Complex Claims Management
Two-Day Course | 13 Hours
On-Demand
Cost: $425 Members, $700 Non-Members
Level: Advanced
Issues Covered: Medical, Compensation, Work Disability Prevention
The first in our advanced series, and seventh step in our IIU's comprehensive, goal-oriented workers' compensation curriculum, Complex Claims Management builds on the intermediate principles in prior trainings and brings all phases of claims management into scope for an advanced level of instruction. This two-day course provides instruction on advanced claims handling in the topic areas listed below by industry experts in the claims management, vocational, and legal fields. Attendees will be provided hypothetical claim scenarios for group discussion and collaboration of claim management strategy. Attendees will also receive links to electronic copies of reference materials for use in this and future modules.
Topics Covered
- Employment Law overlay
- Complex claim investigations
- Surveillance and investigative services
- Willful Misrepresentation
- Complex course of employment issues
- Undocumented workers
- Aggravation versus new injury
- Complex wage issues
- Suspension of benefits
- Complex industrial injury and occupational disease claims
- Injurious Exposure claims
- Hearing Loss claims
- Heart attack/stroke claims
- Cancer claims
- PTSD/Mental Health cases
- Fatality claims
- Communication with injured workers and other system participants
As a condition of Labor & Industries approval for on-demand/self-study courses to satisfy the requirements of WAC 296-15-350 and 360 for state certification, we are required to have on-demand/self-study WWCP participants who intend to sit for the state certification exam complete an attestation form for each course in the curriculum verifying full participation, and successfully complete a brief quiz on the material covered. Each course quiz must have a 80 percent correct rate, and can be completed while reviewing the recording if necessary.