Introduction to Claims Management

Two-Day Course | 13 Hours

November 5-6, 2019 | WSIA Office, Olympia
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

 Attendees take both a pre and post-class quiz as a learning exercise and to measure the effectiveness of the instruction provided.

Pre-class Self-Study Reading Assignments:     
Chapter 1-4: Washington Administrative Code
Chapter 1-5: Medical Aid Rules and Fee Schedule
Chapter 1-6: Department of Labor and Industries Policies
Chapter 1-8: Return to Work
Chapter 1-10: Permanent Partial and Total Permanent Disabilites
Chapter 1-12: Labor and Industries Orders
Chapter CM2: Initial Investigation
Chapter CM3: Time Loss Compensation


Cancellation Information

A cancellation fee of $75 will be charged for cancellations received by October 29, 2019. This is to offset the cost of the room rental, reserved meals, and conference material production.

No credit will be given for cancellations made after October 29, 2019.