Workers’ Comp

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.

Vale Training Solutions offers Continuing Education for this course at a charge of $2.00 per credit hour.  Please see the state listing below for available CE credits.

Continuing Education Units:

Texas 24 hours
Delaware 30 hours
Indiana 30 hours
Mississippi 30 hours
Oklahoma 33 hours
Georgia 30 hours
North Carolina 6 hours

Canada | Manitoba 12 hours
Canada | British Columbia 8 hours

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