How to use the Insurers' Pending Reports

Frequently asked questions about the Insurers' Pending Report

  1. Are the claims listed here late? 
    Not necessarily, since the Insurers' Pending Reports is just a reflection of the information in the WC Division database. It simply shows what information we are expecting for every open, non-litigated claim that we have on our system. For example, if we receive a first report, the Pending Reports will immediately reflect the fact that we are waiting for the first WKC-13 for this claim. That does not necessarily mean that the WKC-13 is late.

  2. We sent you the information requested, e.g. WKC-13A or a final WKC-13, but the Pending Report shows that you do not have it yet. Why? 
    If the WKC-13A was submitted via the Internet it may need to be reviewed by our staff, so the information submitted will not be updated (or, sometimes, the claim's status changed) until this occurs. Please do not re-submit the same information. If the information sent is not complete, or the report not final, we will let you know either by a letter or through the Pending Reports. If the claim has not been updated in a timely manner to reflect the information sent, contact us.

  3. What if I have password trouble?
    If you cannot remember your password or think that your account is locked, then go to the DWD/WI Logon Management System Main (or instruction) Page:
    • choose "I am a Security Administrator" or "I am a Report User"
    • then follow instructions in the "Forgot your User ID or Password?" section

  4. What if all of our claims are not showing up? 
    Please contact the WC Division if you think we are missing claims. It is possible that we have an incorrect insurer and/or third party administrator associated with the claim, the claim is closed, litigated or we never received the first report of injury.

  5. What if I use the claim search function, and I receive the message no matches found. Please try your search again?
    You should check your search criteria for accuracy and/or make sure that you have selected the correct insurance carrier, third party administrator, or self-insured employer from the Insurer or Claim Handler drop down menu. It may be the case that the claim in question is either closed, litigated, filing complete or ready to close in our database. You can now search for these types of claims. See below.

  6. How can I search for claims that are closed, litigated, filing complete or ready to close?
    On the claim search screen select the claim not pending required report radio button and then select and enter the appropriate search criterion.

  7. If the search returns a closed claim, what can I do with it?
    Click the WC Number hyperlink and you will be taken to the claim detail screen. If you need to look at the payment history, click the View Payments button. If you need to re-open the claim in order to report further payments, click the Re-Open Claim button.

  8. If the search returns a litigated claim, what can I do with it?
    Click the WC Number hyperlink and you will be taken to the claim detail screen. For this type of claim you will only be able to view the payment history. In order to do this click on the View Payments button. Any information that you need to report must be sent via paper.

  9. If the search returns a filing complete or ready to close claim, what can I do with these types of claims?
    Click the WC Number hyperlink and you will be taken to the Claim Details screen. If you need to look at the payment history then click the View Payments button. If you need to reset the claim status in order to report further payments then click the Reset Status button.

  10. What does it mean if a claim is in filing complete or ready to close status?
    These types of claims are still open in our database, but we already have all of the required reports from you.

  11. How up to date is this information? 
    This information is as current as our database, as it is a real-time reflection of the information in our system. You can even hit your refresh button to see any changes made to our database while you are logged in. Please check the "processing incoming mail" date listed on the home page, to which you are taken after logging into the Pending Reports, in order to see the Kofax date that we are currently processing.

  12. How often should we look at the Pending Reports?
    We recommend you set up a routine process so that someone in your office is responsible for accessing this information on a regular basis. We believe the Insurers' Pending Reports is a powerful tool that can help you improve your claims reporting process, and we strongly encourage any insurer with voluminous claims to provide claims-handling staff with web site access. The Pending Reports will be especially helpful to any claims office that has been relying on mailed warning notices before submitting required reports.

  13. How can I get details on a particular claim? 
    Click on the WC Claim number, which is a hyperlink. This will take you to the Claim Details screen. From here you can also click on the View Payments button to see all of the payment information associated with the claim.

  14. Does the Pending Reports application tell us when you expect to receive the required information?
    Yes. We have added a Due Date column that tells you our deadline for receiving the required information based on the claim's status. The Claim Details screen also contains status messages in red, and some of them have their own due dates that may be different from the date in the Due Date column.

  15. The report says you need a medical report but the doctor will not give us one?  
    What we expect from you is an expected date as to when you hope to obtain a medical report and send it to us. If you have made several attempts to get one without success, either let us know or request the worker to get one and provide us with a copy of the request. We will try to help you obtain a medical report.

  16. This is a no lost time (medical only) claim. Do we still need to respond? 
    Yes. You can close the claim yourself via the Pending Reports. Click on the WC claim number and then click on the Send WKC-13 button. Under the claim status section select the No Lost Time radio button and enter the return to work date. Our program will automatically close the claim as no lost time. In those rare cases where the claim is no lost time but there is permanent disability, please do not close the claim as no lost time.

  17. This is not our claim. How can we get it off of our report? 
    Please contact us via the Email Reply button or the phone, and let us know that you believe you are not the responsible carrier. We will research this and assign the correct carrier. If you are not the carrier the claim will drop off of your report when we make the correction to our database.

  18. Can I save my reports in a spreadsheet so I can sort them and share them with others in our office? 
    Yes. Follow the instructions for downloading Pending Reports Data

  19. What is the "expecting wage information" status and why is it sometimes broken down into two separate listings? 
    This status is a listing of all claims for which we need some sort of wage information. The first sub-list is entitled "Expecting Wage Information Supplement, WKC13A". On this list you will find all of the claims, NOT under wage investigation, for which we need a WCK-13A. The second sub-list, "Expecting Reply to Wage Investigation Correspondence", lists all of the claims which are currently under a wage investigation.
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