Claims
Medical Care
Immediately make arrangements to provide the injured employee with appropriate medical care by calling the Managed Care Organization (MCO) selected by your JIF. The HOTLINE numbers are:
Bergen Risk: (888) 525-3454
CSG: (877) 345-4129
FMCO: (800) 831-9531
QUALCARE: (800) 425-3222
Emergent Medical Treatment
Effective October 1, 2008, injured workers may file an application for emergent medical treatment based on “irreparable harm.” Once an employer receives service of this application, a response must be made within five calendar days. Therefore, it is critical that you immediately phone your claims administrator upon receipt of this application.
Electronic Claim Filing
New Jersey requires the electronic filing of workers’ compensation reports. The First Report of Injury (FROI) can be downloaded using the following links. Complete this form on all cases where the employee sought more than first aid treatment regardless of whether the employee lost time from work.
Reporting for Qual-Lynx (formerly Scibal Associates) JIFs
Report claims electronically: http://www.qual-lynx.com/
Reporting for Bergen Risk Manager (BRM) JIFs
Members of the Bergen and South Bergen JIFs may file the form electronically through Bergen Risk Mangers at http://www.bergenrisk.com
OSHA Form 301 Report
The claims administrator will make the electronic filing to the State and you will receive a copy. This FROI copy can also substitute for the OSHA Form 301 Report. The FROI form will contain an OSHA Log Number that you can use as the case number for the OSHA Form 300 Log. Please note that this case number is not the same as the claim number assigned by your claims administrator.