Practice Test Geeks(CCP) Certified Claims Professional Practice Test
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Workers' Compensation Claims Flashcards

7 cards from real CCP 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

  1. Under most state workers' compensation laws, the 'coming and going' rule generally means that injuries sustained while commuting to or from work are:

    Answer: Covered if the employer provides the transportation

    The coming-and-going rule excludes commuting injuries from coverage, but an exception applies when the employer furnishes transportation.

  2. A workers' compensation claim involving a gradual-onset condition like carpal tunnel syndrome is classified as a(n):

    Answer: Occupational disease

    Repetitive-motion conditions that develop over time are classified as occupational diseases rather than sudden traumatic accidents.

  3. When an employer disputes compensability, the claims professional should first:

    Answer: Conduct a thorough investigation before making a coverage decision

    A thorough, good-faith investigation is required before any coverage decision, ensuring compliance with prompt-payment statutes.

  4. The 'dual-purpose' doctrine in workers' compensation allows coverage when:

    Answer: A trip serves both a personal and a business purpose

    Under the dual-purpose doctrine, a trip is compensable if it simultaneously serves an employment purpose, even if personal errands are also conducted.

  5. A Maximum Medical Improvement (MMI) determination is significant in workers' compensation because it:

    Answer: Signals the point at which the claimant's condition is unlikely to improve further with treatment

    MMI marks the transition from temporary disability benefits to evaluation for permanent impairment ratings.

  6. Which type of workers' compensation benefit is specifically designed to compensate an injured worker for a measurable anatomical loss even if no wage loss results?

    Answer: Specific loss benefit

    Specific loss benefits are scheduled awards for defined anatomical losses (e.g., amputation of a finger) independent of actual wage-loss.

  7. Under the 'going and coming' exception known as the 'special errand' rule, an employee traveling to perform a task specifically requested by the employer:

    Answer: Is covered for the duration of the special errand

    The special-errand exception extends workers' compensation coverage to the entire trip when the employer directs the employee on a specific mission.