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What to Expect with Your Workers’ Compensation Claim (Article)

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What to expect with your workers’ compensation claim

Updated Oct. 10, 2025

If you’ve been injured at work, here’s a quick guide to help you understand what comes next. This is a general overview — your specific situation may vary.


1. Reporting your injury

  • Tell your employer right away. The sooner you report it, the smoother the process will be.
  • Provide details in writing if asked. This creates a record of your injury.
2. Medical care

  • You may be directed to speak with a Sedgwick nurse to review your injury and treatment plan with an approved doctor for your first visit.
  • Keep copies of all doctor notes, restrictions, and bills. Ensure Sedgwick’s mailing information is given to your provider and the provider’s billing department.
  • Share any work restrictions with your employer as soon as you get them.
3. Payments (wage replacement)

  • Payments usually start after a short waiting period (often a week, depending on jurisdiction).
  • If your claim is approved, you’ll typically receive about two-thirds of your average weekly wage (subject to limits, dependent on jurisdiction).
  • Payments are usually sent every week or two.
  • You will not receive pay for overtime or bonuses while on workers’ comp.
  • Create a login for mysedgwick.com to see claim wage replacement payments, set up direct deposit, upload work status, or speak directly with your Sedgwick claims examiner.
4. Staying in touch

  • With your employer:
    • Provide updated doctor notes.
    • Let them know when you are cleared for light duty or to return to work.
  • With your Sedgwick claims examiner:
    • Contact them if payments are late, you move, or you have questions about medical bills and benefits.
    • Tell them if your doctor changes your work status.

5. Returning to work

  • If your doctor clears you for light duty, your employer may offer modified work within your restrictions.
  • Always follow your doctor’s restrictions — don’t risk re-injury.
  • Once you are released to full duty, your workers’ comp wage replacement benefits will stop.
6. When to reach out for help

  • If you don’t receive payments when expected.
  • If medical bills are not being covered.
  • If you are unsure about paperwork or next steps.