NCDOT Workers' Compensation Program Employee Customer Service Survey How are we doing?

We are committed to providing you with the highest level of customer service during your care and recovery from a workplace illness or injury. We welcome your comments. Please fill out this confidential questionnaire and click Submit. Thank you for your feedback and service to the citizens of North Carolina.

Please tell us about the nature of your injury and claim.

Do you consider your injury as minor, medium or severe?

- Minor (including but not limited to laceration not requiring stitches, minor burn, sprain, muscle strain, etc.)

- Medium (including but not limited to laceration requiring stitches, broken bone, muscle or ligament tear, second degree burn, etc.)

- Severe (including but not limited to amputation, loss of eye, in-patient hospitalization, etc.)"

Please rate the quality of the service you received from the Workers' Compensation Administrator (WCA) with the Department of Transportation.

Please rate the quality of the service you received from the TPA Contact adjuster assigned to assist you with your claim.

Was the NCDOT WCA contact:

Courteous?

Informative?

Prompt and efficient?

Name of NCDOT WCA Contact

Was your TPA Contact adjuster:

Courteous?

Informative?

Prompt and efficient?

Name of TPA Contact Adjuster

How difficult was it to file your claim with NCDOT and begin receiving treatment?

Please rate the responsiveness of the TPA Contact adjuster assigned to your claim.

Please rate the quality of the medical care you have received thus far.

How long has your claim been open?

Other

Did you encounter any difficulty receiving medical treatment?

If so, what happened?

Do you feel you have been treated with dignity and respect?

Why or why not?

What steps can be taken to improve the claim reporting process?

What steps can be taken to improve the treatment authorization process?

What steps can be taken to improve the medical treatment provided?

Please share any additional comments or suggestions.

Validating Fields

Submitting Form

NCDOT Workers Compensation Program

MSC 1504 Raleigh, NC 27699-1504

If you have any questions, please call: 1-866-361-1818 (24/7 anonymously)

Version 2, Nov 19, 2019 Approved

Was this page helpful?

Privacy Statement |
Accessibility