Workers' Compensation Procedures
Archdioces of Milwaukee Print Logo  

Workers' Compensation Procedures

Following are the new worker injury reporting procedures with Church Mutual Insurance Company.

Workers compensation claims are adjusted through Church Mutual.  Instructions are below.

Please use the links below to help you through the process.

Nurse Hotline (one page)
Nurse Hotline Brochure
Perferred Clinics for Non-emergency Treatment

Initial worker injury reporting will be made using the Medcor/Church Mutual Nurse Hotline.  The First Report of Injury (FROI) form will be completed by the Nurse Hotline and will not need to be completed by the employer. The Nurse Hotline is available 24 hours a day, 7 days a week.

Following are the new worker injury reporting procedures with Church Mutual Insurance Company.

  • When an employee experiences a work related injury, the employee should immediately report it to the employer.
  • If the injury requires emergency treatment, call 911.
  • If the injury is more serious than a bandage, but less than an ambulance ride, call the Nurse Hotline at 1-844-322-4662
  • Ideally, the employee and supervisor should call the Nurse Hotline together right after the injury occurs and prior to seeking outside care.
     
  • If no supervisor is available, the injured party should place the call to the Nurse Hotline.
  • A specially trained nurse will speak with the injured employee, and if possible, the employee’s supervisor about the injury, the symptoms, etc. The entire call should take about 15 minutes.
  • The nurse will assess the injury and recommend appropriate medical care, whether it is self-care/first aid or outside care in the form of a clinic or an emergency room.
    • When self-care/first aid is all that is needed, the nurse will guide the employee and, if requested, fax supporting instructions to the employee. The nurse is available for a callback at any time if symptoms change or questions arise from either the employee or supervisor.
    • If self-care/first aid is selected, a Medcor summary report will be provided to Church Mutual. A Notice Only case will be documented but there will be no further follow-up.
    • When outside medical care is needed, the nurse will help identify an appropriate and nearby provider. The Nurse Hotline will send information to the medical provider prior to the employee’s arrival to relay helpful information and possibly avoid wait time for the employee.
    • If outside medical care is sought, the Nurse Hotline will report the information to the Church Mutual claims reporting center, which will establish a formal claim in the Church Mutual system.
  • The nurse will complete the First Report of Injury (FROI).
  • Shortly after completing the call, the FROI and triage statement will be filed with Church Mutual and a formal claim will be opened.
  • A copy of the FROI will be sent to the employer’s designated representative via secure email.

Our primary workers compensation claims adjuster with Church Mutual is Jennifer Annis at 800-554-2642 x 4114, or 715-536-5577, or jannis@churchmutual.com.  She is handling all claims occurring on or after July 1, 2016.

Catholic Mutual Group will continue adjusting workers’ compensation claims that occurred on or before June 30, 2016.  The main contact at Catholic Mutual Group on these claims is Holli Sampson.  In addition to wrapping up the older claims, Holli will also be acting in the role of  facilitator/liaison between the Archdiocese of Milwaukee parishes/schools and Church Mutual on problems that may arise on new claims.  Holli’s contact information at Catholic Mutual is 1-800-228-6108, ext. 2439 or hsampson@catholicmutual.org.

If you have questions on the workers’ compensation program, please call Kim Kasten at 414-769-3326 or Chris Brown at 414-769-3325 at the Archdiocese of Milwaukee.

Christopher Brown
Treasurer/Chief Financial Officer
414-769-3325
brownc@archmil.org

Deanna K. Chernouski
Controller
414-769-3347
chernouskid@archmil.org

Kim Kasten
Treasury Analyst
414-769-3326
kastenk@archmil.org

Carol Abuya
Accountant
414-769-3314
abuyac@archmil.org

 

 

This site is powered by the Northwoods Titan Content Management System
X
 

The Archdiocese of Milwaukee

3501 South Lake Drive
St. Francis, WI 53235

Phone:  (414) 769-3300
Toll-Free: (800) 769-9373
Fax:  (414)  769-3408