​​​​​A workers' compensation claim is initiated by a claimant filing an Application for Resolution of claim. When a claim is filed it is routed to the Division of Claims Processing for review and docket assignment.

Claims Review

​​​The primary function is processing the Application for Resolution of Injury, Occupational Disease, Coal Workers' Pneumoconiosis (CWP) or Hearing Loss claims. Claims review focuses on routing and preparation involved in the processing of an application. This includes reviewing the claim for required elements, entering claim information such as parties and addresses into the Department's database, assigning a claim number, and researching insurance coverage through the Department's insurance database.

For further information or questions, please contact:

Claims Review Frequently Asked ​​​Questions

Claims Assignment

Responsibilities begin with the assignment of new claims, and older claims that have been reopened by order of the Chief Administrative Law Judge.

Once the claims are filed with the Department of Workers' Claims, the claims are prepared, sorted into regions based on the county of residence of the Plaintiff, and assigned to an Administrative Law Judge. When claims are ready to be scheduled, it is this section's responsibility to ensure that all parties are notified by letter that the claims have been assigned to an Administrative Law Judge and scheduled for a Benefit Review Conference at one of the 9 Hearing Sites operated by the Department of Workers' Claims. The Benefit Review Conference is an informal meeting for the parties to define and narrow the issues of the claim, discuss settlement options and consider other relevant matters that may aid in the resolution of the claim.

Other duties include routing motions on claims prior to assignment to an Administrative Law Judge; scheduling court ​reporters and reserving hearing sites; serving as x-ray and exhibit custodians, and auditing resolved claims to confirm all information is contained in the electronic record before the file is purged.

For further ​​information or questions, please contact: