法答网精选答问（第十八批）——工伤保险待遇专题

Core Viewpoint - The article discusses the recognition and management of work-related injuries, particularly in the context of construction projects and the implications for insurance coverage and legal responsibilities. Group 1: Work Injury Insurance Recognition - Work injury recognition should focus on the work-related cause, with work location and time serving as auxiliary factors. Evidence of injury during work hours, even when working from home, should not affect the recognition of work-related injuries [15][16]. - The determination of work time should consider legally defined working hours, including overtime and specific tasks assigned by the employer [15][16]. Group 2: Construction Project Insurance Management - Construction companies must manage all workers under a dynamic real-name system and report changes to the social insurance agency. Insurance benefits should be based on reported personnel [17]. - If a worker is injured but not reported in the insurance system due to the employer's failure to update records, the insurance fund may still be liable if the worker meets certain criteria [17]. Group 3: Legal Procedures for Injury Claims - Workers employed by contractors without labor qualifications must undergo injury recognition procedures to claim insurance benefits. Courts cannot recognize injuries as work-related if the recognition application is not submitted within the legal timeframe [18]. - For workers who have their identity misused, if they are recognized as injured, they can still claim insurance benefits, provided the employer has complied with insurance registration requirements [19][20]. Group 4: Causation and Claims for Death Benefits - The family of a worker who dies during the leave period due to work-related injuries must establish a causal relationship to claim death benefits. The social insurance agency is responsible for this recognition [21][23]. - If the family or employer disputes the agency's decision on the recognition of death benefits, they must provide evidence of their application to the agency [22][23].