Workers' Compensation and Risk Management

The purpose of Workers’ Compensation is to provide care and compensation to University employees who are injured or contract an occupational illness in the course of employment. The State of Tennessee Division of Claims Administration requires both an Accident and Supervisor Report to be completed for each job related injury or illness.

Risk management addresses events such as an accident or occurrence involving general liability, professional liability, or automobile liability.

Workers' Compensation Claims Process

  1. Report the accident/injury to your supervisor immediately!
  2. Complete and sign the State of Tennessee "Accident Report" immediately and return it to your supervisor.
  3. Seek medical attention from an authorized medical provider. The workers' compensation provider directory is now available on the web. You can also obtain names of authorized physicians from the HR-Benefits office or the Sedgwick Claims Management Services, Inc. (see phone numbers below.)
  4. Your supervisor must sign the "Accident Report" and complete the "Supervisor's Report" and "Initial Medical Information Checklist". Return all original forms to the HR Benefits office the day of the accident/injury if possible.
  5. To fill initial prescriptions, complete the First Fill form and present it to the pharmacy at the time the prescription is being filled.

First Fill Forms for Pharmacy

This is a new step added to the workers' compensation process for employees who are injured at work:
Cypress Care has been selected by State of Tennessee to assist employees in obtaining prescription drugs related to their workers’ compensation claim. The First Fill form enables employees to fill prescriptions written by authorized workers' compensation physicians for medications related to their injuries. This form should ensure that you will have no out-of-pocket expenses when you fill your first prescription. For most injuries, use of the First Fill form allows for a 10-day supply of medicine with a limit of $150 per prescription. For injuries involving blood borne exposures you are allowed a 14-day supply of a prophylactic medicine with a limit of $1,000 per prescription.

Important Numbers

Human Resources
Workers Compensation/Risk Management
(901) 448-5577

Rockport United Network

Sedgwick Claims Management
Customer Service

Sedgwick Claims Management
Claims Call-In