You should indicate when reporting the claim to AmeriSys that you do not agree with the employee’s version of the accident and then notify your Division of Risk Management adjuster of the details. This may be done by telephone or email.

Obtain whatever emergency treatment is required immediately. If the injury is not an emergency, the employee and his/her supervisor should call AmeriSys together to report the injury. AmeriSys is the State’s medical case manager. AmeriSys will instruct the employee where to go for treatment. If the employee is not available, the supervisor should report the claim. AmeriSys' phone number is 1-800-455-2079.

You should instruct your injured employee that they are to keep you advised of their work status following every medical appointment. Your agency should make every effort to accommodate work restrictions when needed and return the employee to work as soon as possible. You should communicate to the Division of Risk Management (DRM) adjuster immediately when an employee is taken off of work by the authorized physician, when their disability exceeds 40 hours, if you cannot accommodate work restrictions and when the employee has returned to work following being out of work. Finally, you should report any information which could impact the workers’ compensation claim to your DRM adjuster.

Wage statements will need to be completed on any file in which the employee’s disability exceeds one week or 40 hours. The adjuster will need the wage statement within a day or two of this event occurring. A wage statement is also needed on cases where no indemnity benefits have previously been paid but the employee is placed at maximum medical improvement with an impairment rating.

You should notify your adjuster at the Division of Risk Management. Please provide specific details as to why you feel fraud may be occurring. 

Report the injury to your employer as soon as possible, but no later than 30 days from the day the injury occurs or your claim may be denied.

After your claim has been reported, your employer and/or AmeriSys will advise you where to go for medical treatment related to your injury. AmeriSys is the State’s medical case manager.  Treatment that is not approved through workers’ compensation will not be accepted.

No.  All authorized medical bills should be submitted by the medical provider to your employer’s medical case manager for payment. Unauthorized treatment will not be paid by workers’ compensation.

Under Florida Law no payment is due for lost wages for the first 7 days; however, your employer will continue paying your salary for the first 7 days if you are a full-time employee.  OPS employees do not receive any salary for the first 40 hours or 7 days of lost time. You are responsible for keeping your employer updated on your work status and to report to work when your authorized treating physician releases you.  If you do not report for duty when released you will not be paid.  Even though you may not be fully recovered from your injury, your treating physician may release you to return to work if certain work restrictions can be accommodated by your employer.

In most cases your benefits check, which is paid bi-weekly, will be 66 2/3% of your average weekly wage based on your earnings for the 13 weeks preceding your date of injury, not to exceed the state limit.

It is your decision whether or not to hire an attorney; however, the Employee Assistance Office (EAO) at the Division of Workers’ Compensation can assist you in resolving the dispute.  If unable to resolve the issue, the EAO can further assist you in completing and filing a Petition for Benefits. This service is provided at no cost to you.  For EAO assistance call (800) 342-1741 or send an email to wceao@myfloridacfo.com.

If you were injured on or after 01/01/94, the claim would close one (1) year from the date of your last medical treatment or payment of compensation. The period of time is referred to as the Statute of Limitations. If you were injured before 01/01/94, the claim would close two (2) years from the date of your last medical treatment or payment of compensation.

Yes. Mileage reimbursement forms will be mailed to you. Reimbursement is currently in the amount of .445 cents per mile. You may submit mileage reimbursements as treatment occurs or if you prefer, you may submit them periodically or at the end of your treatment.