Texas Workers' Compensation Series and Exam Online Course: ID# 1002326
Price: $299.00
Qty:
About This Course:
This course provides a comprehensive overview of the concepts specific to Texas Workers' Compensation claims, including what constitutes a compensable injury, liability defenses, deadlines, the different types of income benefits, and the administrative dispute resolution process.
It covers the concepts affecting the provision of medical benefits in Texas Workers' Compensation claims, including medical dispute resolution and in-network v. out-of-network care.
Learning Objectives
By taking this course, you will learn the ins and outs of how insurance companies operate in Texas. The course is delivered via self-paced, online modules and an end-of-course exam, as described below.
Texas Workers' Compensation Insurance System Overview This module covers the technical aspects of insurance in Texas including how insurance underwriters determine the premium employers pay and what factors drive up the cost of a workers' compensation insurance policy.
Introduction to Texas Workers' Compensation/Compensability &Liability Issues This module covers the basic but unique definitions applicable to Texas workers' compensation claims. You will first become familiar with the agency that regulates the administration of workers' compensation in Texas - the Texas Department of Insurance, Division of Workers' Compensation. You will then learn what constitutes a compensable injury in Texas, with regard to both specific and occupational injuries, as well as the statutory and other defenses to liability. Plus, you will be apprised of the various reporting and dispute deadlines, and how cases are affected if they are not met.
Income Benefit Issues, Part 1 This module covers the definition of average weekly wage - the starting point for all income benefits - and the three types of income benefits most commonly paid: Temporary Income Benefits, Impairment Income Benefits and Supplemental Income Benefits. You will learn how the calculation of average weekly wage can vary, depending on the type and duration of employment, and what non-pecuniary wages are included. You will also learn the calculation, dispute and duration of each category of income benefit.
Income Benefit Issues, Part 2/Income Benefit Dispute Resolution In this module, you will learn the specifics of the two remaining types of income benefits: lifetime income benefits and death benefits. You will be able to define the types of injuries that qualify for lifetime income benefits, calculate the amount of benefits owed and determine when such benefits accrue. You will also be able to identify the hierarchy of beneficiaries for death benefit purposes. Then, we will move to the income benefit dispute resolution process, where you will come to understand the various levels of this administrative process, as well as the use of agreements and settlements in the Texas Workers' Compensation process.
Medical Benefits, Networks and Medical Dispute Resolution This module covers the various issues relevant to the delivery of medical benefits in the Texas Workers' Compensation system. You will learn what types of treatment and services can be provided, and by whom, as well as which ones require pre-authorization. You will become aware of the use and applicability of treatment, disability guidelines and medical fee guidelines.
You will also learn about the use of health care networks within the Texas system, and the rules applicable to such treatment. Then, we will move on to the medical dispute resolution process, during which you will become familiar with the different types of reviews for medical necessity and fee disputes.
Exam One exam included in the Texas Workers' Compensation Series. It consists of 50 questions with a 90 minute time period. You must first take the Texas Workers' Compensation Series training modules before taking this exam. You will have one attempt to pass this exam. The pass mark is 70%.
You will receive 3 months of unlimited access to this package. Upon placing your order, you will receive an email with instructions to access your online training. You may begin immediately!
Note: This course may be taken independently for professional development or in conjunction with other courses to earn the Workers Compensation Specialist (WCS) designation. Click on the hyperlinked item for a full description of the designation.
Top FAQs Generally speaking, you must take your state-required pre-licensing courses, then pass your state's licensing exam After passing, you typically must meet any basic state requirements such as age, passing a background check, etc.
We offer online and Instructor-led courses for taking your state's required pre-licensing course and earning your insurance license. You receive downloadable and printable training materials, Instructor-led training, and a bunch of sample exams.
Workers Comp is an insurance that provides certain wage and other benefits to people who are injured or become ill at work. Coverage and benefits are mandated by each individual state and can vary according to the state in question.
While each state's licensing exam is separate, you will generally find questions about policy types, coverage options, terms, definitions, and you state's laws and regulations.
oss costs, loss cost multipliers, rates, experience modification factors, schedule credits, premium discounts, expense constant. Unravel the mystery and learn why some employers pay much more than others for the same coverage.
Prompt reporting, quick action, managing care, and a return-to-work planning.
What you need to track, when you need to track it, and why
Insurance Agents also should understand his or her applicable state's workers' comp rules and requirements, responsibilities of the organization, proper procedures for claims handling and return-to-work, and how to investigate claims of fraud.
Develop, maintain, and manage the organization's workers' comp program, including communicating with employees, managers, insurance carriers, medical providers, attorneys, and upper management, handling claims, the reporting requirements, medical-related issues, and fraud investigations.
