Manage Claims:

NYSIF workers' compensation policyholders may electronically submit a workplace injury report to NYSIF 24/7 with NYSIF eFROI.

  • Provides the reporting party a loss record identification number (also known as a claim number), immediately after submitting the NYSIF eFROI report.
  • Allows for immediate loss record created with the eC-2 information provided by the policyholder.
  • Allows for quick accident investigation and proactive management of the claim.
  • Reduces errors in reporting and allows us to control claims costs. 

Ensure that the carrier is taking the necessary steps mentioned below:

  • Investigate fraudulent claims and review for denial.
  • Set up Independent Medical Examinations for cases involving awards and/or excessive.
  • medical treatment.
  • Treatment is within Medical Treatment Guidelines.
  • Review claims for subrogation offsets.
  • Review claims for settlements and classification to control costs.

Review Loss Runs:

Prior and current loss runs will be reviewed for the purposes mentioned below:

  • Identify claims to be reviewed for reserve reductions.
  • Make sure loss information on Loss Runs correspond with information at eIRB.
  • Identify claims to be retired.

Monitoring Progress:

The client will be provided with claims status reports when applicable. These reports will include the following information:

  • Accident details and injury sites.
  • Medical treatment.
  • Reserves.
  • IME.
  • Hearings.
  • Plan of Resolution.