Workers’ Comp

Course information
Price

$1,995.00

Duration

1 week

Call 817-633-4800 for details


This one-week class teaches the principles of Workers’ Comp and Employers’ Liability coverage from the claims handling point of view.

Students learn how to determine the compensability of injuries sustained in the course and scope of employment including, occupational illnesses, average weekly wage, compensation rates, waiting periods and retroactive dates, temporary and permanent disabilities, territoriality issues, survivor and rehabilitation benefits and other statutory and coverage benefits.

Continuing Education Units:

This course may be available for Continuing Education credits, please contact Vale for details.

Syllabus:

History of Workers’ Compensation
Middle Ages – Guilds and Maritime
Industrial Revolution
Common Law
Triangle Shirtwaist Factory
The Progressive Movement
Liability without Regard to Fault
Workers’ Compensation Acts

General Overview of Today’s Workers’ Compensation Systems
State Administration
Types of Financing Methods
Types of Insurance Companies
Federal Law

Common Features
Exclusive Remedy (with exclusions)
Mandatory vs. Elective
Choice of Law
Persons Covered
Injuries and Diseases
Benefits
Course and Scope
Second Injury Fund

Coverage – Workers’ Compensation Policy
Workers’ Compensation
Employer Liability

Coverage – Who is an Employee?
Statutory Employee
Loaned Employee
Leased Employee
Subcontractors
Independent Contractors
Volunteers
Domestics
Agriculture
Pro Sports
Underage
Illegal Aliens

Compensability
Arising out of & Course and Scope of Employment
Premises
Commuting vs. Traveling
Dual Purpose
Deviations
Personal Comfort
Recreational Activities
Horseplay
Injuries after Termination of Employment
Acts Outside of Regular Duties
Acts in an Emergency
Workplace violence

Common Statutory Exclusions
Horseplay
Intoxication
Violation of Statue or Crime
Suicide/Intentional Acts
Stress/Heart Attack/Stroke in certain cases

Compensability – Injury
Sole Cause
Injury vs. Disease
Last Injurious Exposure
Exacerbation vs. Aggravation

Benefits
Indemnity          
Medical
Rehab
Voc-Rehab
Death Benefits

Medical Overview
Human Anatomy
Medical Terminology
Medical Reports
AMA Guides
Scheduled Impairment
Medical Review
Nurse Case Managers
Controversial Diagnosis
IMEs, RMEs and Peer Reviews
Medical Trends
CPT Codes and Billing

Investigation
Overview – coverage, compensability, benefits
Statements
Medical reports
Photos and scene investigation
Records
Subrogation

Claim Handling
First Report of Injury
Three Point Contact
Reserving
Investigation
Medical management
Benefits
Attorney Involvement
Subrogation
Structured Settlements
Dispute Resolution

Fraud
Employee
Employer
Doctor
Adjuster
Surveillance

Bad Faith Claim Handling

Litigation and Third Party Actions

Trends in Workers’ Compensation

Trucking and Commercial Vehicle Claims

Course information
Price

$1,195.00

Duration

2.5 days

Click on the date below to register:

October 19-21, 2020

Future virtual course dates (check back for open registration):

This 2.5 Virtual Class is designed for adjusters with some experience and knowledge of basic claims adjusting. The course focuses on issues relevant to commercial auto claims, trucking liability, and cargo losses.

Students participate in workshops and case studies to build skills, increase confidence and encourage analytic decision making for commercial risks. With respect to commercial auto, the workshop concentrates on investigating and determining legal liability, tort negligence, damages, and the disposition of claims involving commercial vehicles. Included will be a discussion of issues peculiar to commercial risks, such as vicarious liability, deviation, and inland marine cargo. Commercial vehicles create an assumption of the organization as a target risk requiring expertise in investigating and resolving claims. 

Course is designed for:

  • Insurance Professionals in claims, underwriting, production, etc.
  • Adjusters and claims handlers for insurance carriers and independent companies
  • Third party administrators
  • Self-insured companies
  • Others who are responsible for investigating, evaluating and negotiating casualty claims

Course Details:

Upon successful completion of this course, the student should have the skills necessary to evaluate a file for negotiating, determine the range, evaluate circumstances and other important factors that affect the range, and demonstrate the ability to properly negotiate a claim to conclusion.

For full course outline download the course brochure.

Course brochure: Trucking and Commercial Vehicle Claims

Instructor:

Taught by Vale Training’s Elise M. Farnham, CPCU, ARM, AIM, CPIW.  Elise is an insurance and risk management professional with extensive experience. She is an internationally acclaimed speaker and trainer having designed educational topics ranging from underwriting, to risk management, to claims administration, both casualty and property. Her career advancement from multi-line adjuster to senior management positions gives her real-world experience in assisting today’s insurance professionals in meeting the challenges they face. She has developed training and professional development programs for the industry’s largest organizations and provides expert commentary which is published quarterly. Her articles have appeared in industry publications in the U.S., Canada, and the U.K. As an energetic instructor, her programs are interactive, especially when examining ethical issues relative to the industry. With a life-long career in insurance, Elise is a dynamic speaker and educator.

Key Expertise: Liability, Property, E&O and Bad Faith, Professional Liability, Personal lines auto, Personal lines property, Commercial lines auto, Commercial lines property, Risk Management, Negotiations, Fraud, Flood.

 

Commercial Liability & Negotiations

Course information
Price

$1995.00

Duration

5 days

Upcoming virtual course to register:


Future virtual course dates (check back for open registration):

October 14, 2020 Negotiations

This 5-day course will review coverage issues relative to the Commercial Liability policy including investigative requirements for confirming coverage, determining liability, and evaluating damages. The final two days of the program will focus on negotiations including the skills necessary to evaluate a file for negotiating, determine the range, evaluate circumstances and other important factors that affect the range, and demonstrate the ability to properly negotiate a claim to conclusion.

Level: Intermediate to advanced. For those who want to expand their knowledge of coverage afforded by the CGL. Since the course includes evaluation of court decisions, it is recommended that the attendee be knowledgeable about basic claim processes, terminology, and coverage review.

This course is designed for:

  • Insurance Professionals in claims, underwriting, production, etc.
  • Adjusters and claims handlers for insurance carriers and independent companies
  • Third party administrators
  • Self-insured companies
  • Others who are responsible for claim review or coverage and contract analysis

Following completion of this course, attendees will be able to:

  • Summarize the Commercial Liability Policy and intentions of coverage
  • Describe how the CGL differentiates coverage application under each Coverage part – A., B., and C.
  • Analyze how coverage can be altered or limited by the Exclusions, Conditions, and Limits/Valuations/Deductibles
  • Differentiate coverage triggers under the Claims-Made and Occurrence forms
  • Analyze court decisions regarding coverage language and contractual obligations

Course outline:

Course instructor: Elise M. Farnham, CPCU, ARM, AIM, CPIW
Elise is an insurance and risk management professional with extensive experience. She is an internationally acclaimed speaker and trainer having designed educational topics ranging from underwriting, to risk management, to claims administration, both casualty and property. Her career advancement from multi-line adjuster to senior management positions gives her real-world experience in assisting today’s insurance professionals in meeting the challenges they face. She has developed training and professional development programs for the industry’s largest organizations and provides expert commentary which is published quarterly. Her articles have appeared in industry publications in the U.S., Canada, and the U.K. As an energetic instructor, her programs are interactive, especially when examining ethical issues relative to the industry. With a life-long career in insurance, Elise is a dynamic speaker and educator.

 

Casualty Adjusting

Course information
Price

$1,995.00

Duration

1 week

Upcoming dates to register:

November 16-20, 2020

Future virtual course dates (check back for open registration):

October 28, 2020

The one-week Casualty Adjusting course teaches the principles of Law and Legal Liability as they apply to automobile and general liability risks. The course focuses on the methods of investigating and determining legal liability, evaluation of damages, reserving, and settlement practices.

Students participate in workshops and case studies to build skills, increase confidence and encourage analytic decision making for self-insured risks. The workshops concentrate on investigating and determining legal duties, burden of proof, comparative fault, damages and the disposition of claims involving automobile and truck accidents, injuries sustained on owned premises by others, property damage to others and other common liability occurrences.

Upon successful completion of this course, the student should have the skills necessary to evaluate a file for negotiating, determine the range, evaluate circumstances and other important factors that affect the range, and demonstrate the ability to properly negotiate a claim to conclusion.

This course is designed for:

  • Insurance Professionals in claims, underwriting, production, etc.
  • Adjusters and claims handlers for insurance carriers and independent companies.
  • Third party administrators
  • Self-insured companies
  • Others who are responsible for investigating, evaluating and negotiating casualty claims

Course Outline: