Injury. Investigation. Documentation. Burden of proof. The list of specifics on workers' compensation claims can be long, and you must be prepared to deal effectively with each step of the process. This seminar will give you the working knowledge you must have to stay on top of the practical 'in-house' strategies.
Workers' compensation claims can be minimized and/or avoided with a proactive approach by claims management. Negotiating around occupational illness liabilities to returning to work and the ADA requires a sophisticated and strategic approach.
- Whose job is it anyway? What to expect from your insurer, TPA, legal and medical providers
- How to prepare your claim thoroughly for efficient defense of compensability
- Train your team on management of the claim process and the injured worker
- Awareness of workplace violence and its effect on workers' compensation
- Nevada law on intentional acts exception
- How to defend against a case in which the exception might apply
- The attendee will be able to discuss reasonable accommodations.
- The attendee will be able to identify filing requirements.
- The attendee will be able to review case examples.
9:00 a.m. - 9:15 a.m.
I. Overview Of Program
9:15 a.m. - 9:45 a.m.
II. Workers' Compensation In
A. Hotel/Casino And General Industry
C. Fully Insured
E. Third-Party Administrator (TPA)
9:45 a.m. - 10:45 a.m.
III. What Is Compensable Under
A. Governing Law
B. In And Out Of Course Of Employment
C. The Coming And Going Rule
D. Benefit Of Or Directed By Employer
E. Medical Condition
F. Case Examples
10:45 a.m. - 11:00 a.m.
11:00 a.m. - 12:00 p.m.
IV. Who, What, Where, When, Why
And How: Initiating The Claim
A. Filing Requirements
B. Your Company Policy/Procedures
C. Enhancing Minimum Requirements
D. Interviewing The Claimant
E. Investigating The Incident
G. Additional Resources
12:00 p.m. - 1:00 p.m.
Lunch (On Your Own)
1:00 p.m. - 1:30 p.m.
V. Initial Care: What You Can
Expect From Your Providers
A. Training Your Providers
B. Post-Accident Drug/Alcohol Testing
C. Light Duty Verbiage
E. Reasonable Accommodations
F. Essential Job Tasks, Light Duty
1:30 p.m. - 2:15 p.m.
VI. Light Duty Accommodation For
The Injured Worker
A. Establishing A Light Duty Job Per Prescribed Restrictions
B. Tip Compliant Positions
C. Discipline And Discharge Of Injured
D. Accommodating The Permanently Disabled Worker vs. Voc-Rehab
E. ADA Issues
2:15 p.m. - 2:30 p.m.
2:30 p.m. - 3:00 p.m.
VII. A Solid Defense – Legal
A. Affirmative Defense – Intoxication, Willful Misconduct, Misrepresentation
B. Choosing Your Defense Team
C. Providing Efficient Documentation
3:00 p.m. - 4:00 p.m.
VIII. Fraud, Third-Party And
Subsequent Injury Claims
A. Understanding The Workers' Compensation Fraud Act
B. District Attorney Office Participation
C. Prior Disabilities
D. Prior Workers' Compensation Awards
4:00 p.m. - 4:30 p.m.
IX. Questions And Answers