Washington Self-Insurers Association presents

Industrial Insurance University's

Claims Management Training Series
November 2011 & February 2012

Vigilant - Counsel for Employers
6003 23rd Drive West, Suite 200

Tahoma Room 1

Everett, WA  98023

Introduction to Claims Management - November 7-8, 2011

Complex Claims Management - February 6-7, 2012

 

About WSIA’s Claims Management

Training Series

Click Here To REGISTER for
INTRODUCTION TO CLAIMS MANAGEMENT - November 7-8, 2011

Click Here To REGISTER for
COMPLEX CLAIMS MANAGEMENT - February 6-7, 2012

This training series is an essential resource for anyone working in Self-Insurance for Workers’ Compensation in Washington State. Both courses are two days in length (no split registrations) and cover the key topics of claims management.  Each of the courses serves to help attendees increase their on-the-job effectiveness and provides a take away reference manual.

Introduction to Claims Management replaced Claims 1 and 2 and is for those individuals newer to claims (generally those with less than three years claims experience).  In this course, we will provide a brief history of workers’ compensation, and provide instruction on basic claims handling in the  topic areas listed below.  Attendees will build a claim file from handouts provided in each of the various topics covered, which will allow them to learn how claims develop and how various forms and letters are properly used in the management of a claim. Attendees will also receive a reference manual containing key documents they can refer to in the future. 

  

Complex Claims Management replaced Claims 3 and 4 and is for those with more claims handling experience (generally those with at least three years claims experience).  In this course, we will tackle the more complicated areas of claims management listed below.  Based on feedback from last year’s attendees, we have dropped a few topics which were perceived as too basic.  We have also listened to past attendee feedback regarding the structure of the course and have made this year’s class much more interactive.  The format will include training on each topic followed by a question and answer portion which will allow attendees to pose their own particular scenarios for instructor and attendee suggestions. The instructors will also pose some hypothetical situations to the class to encourage problem solving and teamwork.  In addition to our team of instructors, we will have three guest presenters.  Our coverage of surveillance will include the opportunity to view actual surveillance video and hear from private investigator Don Grundl. Scott Corwin, one of L&I’s Pension and Fraud experts, will join us for our discussion of those topics and workers’ compensation and employment law attorney, Betsy Reeve, of Reeve Shima, will discuss the other laws that impact workers’ compensation.  Each of the guest presenters will follow the course structure change to encourage attendee participation.  Calculations will not be addressed in this course. Attendees will receive a reference manual containing key documents they can refer to in the future.

As an added feature, attendees of both courses will take both a pre-class and post-class quiz, so that we can measure the effectiveness of the instruction provided.

Please note that time loss, LEP, and PPD calculations

are not components of these training courses.

IMPORTANT NOTE

These courses are now two-day courses.

Split registrations are not provided for.

 

Click Here To REGISTER for
INTRODUCTION TO CLAIMS MANAGEMENT - November 7-8, 2011

Click Here To REGISTER for
COMPLEX CLAIMS MANAGEMENT - February 6-7, 2012

 

INTRODUCTION TO CLAIMS MANAGEMENT COURSE INSTRUCTORS

Craig Bock - Bock Consulting

Patty Hicks - Penser North America

Erinn Hyre - Sedgwick CMS

Lawrence Mann - Wallace Klor & Mann .

 

COMPLEX CLAIMS MANAGEMENT COURSE INSTRUCTORS

Craig Bock - Bock Consulting

Patty Hicks - Penser North America

Kathryn Kunkler - Keehn Kunkler

 

Who Should Attend Introduction to Claims Management

• Anyone who has an interest in self-insured workers’ compensation issues in Washington State
• Claims assistants, medical only claims examiners, new time loss claims examiners, and seasoned examiners new to Washington laws
• Self-Insured Employer representatives and HR people and providers who want a basic understanding of workers’ compensation claims handling
• Those performing claims oversight of State Fund Employers (new or little experience)
• Those planning to register for IIU’s Washington Worker’s Compensation Professional designation courses in the future

 

Who Should Attend Complex Claims Management?

• Experienced claims examiners (generally 3 years claims experience)
• Workers’ compensation supervisors
• Seasoned claims examiners that are new to Washington Workers’ Compensation
• Those interested in exploring the situations that complicate claims handling, such as permanent work restrictions, third party involvement, and claim disputes
• Those performing claims oversight of State Fund Employers (experienced)
• Those preparing for Certification Testing or planning to register for IIU’s Washington Worker’s Compensation Professional designation

 

Please note that time loss, LEP, and PPD calculations are not components of these training courses.  Four new calculations webinars are being created and will be presented live later in this program year. The archived versions will also be available for purchase following the live events.

Watch your email for more details.

 

Click Here To REGISTER for
INTRODUCTION TO CLAIMS MANAGEMENT - November 7-8, 2011

Click Here To REGISTER for
COMPLEX CLAIMS MANAGEMENT - February 6-7, 2012

 

Claims Management Training Series Agenda

Introduction to Claims Management Agenda

Registration and Breakfast at 7:30 AM both days and class will begin promptly at 8:00 AM.

Topics:

History of Workers’ Compensation

Introduction of Sample Claim

Investigation

Compensability

Apportionment

Communication

Medical Management

Disability Management

Reserving

Claim Closure

Permanent Partial Disability Compensation

Introduction to Litigation

Litigation Management

Integrating Investigation, Medical, Disability & Litigation Management

Wrap up at 5 pm both days

 

Click Here To REGISTER for
INTRODUCTION TO CLAIMS MANAGEMENT - November 7-8, 2011

 

Complex Claims Management Agenda

Registration and Breakfast at 7:30 AM both days and class will begin promptly at 8:00 AM.

Topics:

Complex Compensability Issues – OD or II? Allow or Deny?

Proactive and Appropriate Use of Vendors

Other Laws which Impact Workers’ Compensation

Vocational Assessments & Retraining – Getting it Right

Pensions and 2nd Injury Fund

Willful Misrepresentation

Challenging Claim Reopening

Seizing Opportunities with the Recent Legislative Changes

Complex Claim Investigation and Surveillance

Preparing Your Best Defense

Wrap up at 5 pm both days

Click Here To REGISTER for
COMPLEX CLAIMS MANAGEMENT - February 6-7, 2012

 

Continuing Education Credits

Washington Certified Claims Administrator Continuing Education Credits have been applied for the Complex Claims Management Course, and any credits awarded will be posted that information becomes available.