In this week’s discussion, we are to answer the following:
specific facts are you required to know, share, and defend in your field?
sources do you consider most credible when you defend facts and statements
to someone who is questioning you about the accuracy of your claims?
This is one of my classmates response:
“ This is
an issue that is near and dear to me. As a worker’s compensation claims
adjuster, I must have answered questions like “why did you pay me that amount”
or “why is my claim denied” or “why won’t you pay for lawn care services” a
million times. In Colorado, worker’s compensation is highly regulated and
we are bound by Colorado statute and the Division of Worker’s Compensation
Rules of Procedure. These sources lay out when, why and how much a
carrier must pay or is able to pay, for a worker’s compensation claim.
These rule and statutes can be very helpful because they are clear and not much
argument can be made when I explained to someone that the rules and statutes
were set and I could not deviate from them. This can be a bone of contention
because worker’s compensation is not designed to make someone wealthy. In
fact, it’s the opposite. Worker’s compensation is designed to be short
term and transitional.
example of a fact I’m required to know is how much per week I’m allowed to pay
an injured worker. Per statute, I must pay two-thirds that person’s
average weekly wage. What most people don’t know is there is a maximum
amount per week a person can be paid. So, if I normally earn $2,000.00
per week, but I’m injured on the job and can’t work, the most a carrier is
allowed to pay me per week is $914.27. A claims representative is able to
defend the amount paid per week by providing the injured worker with the
statute that this applies to. “
Compose a SUBSTANTIVE response post to this student’s post.
Minimum 50 words – Does not need to be long at all.