{"id":538,"date":"2021-08-30T20:38:14","date_gmt":"2021-08-30T20:38:14","guid":{"rendered":"https:\/\/www.enterpriseia.com\/?p=538"},"modified":"2023-01-17T17:06:32","modified_gmt":"2023-01-17T17:06:32","slug":"workers-compensation-policy","status":"publish","type":"post","link":"https:\/\/www.enterpriseia.com\/en\/workers-compensation-policy\/","title":{"rendered":"\u00bfQu\u00e9 es una p\u00f3liza de workers compensation? What is a workers compensation policy?"},"content":{"rendered":"
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\u00bfQu\u00e9 es una p\u00f3liza de workers compensation? What is a workers compensation policy?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Estados Unidos es un pa\u00eds con grandes oportunidades laborales, el cual busca que tanto las empresas como los trabajadores est\u00e9n bajo una protecci\u00f3n legal que prevea situaciones de emergencia, accidentalidades y cat\u00e1strofes, para salvaguardar la vida. Cada estado cuenta con normas, leyes y regulaciones frente a las p\u00f3lizas para trabajadores y saber c\u00f3mo funcionan estas es de gran utilidad para protegerse a uno mismo y a otros.<\/p>

La compensaci\u00f3n de trabajadores o workers compensation proporciona beneficios a los empleados que se ven involucrados en accidentes ocasionandoles lesiones, o\/y enfermedades relacionadas con el trabajo. De igual forma cada una de las compa\u00f1\u00edas o empresas debe brindarle a sus trabajadores la p\u00f3liza que est\u00e9 bajo las normas espec\u00edficas del estado en el que se encuentra y cubra con mayor totalidad las actividades que realicen.<\/p>

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The United States is a country with great job opportunities, which seeks that both companies and workers are under legal protection that provides for emergency situations, accidents and catastrophes, to safeguard life. Every state has rules, laws, and regulations regarding worker policies, and knowing how they work is helpful in protecting yourself and others.<\/p>

Workers’ compensation or workers compensation provides benefits to employees who are involved in accidents causing injuries, or \/ and work-related illnesses. In the same way, each one of the companies or companies must provide their workers with the policy that is under the specific regulations of the state in which it is located and fully covers the activities they carry out.<\/p>

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\u00bfQu\u00e9 cubre una p\u00f3liza de Workers Compensation?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Este tipo de p\u00f3lizas tiene una cobertura general en caso de lesiones a un trabajador, evitando que se inicie una demanda en contra de la empresa y dando soluci\u00f3n a cualquier tipo de reclamo por parte del trabajador. Estas compensaciones usualmente est\u00e1n administradas por empresas externas, las cuales eval\u00faan los hechos, las solicitudes y los pasos a seguir, ya que la verificaci\u00f3n del estado de salud y las causales son vitales para demostrar la necesidad de dicha compensaci\u00f3n y marcan los pasos del camino a seguir.  
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\u00bfQu\u00e9 derechos tiene un trabajador que sufre un accidente de trabajo?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Con las p\u00f3lizas de Workers Compensation, generalmente se emite un pago durante el periodo de tiempo que el trabajador este incapacitado para trabajar, el cual est\u00e1 cerca de 66% de los ingresos del mismo seg\u00fan la actividad laboral, el tipo de seguro y la lesi\u00f3n que presente. Esto no solo compete a \u00e1reas o empresas privadas, en algunos estados el gobierno es responsable sobre la gesti\u00f3n de este tipo de compensaciones a los trabajadores.<\/p>

La p\u00f3liza Workers Compensation, normalmente tienen en cuenta los posibles costos por atenci\u00f3n m\u00e9dica hacia el trabajador afectado, los cuales cubren desde las citas o servicio de diagn\u00f3stico hasta la terapia f\u00edsica que pueda llegar a necesitar. Algunos puntos a tener en cuenta en este tipo de p\u00f3lizas es el incluimiento de ex\u00e1menes o Imaging tests, que requieren m\u00e1quinas y lugares especiales, como resonancias magn\u00e9ticas para fracturas desgarros o lesiones graves, y la fisioterapia o servicio terap\u00e9utico necesario para la recuperaci\u00f3n.<\/p>

