims management

WCB benefits and claims management

The WCB is here to help you support the injured worker in their recovery and Return to Work. We do this by paying for expenses related to the worker’s injury including medical care and lost wages. 

This information is to help you understand the WCB process. The same information is provided to the worker, so you do not need to educate them about how the WCB operates.

Payment

If the adjudicator accepts the claim, your worker can expect to receive their benefits according to the type of injury and the time loss experienced. In general we try to reach a decision and pay the worker within 14 days of the incident. However, for more complex cases we may take longer.

What expenses does the WCB cover?

WCB coverage pays for lost wages from the job where the incident occurred and for other jobs the worker may have, but can’t work due to their injury. If your worker receives wage loss benefits related to another job they hold, cost relief is applied to keep these costs from affecting your WCB rate and premium.

Permanent Partial Impairment Award  

If a worker sustains a work-related injury or illness and, as a result, a body part does not function the same way as it did before, that worker may be entitled to a Permanent Partial Impairment Award (PPI) in addition to other WCB benefits.

Why would a claim be transferred from an adjudicator to a case manager?

There are a number of reasons why a claim might be transferred to case management: 

  • The worker’s wage loss will be longer than eight weeks. 
  • The worker’s recovery is expected to last longer than 14 weeks.  
  • There is no clear diagnosis after four weeks of the worker’s treatment. 
  • The worker’s injury is severe or results in a fatality. 
  • The worker is showing signs of mental or emotional distress. 
  • The WCB and the worker’s healthcare provider disagree on a decision. 

How will I know if my worker’s claim has been transferred from an adjudicator to a case manager?

You will receive a letter if your worker’s claim gets moved from short-term claims to case management. The case manager’s name and contact information will be included in the letter.