Overview

North Dakota Workforce Safety & Insurance (WSI) is administered by the Director and consists of Administrative Services, Employer Services, and Injury Services.

Administrative Services

  • Communication: maintain close relations with the news media and the public they serve, as well as contact with the legislature and other governmental leaders. It also works to enhance the agency’s internal communications.
  • Facility Management: operate Century Center, WSI’s home since May 2003. The building was formally dedicated in September 2003. Century Center is also the home for North Dakota’s Commerce Department, Parks and Recreation Department, Council on the Arts, Risk Management, and Human Service’s Child Support Enforcement and Provider Audit Divisions.
  • Finance: monitor, record, and report on all WSI financial activity to ensure WSI resources are used effectively and efficiently and WSI fund solvency is maintained.
  • Human Resources: administer the personnel functions of WSI and maintain the performance management system of WSI.
  • Information Services: provide support and services for all computers, software, and telephones for the WSI staff at the Century Center building and remote facilities and offices.
  • Internal Audit: plan, direct, and complete internal audits and compliance reviews to ensure WSI departments and major programs are properly functioning and operating in accordance with applicable laws, rules, and Board outcomes.
  • Legal: provide support services to legal counsel and assistance to the staff of injury services, employer services, and other administrative departments.
  • Special Investigations: provide WSI’s Claims, Employer Services, and Medical Services departments with investigation resources for claims adjudication, employer and medical provider noncompliance, and fraud.
  • Quality Assurance: ensure the continual improvement of WSI operations by statistically tracking performance and identifying areas that need improvement, and new initiatives that would serve to improve the overall efficiency and cost effectiveness of WSI.
  • Office Services: provide support services to all of WSI through mail processing, document imaging, claims registration, fax and photocopying services, forms processing, medical and non-medical bill entry, records retention, and off-site storage.
  • Decision Review Office: provide injured workers with a no-cost, speedy claim, dispute resolution alternative to litigation and to reduce the amount of attorney fees paid by the agency.

Employer Services

  • Policyholder Services: manage employer insurance accounts, develops annual rate and classification structures, rates employer loss experience, determines coverage status, and manages extraterritorial agreements with other states.
  • Safety and Loss Prevention: assist employers with safety and loss prevention program design, implementation and training; conducts workplace safety inspections; and investigates industrial accidents. The department works with employers to establish their own safety programs and provides opportunities through matching grants to purchase safety interventions to eliminate hazards in the workplace.

Injury Services

  • Claims: process new filed claims of injured workers. Claims technicians work closely with the claim adjusters to provide clerical support and assistance in the collection of required documentation needed in the processing of claims.
  • Return-to-Work Services: assist injured workers and employers to coordinate stay-at-work or a return-to-work plan.
  • Medical Services: administer the managed care and medical bill audit programs and the medical and hospital fee schedules. The department administers the medical dispute resolution process for disputes arising out of managed care recommendations. This department also provides technical support to the claims and rehabilitation department in the processing of medical bills and in computer and claim form functions.
  • Provider Relations: ensure good communication is taking place between WSI and medical providers. A pharmacy benefit management system allows WSI to provide for the medication needs of injured workers, while addressing the issue of continued rising costs in the pharmaceutical area.
  • Customer Service: receive and answer more than 700 calls per day.