Schedule/Sessions
Breakfast and Keynote - Bryan Falchuk, How to Control Your Career Path to Get Your Must-Have Job
Workers Compensation Coverage and Excess Insurance
Claims professionals need an understanding of different types of worker compensation policies, how the policies are procured by clients, roles of the agents and brokers and how premiums are determined. Understanding the insurance purchasing cycle and the parties involved will reinforce how proper claim cost management lowers future insurance cost.
Course Objective:
- Understand the types of policies & how they work
- Understand the role of the agent and the broker
- How premiums are determined
- Understand what goes into purchasing coverage
- How to control program costs
- What is Excess Insurance
- How policies differ
- Excess carrier communication
- Preparing for audit
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Loss Control and Claims Management Programs - Measuring Program Success
- Understand how to review claim loss runs and loss development triangles to measure success of a program.
- Understand how human resource policies interact with workers compensation processes.
- Evaluate your safety program to include the formation of a safety committee, new employee orientation and ongoing employee safety training.
- Identify, evaluate and monitor the ancillary services needed to assist in adjudication of your workers compensation program.
- Create and review best practices of the client’s program, third party administrator and carrier along with any third party vendor that is assisting in the adjudication of workers compensation claims.
Controlling Drugs and Pharmacy Management Impact
At the end of this course, you will be able to:
- Understand today’s medication/pharmacy cost factors
- Understand how to control costs through use of vendors
- Understand how to control costs through use of a formulary
- Develop and understand reporting packages through your vendor(s) to manage high risk/inappropriate medications
- Determine steps to manage chronic opioid use
- Create an effective pharmacy benefit management (PBM) program
- Calculate medication reserves for long term claims and Medicare Set-Asides
- Understand the impact of Medical Marijuana laws on WC
We're Going to Trial
Instruct Workers Compensation claim adjusters on all aspects of pre-trial and trial phases of a claim, including how a thorough investigation, specific documentation, and collection and preservation of evidence aids in trial preparation and presentation.
Course Learning Objectives:
- Define litigation
- Understand how initial investigation and evidence collection phases relate to the trial phase
- Recognize when a case is ready for resolution via trial
- Describe what a trier of act will consider in rendering a decision
SHARED COURSE - Navigating Relationships for Success
The students will be presented with a claim scenario and will be assigned to roles in which they will ask questions of the claims examiner who will be required to respond, make recommendations and identify strategies for navigating these relationships keeping in mind the goal of claim resolution and career success.
Back to topSHARED COURSE - Presentation Skills for Claims Professionals
This course will explore the basics of effective presentations: knowing what you want to create (think “Zen”), delivering value to the audience, focusing on authenticity (rather than form!), the search for a fresh approach and presentation tools (podiums, PowerPoint, Prezi, etc.)
Back to topSHARED COURSE - Principles of Management
This course is designed to be an overview of the major functions of management. Emphasis is on planning, organizing, controlling, directing and communicating. Upon completion, students should be able to work as contributing members of a team utilizing these functions of management.
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School of Workers Compensation - Level 2 Learning Objectives
School of Workers Compensation - Level 3 Learning Objectives
