Top links and logo

Workers’ Comp

The principles of Workers' Comp and Employers' Liability coverage from the claims handling point of view.

Course information
Price

$1,895.00

Duration

1 week

Click here to register

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

Print this page