CPWC23 DISCOVERY AND CLAIM EVALUATION
CLAIMS PRACTITIONER IN WORKERS’ COMPENSATION
Workers’ Compensation Origins and Overview
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.
Module 23 – Discovery and Claim Evaluation
In this 23rd module, we will look at the various means by which medical and legal information is discovered through the course of the claim, including pre-application discovery, depositions, surveillance, and reviewing the medical-legal process. Practically, you will be provided information to allow you to manage how you, as the claims examiner, secure information during the course of the claim pendency. Just as importantly, you will be provided information as to how to evaluate the value of the claim for settlement purposes. This information is foundational to our final module, claim resolution.
Lecture Topics Covered
- Pre-Application Discovery
- Application for Adjudication of Claims
- M/L Process
- Claim Settlement Evaluation
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