Workers Compensation Claims Flashcards
7 cards from real CALA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Workers Compensation Claims flashcards as text
An employee is injured while traveling from one job site to another during the workday. Under workers compensation, this injury is most likely:
Answer: Compensable as it occurred in the course of employment
Travel between job sites during the workday is considered within the course and scope of employment and is therefore compensable.
Which of the following best describes the 'odd lot' doctrine in workers compensation?
Answer: A worker who cannot compete in the regular labor market due to injury may be deemed totally disabled
The odd lot doctrine holds that a claimant may be considered permanently totally disabled if their injury renders them unable to compete in the open labor market.
A workers compensation claimant reaches Maximum Medical Improvement (MMI). What does this mean for the claim?
Answer: The claimant's medical condition has stabilized and further treatment is unlikely to improve the condition
MMI means the claimant's condition has plateaued and further medical treatment is not expected to result in significant improvement.
Under workers compensation, a 'scheduled loss' benefit typically applies to:
Answer: Permanent partial disability involving specific body parts like limbs or digits
Scheduled loss benefits are fixed statutory amounts for permanent loss or loss of use of specific body parts listed in the workers compensation statute.
Which of the following is generally considered a 'compensable consequence' in a workers compensation claim?
Answer: A secondary injury that directly results from a compensable primary injury
A compensable consequence is an injury or condition that arises directly as a result of a compensable work injury, making it also covered under workers compensation.
A workers compensation adjuster discovers the claimant has returned to light-duty work. The adjuster should:
Answer: Reduce temporary total disability benefits and begin paying temporary partial disability if applicable
When a claimant returns to modified or light-duty work at reduced wages, TTD stops and TPD benefits may be payable to compensate for the wage difference.
In most states, the workers compensation exclusive remedy doctrine means:
Answer: An injured employee cannot sue the employer in tort but is entitled to statutory benefits
The exclusive remedy doctrine bars employees from filing civil lawsuits against employers for work injuries, limiting their recovery to workers compensation benefits.