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\u00bfCon mi seguro de Workers Compensation puedo escoger mi m\u00e9dico?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Si ya se viene manejando un tratamiento m\u00e9dico previo, se debe consultar con la compa\u00f1\u00eda en la que se trabaja y con la agencia de seguros para analizar la cobertura, rigi\u00e9ndose principalmente a las normas establecidas por cada estado. Es importante tener en cuenta que las p\u00f3lizas de Workers Compensation (NO) son servicios de salud, por lo tanto, no se debe relacionar con problemas de salud ajenos a los ocasionados durante el ejercicio de la actividad laboral.<\/p>

Existen algunos accidentes o lesiones que aunque no se presentan durante la jornada laboral, pueden llegar a estar cubiertos en la p\u00f3liza, especialmente si est\u00e1n relacionados con la actividad laboral, un ejemplo de esto pueden ser accidentes durante un viaje de negocios. Las enfermedades desarrolladas por ejecutar una actividad a largo plazo, pueden estar cubiertas por la p\u00f3liza si se encuentra nexo o relaci\u00f3n con la actividad laboral, para ello es importante consultar cada cl\u00e1usula de la p\u00f3liza o consultar al agente de seguros o abogado encargado.<\/p>

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What does a Workers Compensation policy cover?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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This type of policy has general coverage in case of injury to a worker, preventing a lawsuit against the company from being initiated and providing a solution to any type of claim by the worker. These compensations are usually administered by external companies, which evaluate the facts, the requests and the steps to follow, since the verification of the health status and the causes are vital to demonstrate the need for said compensation and mark the steps on the way to continue.
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What rights does a worker have who suffers an accident at work?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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With Workers Compensation policies, a payment is generally issued during the period of time that the worker is unable to work, which is close to 66% of the worker’s income depending on the work activity, the type of insurance and the injury that Present. This is not only the responsibility of private areas or companies, in some states the government is responsible for managing this type of workers’ compensation.<\/p>

The Workers Compensation policy normally takes into account the possible costs for medical attention to the affected worker, which cover from appointments or diagnostic services to the physical therapy that he may need. Some points to take into account in this type of policy is the inclusion of exams or Imaging tests, which require special machines and places, such as MRIs for fractures, tears or serious injuries, and the physiotherapy or therapeutic service necessary for recovery.<\/p>

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With my Workers Compensation insurance, can I choose my doctor?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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If you have already been handling a previous medical treatment, you should consult with the company where you work and with the insurance agency to analyze the coverage, adhering mainly to the rules established by each state. It is important to bear in mind that Workers Compensation (NOT) policies are health services, therefore, they should not be related to health problems other than those caused during the exercise of work activity.<\/p>

There are some accidents or injuries that, although they do not occur during the working day, may be covered in the policy, especially if they are related to work activity, an example of this may be accidents during a business trip. Diseases developed by executing a long-term activity may be covered by the policy if there is a connection or relationship with the work activity, for this it is important to consult each clause of the policy or consult the insurance agent or lawyer in charge.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\u00bfC\u00f3mo se tramita una p\u00f3liza de workers compensation?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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El primer paso tras ser v\u00edctima de un accidente durante la jornada laboral, a causa de un elemento de la empresa o dentro del lugar de trabajo, es informar al empleador sobre el suceso. Seg\u00fan el estado de gravedad del accidente, dirigirse a un centro m\u00e9dico o llamar a un servicio m\u00e9dico que tenga la cobertura para hacerle frente a la situaci\u00f3n. La compa\u00f1\u00eda de seguros cubrir\u00e1 los honorarios del doctor que atienda la emergencia, una vez se reclame la p\u00f3liza.<\/p>

El departamento de recursos humanos o el destinado sobre el bienestar de los trabajadores ser\u00e1 el encargado de llenar los formularios y las formas necesarias para la ejecuci\u00f3n de la misma. La presentaci\u00f3n del accidente para la ejecuci\u00f3n de la p\u00f3liza suele tener fechas l\u00edmites, por ello es importante que se haga lo antes posible, y ese proceso incluye tiempos de verificaci\u00f3n por parte de la compa\u00f1\u00eda de seguros. El siguiente paso es la aprobaci\u00f3n por parte de la aseguradora y el recibimiento de los beneficios sobre el trabajador o trabajadores accidentados.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\u00bfCu\u00e1ndo se hace efectiva la p\u00f3liza de Workers Compensation, puede volver a trabajar el empleado afectado?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Existen diversos tipos de lesiones y\/o accidentes que pueden afectar en diferentes niveles la vida y capacidad laboral de los trabajadores. Dependiendo del grado de la lesi\u00f3n la incapacidad puede llegar a tomarse d\u00edas, meses o tiempos m\u00e1s prolongados, pero \u00bfqu\u00e9 hacer cuando se necesita incorporarse al trabajo nuevamente? Seg\u00fan el proceso de recuperaci\u00f3n, la incorporaci\u00f3n puede tomar m\u00e1s o menos tiempo, e incluso puede requerir cambios en las responsabilidades del cargo que se desempe\u00f1a, y en este tipo de ocasiones lo m\u00e1s importante es la comunicaci\u00f3n abierta y el seguimiento de las instrucciones m\u00e9dicas de los profesionales.<\/p>

