Introduction to Claims Management
Two-Day Course | 13 Hours
Thursday & Friday November 17-18, 2022
Cost: $425 Members, $700 Non-Members
Level: Basic/Intermediate
Issues Covered: Validity | Medical | Compensation | Work Disability Prevention
Faculty Includes: Krishna Balasubramani, Esq. | Kevin Kincade | Julie Busch, MS, CDMS | Lloyd Brooks, WWCP
The second step in our IIU's comprehensive, goal-oriented workers' compensation curriculum, Introduction to Claims Management builds on the foundational elements learned in Workers' Comp 101: Industrial Insurance and Work Disability Prevention and focuses on the basic principles of adjudicating Washington workers’ compensation claims. This two-day course provides instruction on basic claims handling in the topic areas listed below. Attendees will receive a link to electronic study materials for use in this and subsequent workshops.
Topics Covered
- Washington's Statutory Framework: RCW, WAC, Medical Aid Rules, L&I Policy
- Claim Adjudication Guidelines
- Board of Industrial Insurance Appeals and Significant Decisions
- Investigation of accidents and claims
- Compensability of injuries and occupational disease claims
- Apportionment of injuries
- Communication with injured workers and other system participants
- Management of the medical dimensions of the injury claim
- Medical Aid Rules
- Fee Schedules and Payment Policies
- Management of the disability aspects of the injury claim, including leaves of absence and return to work
- Reserving the cost of the claim
- Closing the claim
- Permanent Partial Disability compensation
- Introduction to litigation and litigation management
- Integrating investigation, medical, disability, and litigation management