WCCA 11 ESTABLISHING INJURY AND AFFIRMATIVE DEFENSES IN CALIFORNIA WORKERS’ COMP CLAIMS
WORKERS’ COMPENSATION CLAIMS
Learn the many variations and definitions of “injury” and key conditions for compensability under workers’ compensation insurance. Understand the ramifications of the 90-day rule and learn how to determine whether specified injuries meet the conditions for compensability. Better serve your clients with your ability to recognize circumstances that could amount to statutory defenses against injury claims. Effectively handle complex workers’ compensation claims covering psychiatric injuries and compensable consequence injuries. Learn to confidently apply best practices to your everyday work and demonstrate your value to your customers.
- Learn the broad scope of “injury” and important related issues like cumulative trauma, occupational disease and multiple dates of injury
- Conditions of compensability are reviewed, including AOE/COE and the 90-day rule
- Presumptions of injury for specified public employees are covered in detail
- The difficult topic of psychiatric injury is addressed, including special conditions for compensability, the six-month rule and good-faith personnel actions
- Learn the seven statutory defenses, including intoxication, self-inflicted, and off-duty recreational activities
- The Coming and Going rule is explained in detail, as are exceptions to this complex rule
- Judicial rules and doctrines are covered, such as before hiring and after termination, mixed business and personal purposes and performance of work in an unauthorized manner
- Learn about compensable consequence injuries such as subsequent nonindustrial injury, injuries involving medical treatment, and injuries occurring as a result of litigation.
Who should attend:
- Workers’ compensation claims adjusters
- Medical only claims adjusters
- TPA / Self-insured claims personnel
- Agent/Broker workers’ compensation claims staff