Existen muchas compa\u00f1\u00edas de seguros externas que cubren de forma parcial a los trabajadores, conoce c\u00f3mo Enterprise Insurance Agency puede ser el mejor aliado de tu empresa para que no expongas a tus empleados. Trabajar de la mano de empresas es uno de los pilares m\u00e1s importantes para nosotros y buscamos acompa\u00f1arlas y protegerlas humana y comercialmente desde cualquier \u00e1ngulo de riesgo.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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How is a workers compensation policy processed?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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The first step after being the victim of an accident during the working day, caused by an element of the company or within the workplace, is to inform the employer about the event. Depending on the seriousness of the accident, go to a medical center or call a covered medical service to deal with the situation. The insurance company will cover the fees of the doctor who attends the emergency, once the policy is claimed.<\/p>

The human resources department or the department on the welfare of the workers will be in charge of filling out the forms and the necessary forms for the execution of the same. The presentation of the accident for the execution of the policy usually has deadlines, so it is important that it be done as soon as possible, and that process includes verification times by the insurance company. The next step is the approval by the insurer and the receipt of benefits on the injured worker or workers.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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When the Workers Compensation policy becomes effective, can the affected employee return to work?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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There are various types of injuries and \/ or accidents that can affect the life and work capacity of workers at different levels. Depending on the degree of the injury, the disability can take days, months or longer times, but what to do when you need to go back to work? Depending on the recovery process, the incorporation may take more or less time, and may even require changes in the responsibilities of the position held, and in these types of occasions the most important thing is open communication and following the medical instructions of the professionals.<\/p>

There are many external insurance companies that partially cover workers, know how Enterprise Insurance Agency can be the best ally of your company so that you do not expose your employees. Working hand in hand with companies is one of the most important pillars for us and we seek to accompany and protect them humanely and commercially from any angle of risk.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

Estados Unidos es un pa\u00eds con grandes oportunidades laborales, el cual busca que tanto las empresas como los trabajadores est\u00e9n bajo una protecci\u00f3n legal que prevea situaciones de emergencia, accidentalidades y cat\u00e1strofes, para salvaguardar la vida. Cada estado cuenta con normas, leyes y regulaciones frente a las p\u00f3lizas para trabajadores y saber c\u00f3mo funcionan estas […]<\/p>\n","protected":false},"author":1,"featured_media":1587,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-538","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"\nWorkers Compensation Policy - Enterprise Insurance Agency<\/title>\n<meta name=\"description\" content=\"Workers compensation policy provides benefits to employees who are involved in accidents causing injuries, or \/ and work-related illnesses.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.enterpriseia.com\/en\/workers-compensation-policy\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Workers Compensation Policy - Enterprise Insurance Agency\" \/>\n<meta property=\"og:description\" content=\"Workers compensation policy provides benefits to employees who are involved in accidents causing injuries, or \/ and work-related illnesses.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.enterpriseia.com\/en\/workers-compensation-policy\/\" \/>\n<meta property=\"og:site_name\" content=\"Enterprise\" \/>\n<meta property=\"article:published_time\" content=\"2021-08-30T20:38:14+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-01-17T17:06:32+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.enterpriseia.com\/wp-content\/uploads\/2021\/08\/Que-es-una-poliza-de-workers-compensation.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1280\" \/>\n\t<meta property=\"og:image:height\" content=\"853\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"enterpriseinsurance2021\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"enterpriseinsurance2021\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"9 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.enterpriseia.com\\\/workers-compensation-policy\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.enterpriseia.com\\\/workers-compensation-policy\\\/\"},\"author\":{\"name\":\"enterpriseinsurance2021\",\"@id\":\"https:\\\/\\\/www.enterpriseia.com\\\/#\\\/schema\\\/person\\\/76931cf2979f2fca6518b87573594e04\"},\"headline\":\"\u00bfQu\u00e9 es una p\u00f3liza de workers compensation? 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