Work Comp Certification Program

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Curriculum

The following classes represent the curriculum for the CAWC designation:

Alternative Work Comp Programs

This course helps you attract larger accounts ($250,000+) by providing clients with programs to reduce their premium and improve cash flow. The session focuses on the competitive advantages associated with loss sensitive plans, such as retrospective rating plans, large deductible plans, self insurance and excess workers’ compensation plans. You’ll also explore client cases and help them select the alternative work comp program that best meets their needs.

Claims and Return-to-Work

While injury prevention is important, it is equally important to provide claims services that focus on returning the injured employee to work as soon as possible. This class focuses on working with a claims examiner and claims department to get the injured employee to the right occupational medical resources, incorporate early return-to-work programs, and develop alternative duty options that allow the injured employee and company to remain productive. Topics include:

  • Claim compensability
  • Different types of claims
  • Issues involving reserves
  • Litigation management
  • A step-by-step approach to developing an effective return-to-work program

Classification and Rating of Workers’ Compensation

This class provides an overview of the rules governing risk classification for workers’ compensation insurance and the basic rating elements involved in promulgating premium. The class includes discussion about classifications, standard exceptions and general exclusions for various classifications. While the information given is based on NCCI classification rules and ratings, variations among non-NCCI states will also be discussed.

Ethics

A successful career is often based on reputation, which can generate new business while building a loyal client base that lasts a lifetime. Ethics play a powerful role in the creation of reputation. Accordingly, this class explores:

  • How to protect and enhance your reputation through ethical practices
  • Components of ethical practices
  • Characteristics of reputable insurance professionals
  • Types of ethical hazards in workers’ compensation
  • Values, morals and laws affecting today’s ethics
  • Skills needed to recognize insurance fraud along with techniques to examine how different fraud cases impact agents and clients

Experience Modification Factors

The experience mod factor is used to promote industrial safety by demonstrating the relationship between accident prevention and reduced workers’ compensation costs. Our class provides an in-depth look at:

  • Calculating, understanding and explaining the ramifications associated with a high rating.
  • The mod’s role in determining premium, as well as how a lower mod creates a competitive advantage for a client.
  • Components of the modification factor in Michigan in comparison to the National Council on Compensation Insurance (NCCI).
  • How the revised NCCI split point creates a more responsive model and how agents should prepare clients for this change.

Fraud

The FBI reported that in 2012, insurance fraud was a $400 billion-a-year industry. What can you do when you believe fraud is occurring? Are you up-to-date on the latest scams being used in workers’ compensation? This class will prepare you to effectively deal with fraudulent acts by helping identify employer fraud, as well as providing tips for recognizing fraudulent activity by employees. Different areas of insurance fraud examined include:

  • Rate evasion
  • Nomadic group activity
  • Premium fraud
  • Bodily injury fraud
  • Application fraud

Longshore and Harbor Workers’ Compensation Act (LHWCA)

The LHWCA provides employment-injury and occupational-disease protection to approximately 500,000 workers. What questions do you need to ask to know if the client may need LHWCA? How do you assess if this is the right program for them? This class helps you recognize if LHWCA is needed by examining:

  • The impact on business
  • Coverage needs for policyholders
  • Who is covered
  • Basic provisions, requirements and employee rights

Loss Control

Loss control is vital to helping clients reduce their losses and modification factor. In this class, agents learn the basics of loss control programs, including:

  • Workers’ compensation risk identification
  • Injury prevention
  • Safety services
  • Customized return-to-work programs
  • Investigation processes that examine the root cause of claims
  • Creation of a safety culture
  • Tools to help clients deal with safety issues
  • The “Tip of the Iceberg” theory and how it impacts clients

Workers’ Compensation Fundamentals

This course provides a thorough overview of workers’ compensation insurance, including history, employer liability, and how employers provide and obtain workers’ comp coverage. Other topics discussed include:

  • Risks
  • Experience modification factors
  • Claim types and claims management techniques
  • Alternative workers’ compensation programs
  • Longshore and Harbor Workers’ Compensation Act (LHWCA)
  • Federal Employer’s Liability Act
  • And the benefits of workers’ comp

This class provides context for the program by introducing foundational concepts of workers’ compensation insurance.

For more information about the CAWC program, email us.