Processing Benefits
Adjustments/Overpayments
No Payments
Long-Term Rates
Administrative
100
What is the RTW/Recovery and MMRS screen?
100
A memo to file is required from __________ when the overpayment is over $1000 and to be NFA'd.
What is the Operations Manager?
100
A file that was previously returned is sent back to Payment Services, the PS is to consult with the Payment Manager if there are ______ memos for the same issues
What is 2 or more?
100
PWI is perm full time but LTR is required. The ______ is sent to the PWI only
What is the Payment Status Cover Letter?
100
Initial Payment Specialist calls are for _______
What is earnings clarification?
200
The Payment Specialist must be mindful paying hours lost with incomplete earnings as there is ________
What is a potential to overpay the claim?
200
Indexation overpayments create a non-recoverable debt as a result of reconfirming the sequence to force IOR or IOG. Enter debt code _____
What is 22?
200
Claim Review notes: Assignment missing information, PLOE decision and offset earnings missing and Blank Form 7
What is reason for an Automatic Return?
200
Linked to the LTR - Request Earnings activity for the Continuing PS to review
What is the Initial Payment Memo and F7/Di7?
200
70, 51, 40, 13 are ____ codes
What are final codes?
300
The process/phrase that directs Payment Specialist to ensure the PWI gets a full biweekly payment if the authorization states "ongoing" benefits
What is pay to next cycle date?
300
True or False: Hours lost sequences need to be inactivated to adjust
What is true?
300
The guideline for this memo states to list, ask, write and specify
What is a No Payment Memo
300
PAYS is set up with Full Advances but now the LTR has been calculated. The PS should ensure ________
What is to change Full Advances to NET?
300
Payment Specialist method of informing the Decision Maker there is further earnings that is required
What is an After Payment memo and activity?
400
Benefit Authorization: Process FLOE 25OCT-2DEC2024 exclusive. Do not pay for 11NOV24 as PWI paid for stat day by employer. List the number of sequences.
What is one sequence from 25OCT - 2DEC2024?
400
Retro wage increases, NEC code update, benefit change from FLOE to PLOE are some examples.
What is adjust reasons?
400
The automatic ACES activity Decision Makers receive from Payment Specialist when an No payment return is processed
What is the Authorization Payment Return?
400
True or False statement: Periods of FLOE paid as advances are to be factored out of the Long-Term Recalculation period
What is false?
400
REO Payment - Layoff Date, Payment Summary, LTR Calculation, Survivor - Initial Payment Explanation
What are Standard Memo Titles?
500
When claims span January 1 of a new year based on a factor. IOR and IOG are common acronyms
What is Indexation?
500
WSIB wins a settlement on behalf of a PWI when a 3rd party is involved. The settlement amount that exceeds the total claim benefits paid.
What is a surplus?
500
If the original PS who returned the authorization is unavailable to process it, then the authorization will _____
What is remain with the current PS who is assigned the activity?
500
The Long-Term Average earnings for a severely impaired person with a 60% or plus NEL cannot be less than _______
What is 75% of their Short Term Earnings?
500
The Follow Up for Continuing process also known as Continuing Call process names these type of claims as out of scope or exceptions.
What is Appeals or B119 or Dependant Contractors or Self Employed?