CCA Workers Compensation Claims Flashcards
6 cards from real CCA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CCA Workers Compensation Claims flashcards as text
Which form is commonly used to report a workers' compensation claim to the insurer in many US states?
Answer: First Report of Injury (FROI)
The First Report of Injury (FROI) is the standard form used by employers to notify the workers' compensation insurer and state agency of a workplace injury.
A worker injures their back while lifting at work and later develops a psychological condition due to chronic pain. Is the psychological condition likely compensable?
Answer: Yes, if the psychological condition is a direct consequence of the compensable physical injury
Secondary psychological conditions that are causally related to a compensable physical work injury are generally covered under workers' compensation.
What is a 'scheduled loss of use' award in workers' compensation?
Answer: A lump sum payment for permanent impairment to a specific body part based on a statutory schedule
Many states use a statutory schedule assigning a fixed number of weeks' compensation for permanent loss of function to specific body parts.
When a third party (not the employer) causes a work injury, the injured worker may:
Answer: Sue the third party AND receive workers' compensation, with potential subrogation by the insurer
An injured worker can receive workers' compensation benefits and pursue a third-party tort claim; the workers' comp insurer typically has a subrogation lien on any third-party recovery.
What does 'light duty' mean in a workers' compensation context?
Answer: Modified or restricted work assignments within the injured employee's medical restrictions
Light duty refers to temporary work assignments modified to accommodate the injured worker's medical restrictions while they recover.
Which of the following injuries would likely be found NON-compensable under workers' compensation?
Answer: An injury sustained during a voluntary company social event held off-premises
Injuries at voluntary, off-premises social events are generally not considered to arise 'out of and in the course of employment,' making them non-compensable.