Enter an accident or a sickness in KLE
Create a KLE case from the employee card. SwissSalary automatically creates insurance cases for valid UVG, UVGZ, or KTG coverages and creates one declaration story for each insurance case.
Prerequisites
- KLE is fully set up.
- The employee is subject to the affected insurance branch. This is defined in the Insurance and Benefit Coverages.
- The payroll start date, Swiss social security number, and personal data are correct.
Enter an event with KLE
- Open the Employee Card.
- Choose KLE Case Management.
- Choose New Accident or New Disease.
SwissSalary assigns the next Case No., copies the Employee No., and creates the insurance cases. The case initially has the Status Created.
Wichtig
If SwissSalary can't create an insurance case, check the Insurance and Benefit Coverages on the Employee Card and the method for declaring incidents (Incident Declaration Method) on the insurance contract.
Enter an accident
On the KLE Case Card, check:
| Field | Description |
|---|---|
| Incident Date Type | Exact, Approximate, or Clarification. For Clarification, the incident date remains blank. |
| Incident Date | Specifies the accident date. You can edit the field for Exact and Approximate. |
| Accident Type | Accident at Work, Accident at Leisure, Occupational Disease, Case of Death at Work or Leisure, or Relapse at Work or Leisure. |
| Productive Hours | Steady or unsteady working time. |
| No Incapacity to Work | Select this field if the incident doesn't cause an absence. |
| Test Case | Identifies a test case until it is transferred. |
The blue bar at the top guides you through all stories that are required for a complete incident declaration. When you select a story, it's added to the event.
The Accident Description story is only required for the KLE Case type Accident. In this story, you enter the following information:
- accident time
- incident scene
- police report: Yes, No, or Unknown
- involved persons: Yes, No, or Unknown
- incident description
- injured body parts
- type of injury
- last working day for an accident at leisure
- involved object for an accident at work.
Wichtig
To transfer an accident case, you must specify at least one injured body part.
Enter a sickness case
For a sickness case, check:
| Field | Description |
|---|---|
| Type | Illness or Maternity. |
| Beginning | Specifies the start of the sickness or, for maternity, the child's date of birth. |
| Productive Hours | Steady or unsteady working time. |
| No Incapacity to Work | Identifies a case without absence. |
The accident description isn't available for sickness cases. Instead, enter at least the medical treatment and, if applicable, incapacity for work.
Add medical treatment and incapacity for work
- Choose Medical Treatment.
- Search for the care provider by using GLN / Search Name, or enter the contact details.
- Select Initial Contact. SwissSalary automatically selects this field for the first treatment entry.
- Choose Incapacities to Work.
- Enter Date from, Date to, the Incapacities to Work percentage, and an Internal Description if needed.
The following stories are required for both sicknesses and accidents:
- Employment Contract: The information is copied from the employee card (statistics fields and job title).
- Annual Salary: The annual salary is determined based on the Productive Hours setting (steady, unsteady).
- Incapacities to Work and complete return to work.
- Medical Treatment: You can use the link to the GLN register.
Check insurance cases
To view details of the insurance cases, in the KLE Case List, choose Process > Open Insurance Case List, or show the FactBox with the Insurance details in the KLE Case. Check:
- Domain UVG, UVGZ, or KTG;
- Institution;
- Company Case ID;
- Insurance Case ID, if already available;
- the contract and customer number in the FactBox.
Alternatively, employees can create the incident in SwissSalary Direct. The event is created directly as a KLE Case in SwissSalary, where you must check it and transfer it to the insurer.
Print the accident or sickness card and the injury report
From the insurance case, you can print the KLE injury report and/or send it to SwissSalary Direct. The injury report shows all transferred data, including the reported annual salary.
When you open the KLE event, you can print the sickness card or accident card (Sickness/Accident Card) and/or send it to SwissSalary Direct. On the sickness or accident card, the doctor can certify the affected employee's incapacities to work.
Check the draft before transfer
In the story list, check:
- Each insurance case has a Declaration.
- No required story is marked Incomplete.
- The incident or beginning date is correct.
- The incapacity for work, medical treatment, and accident description are consistent.
- The case is marked as a Test Case only if you don't intend to make a production declaration.
Good to know
- To enter an accident or a sickness for an employee, the employee must be subject to the related benefit. Therefore, check the Insurance and Benefit Coverages.
- The insurer pays benefits only when it has all required information. If information wasn't sent with the first transfer, the insurer requests it.