Actualités comptables
Contester un accident du travail : qui conteste ?

Contester un accident du travail : qui conteste ?

Publiée le mercredi 23 juin 2021 à 05h47 dans Actu Sociale

En présence d’un accident supposé du travail, l’employeur peut émettre des réserves sur son caractère professionnel. Dans ce cas, la caisse primaire d’assurance maladie doit envoyer un questionnaire ou procéder à une enquête. Mais à qui doit-elle s’adresser ?


Accident du travail et réserves = enquête auprès de qui ?

Un salarié a été victime d’un accident qui a été reconnu comme étant d’origine professionnelle par la caisse primaire d’assurance maladie (CPAM). Une qualification d’accident du travail que l’employeur conteste….

Il rappelle qu’il a émis des réserves sur le caractère professionnel de cet accident. Et dans ce cas, rappelle-t-il, l’assurance maladie doit envoyer un questionnaire portant sur les circonstances ou la cause de l'accident ou procéder à une enquête auprès de lui. A défaut, la procédure de reconnaissance de l’accident du travail n’est pas valable…

C’est bien ce qui a été fait, souligne la CPAM. « Non ! », maintient l’employeur : il constate que la CPAM a bien envoyé un questionnaire au salarié victime de l’accident, mais a procédé à un entretien téléphonique avec l'un des préposés de l'employeur, et non avec lui-même.

Peu importe, estime le juge qui relève que cet entretien a bien permis de recueillir des éléments d'information complets et pertinents. Pour le juge, la caisse a correctement instruit la demande de prise en charge de l’accident du travail à l'égard de l'employeur.

Source : Arrêt de la Cour de cassation, chambre sociale, du 3 juin 2021, n° 19-25571

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