Course Features
National Workers' Compensation Claims Training Program
Course Description
AE21 offers a dynamic online training curriculum in workers’ compensation claims management. This program is designed to provide a robust foundation of knowledge for adjusters, medical case managers, and other insurance professionals. Whether you’re new to the field of workers’ compensation or are looking to enhance your expertise, this program delivers key insights and practices for effective workers’ compensation claims handling.
Course Objectives
Your Pathway to Professional Excellence in Workers’ Compensation
Through eight detailed online courses, students will deepen their understanding of their pivotal role in aiding workers with occupational injuries. The program not only increases awareness but also arms claims professionals with the critical knowledge and skills necessary for proficient workers’ compensation claims management.
Upon completing the National Workers’ Compensation Claims Management Training Program, students will gain a comprehensive set of skills and knowledge, enabling them to:
- Grasp the Historical Context and Evolution of Workers’ Compensation: Understand the origins of the U.S. Workers’ Compensation industry, its development as “the Grand Bargain: between business and labor over the last century, the challenges it has faced, and its current state as a blend of private contract and social legislation.
- Master Compensability Doctrines: Learn to accurately identify and apply key legal doctrines that determine the compensability of workers’ compensation claims
- Calculate and Understand Workers’ Compensation Benefits: Determine the primary benefits an injured worker is entitled to, including the duration and termination of those benefits
- Identify Occupational Injuries and Medical Conditions: Recognize injuries and medical conditions commonly seen in workplace injuries, understand their causes, the types of treatment available, and the providers of such treatments
- Evaluate and Reserve Financial Exposures: Learn the principles of evaluating and reserving for financial exposures stemming from occupational injuries, and how to analyze and present the value of a workers’ compensation claim
- Understand the Insurance Product’s Ecosystem: Gain insights into how experience rating, underwriting analysis, occupational injury and financial loss, financial reserving, and the settlement and elimination of loss exposures interact and affect the workers’ compensation insurance product
- Navigate the “Intoxication Defense”: Grasp the complexities behind the often misused “Intoxication Defense” across U.S. jurisdictions, including its appropriate application and evaluating its likelihood of success
- Enhance Negotiation Skills: Acquire advanced strategies and techniques for effective claims negotiations, ensuring equitable resolutions while safeguarding the interest of all parties involved in workers’ compensation disputes
This program equips students with the necessary tools to navigate and excel in the complex field of workers’ compensation claims management, fostering a deep understanding and appreciation of the intricate balance between protecting workers and managing financial exposures.
Course Design
The program is comprised of 8 courses:
- The Origin & Evolution of Workers’ Compensation
- The Compensability of Workers’ Compensation
- The Benefits of Workers’ Compensation
- Evaluating and Reserving Workers’ Compensation Claims
- The Economics of Workers’ Compensation
- Advanced Medical Anatomy for Casualty Adjusters
- The Intoxication Defense
- Strategic Claims Negotiations
This program is designed to provide a structured, building-block learning experience. Each course within the program is developed to progressively deepen your understanding of workers’ compensation, ensuring a solid and comprehensive grasp of the concepts.
At the end of each course, you’ll be required to pass a short exam focused on the specific area of study you’ve just completed. Upon completing all of the course modules, you will tackle a comprehensive final exam that covers the entirety of the curriculum. Achieving success on the final exam will earn you a “suitable for framing” Certificate of Completion. This certificate is more than just a piece of paper; it’s a symbol of your dedication, effort, and the comprehensive knowledge you’ve gained in workers’ compensation adjusting. It stands as a testament to your commitment to excellence and your readiness to excel in the field.
This program is your pathway to becoming a proficient professional in workers’ compensation claims management, equipped with the knowledge to make a significant impact in your career.