CPWC13 – Ethical Issues



Module 13 – Ethical Issues

In this 13th module – Ethical Issues in Workers’ Compensation, we look at the important but infrequently discussed issues of ethics in the Workers Compensation field.  This module will help you understand the standards of action by which you the claims adjuster, as well as insurer and claim administrators have to meet. We will look at the relationship and potential conflicts between the employer and their insurers and their claim administrators and, practically, how you as the adjuster can work for the common good of the parties in the system. This module, along with the following module on fraud, provides a basis of understanding and analysis for the actions for the participants of the Workers Compensation system.

Claims Practitioners in Workers’ Compensation

CPWC (Claims Practitioner in Workers’ Compensation) is a 24 unit certification program developed to meet the needs of emerging claims practitioners. This program offers comprehensive training in foundation principles required to become a certified California WC Claims Adjuster and provides the required 120 classroom hours. Presented at a practical desk level, this curriculum includes learning tools such as case studies and soft skills along with technical information.  Components of the CPWC will also help fulfill certification requirements for California WC Medical Review or Medical Only adjusters.

Lecture Topics Covered

  1. Ethical Issue
  2. LC and Regulatory Compliance
  3. Conflicts of Interest
  4. Fiduciary Responsibility
  5. Employer’s Bill of Rights
  6. Safe Work Environments

Who should attend.

  • Indemnity Workers’ Compensation Claims Adjusters
  • Medical Bill Review Adjustors
  • Medical Only Claims Adjustors
  • TPA / Self Insured Claims Personnel
  • Safety and Risk Management Professionals
  • Agent/Broker Workers’ Compensation Claims Staff

Difference between 3 & 5 hour versions:

  • The Indemnity Track requires the 5 hour version to meet the requirement of 120 hours.
  • The 5 hour version includes Case Studies and homework
  • All other tracks only require the 3 hour version

Key updates in progress.  Please check back soon.