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Claim Compensability Part 2

Building on the foundations from Part 1, this module dives deeper into advanced compensability issues that arise in complex or disputed claims. You’ll explore exceptions, special circumstances, and case law that influence whether a claim is accepted or denied. This includes injuries during breaks, off-duty conduct, and unique employment scenarios.

Key Learning Outcomes

  • Identify and apply exceptions to AOE/COE

  • Understand compensability for injuries during breaks, travel, or remote work

  • Evaluate claims involving willful misconduct, horseplay, or intoxication

  • Explore evolving case law impacting eligibility

  • Strengthen decision-making in gray-area claims

Who Should Enroll

This course is designed for experienced claims adjusters, TPAs, employer reps, and legal professionals handling complex or disputed claims. It’s especially helpful for those seeking to sharpen their skills in evaluating nuanced fact patterns and legal exceptions.

Sullivan on Comp

The Claims Practitioner in Workers’ Compensation (CPWC) program is powered by Sullivan on Comp (SOC) and SOC Essentials—the most trusted resources in California workers’ compensation.

These expert materials deliver:

  • In-depth legal analysis

  • Practical, real-world claims guidance

  • Current updates on laws, regulations, and case law


With SOC integrated into this course, you’ll gain the legal insight and practical tools needed to handle California workers’ compensation claims with skill and confidence.

Topics Covered

This module focuses on exceptional circumstances that may affect a claim’s eligibility:

  • Exceptions to AOE/COE

  • Compensability during breaks, travel, and remote work

  • Misconduct, horseplay, and intoxication exclusions

  • Case law influencing unusual or borderline cases

  • Applying facts to defend or support a compensability decision

Why Professionals Trust This Course

This course is designed for professionals who are ready to build—or strengthen—a career in California workers’ compensation:

Updated for 2024 with real-world claims examples
Aligned with California DWC training needs
Integrated with Sullivan on Comp for legal and practical clarity
Flexible, on-demand format for working professionals
Part of the full CPWC Certification path

CPWC06

On-Demand

Payment plans available.

Up-to-Date Content Developed with Industry Leaders

Upgrade to a Certification on Workers’ Comp

Students who chose certifications got:

Become a Workers' Compensation Expert

Ready to take the next step towards a rewarding career in the workers’ compensation industry? Look no further!

Connect with our experienced counselor to determine the best class or path for your goals.

Fill out the form to get in touch




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