Career And Protective Services
 
 
   
 
How To File A Claim
To file a claim for benefits, an employee should first notify his or her supervisor and home department coordinator of the disability. There are two ways to file a claim.
   
1) Currently the online reporting is not available.
2) Call the university's disability administrator Sedgwick CMS at (800) 495-2315.
   
A Claims Intake Specialist will require the following information:
1. Social Security Number
2. Employee Number
3. Name
4. Home Address
5. Telephone Number
6. Date of Hire
7. Employment Status (Full or Part-time)
8. Occupation/Job Title
9. Last Day Worked
10. Last Day Worked
11. Have You Returned to Work?
12. Description of Disability
13. Is the Disability Work-Related?
14. Have You Filed for Workers' Compensation?
15. Has a Previous Claim for the Same Disability Been Made?
16. If You are Confined to a Hospital, Name and Address
17. Dates of Confinement
18. Doctor's Name, Address, Phone & Fax Number
In addition, the employee's doctor will be required to call (800) 495-2315 to authorize the disability. While disabled, an employee will receive benefits on his/her usual university pay date. If the employee has arranged for direct deposit it will continue.
 
     
   
Disability 851 Downey Way HSH Los Angeles, California 90089-1058 Mail Code 1058 (213)740-5875