Advanced Claims Management and Appeals

Two-Day Course | 13 Hours

On-Demand
Cost: $425 Members, $700 Non-Members

Level: Advanced
Issues Covered: Validity | Medical | Compensation | Work Disability Prevention

The final step in our IIU's comprehensive, goal-oriented workers' compensation curriculum, Advanced Claims Management and Appeals builds on the intermediate and advanced principles in prior trainings and explores the highest levels of claims management complexities before, during, and after actions at the BIIA. This two-day course provides instruction on advanced claims handling in the topic areas listed below by experienced legal and claim management professionals. 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.                                                                     

Topics Covered

  • The Board of Industrial Insurance Appeals and the Courts
  • Civil Rules and Ethics
  • Claim Resolution Structured Settlement Agreements
  • Pensions, Second Injury Fund, Alternative Closures
  • Protests and Appeals
  • Dispute Resolution
  • Mediation at the BIIA
  • Litigation Management
  • Evidence at the BIIA
  • Presenting a Prima Facie Case
  • Discovery
  • Scope of Review
  • Decisions at the BIIA and higher courts
  • 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.